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Table 3 Topic-level review definitions with an illustrative example

From: Agenda setting and visit openings in primary care visits involving patients taking opioids for chronic pain

Patient #78 Visit

This example visit shows who initiated each topic and the chronological order in which topics were discussed.

This visit had a patient launch visit opening 9 (defined in Table 2), as evident by video review and not by looking at this topic list.

Time 0.00

PAT: Falling

DOC: Stomach issue

PAT: Psychosocial

PAT: Nerve pain

PAT: Stomach issue

PAT: Falling

PAT: Chronic pain

PAT: Care management

DOC: Chronic pain

PAT: Falling

DOC: Cholesterol

DOC: Smoking cessation

PAT: Care management

DOC: Smoking cessation

PAT: Chronic pain

PAT: Psychosocial

DOC: Chronic pain

Doctor leaves room 18:22

Variable

Definition

Value in example above

Total topics

Count of unique topics discussed.

n = 8

falling, stomach issue, psycho-social, nerve pain, chronic pain, care management, cholesterol, smoking cessation

Major topics

Count of topics that received a comprehensive discussion. Determined by physician coder (EAMH) after reviewing full visit. Determined by video review and not by looking at topic list.

n = 1

chronic pain

Surprise topics

Count of total topics patients brought up that were not agenda items. If no agenda setting occurred, all patient-initiated topics were considered surprise topics for the physician.

n = 6

falling, psychosocial, nerve pain, stomach issue, chronic pain, care management

Return topics

Count of topics mentioned more than once. A single topic that was returned to more than once was counted as multiple return topics.

n = 9

falling 2x, stomach issue 1x, psychosocial 1x, chronic pain 3x, care management 1x, smoking cessation 1x