Evidence map›Paper›PMID 15043176›Full record

Trial reportAnnals of family medicine

Patient education for informed decision making about prostate cancer screening: a randomized controlled trial with 1-year follow-up.

Robert J Volk, Stephen J Spann, Alvab R Cass, Sarah T Hawley

Abstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
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  3. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
    Pooled it
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  10. A randomized trial of a computer-tailored decision aid to improve prostate cancer screening decisions: results from the Take the Wheel trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010
    Trial
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  13. Randomized trial of a decision aid for BRCA1/BRCA2 mutation carriers: impact on measures of decision making and satisfaction.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2009
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  17. Longitudinal changes in patient distress following interactive decision aid use among BRCA1/2 carriers: a randomized trial.Medical decision making : an international journal of the Society for Medical Decision Making
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Robert J VolkDepartment of Family and Community Medicine, Baylor College of Medicine, Houston, Tex 77098-3915, USA. bvolk@bcm.tmc.edu
Stephen J Spann
Alvab R Cass
Sarah T Hawley

Funding

DEPARTMENT OF FAMILY MEDICINED32PE010158 · PE · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI THOMPSON, BARBARA L · 1996 to 1997
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A Two-Stage Model for Colorectal Cancer ScreeningK02HS000007 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI HAWLEY, SARAH T · 2000 to 2002
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AHRQ HHS K02 HS000007AHRQ HHS K02-HS00007-02BHP HRSA HHS D32-PE10158-01
6 · The paper itself

Abstract

purposeThe efficacy of prostate cancer screening is uncertain, and professional organizations recommend educating patients about potential harms and benefits. We evaluated the effect of a videotape decision aid on promoting informed decision making about prostate cancer screening among primary care patients.

methodsA group of 160 men, 45 to 70 years of age, with no history of prostate cancer, were randomized to view or not to view a 20-minute educational videotape before a routine office visit at a university-based family medicine clinic. The subjects were contacted again 1 year after their visit to assess their receipt of prostate cancer screening (digital rectal examination [DRE] or prostate-specific antigen [PSA] testing), their satisfaction with their screening decision, and knowledge retention since the baseline assessment.

resultsFollow-up assessments were completed for 87.5% of the intervention subjects and 83.8% of the control subjects. The rate of DRE did not differ between the 2 groups. Prostate-specific antigen testing was reported by 24 of 70 (34.3%) intervention subjects and 37 of 67 (55.2%) control subjects (P = .01). African American men were more likely to have had PSA testing (9 of 16, 56.3%) than were white men (13 of 46, 28.3%) (P = .044). Satisfaction with the screening decision did not differ between the study groups. Intervention subjects were more knowledgeable of prostate cancer screening than were control subjects, although these differences declined within 1 year (P < .001).

conclusionsDecision aids for prostate cancer screening can have a long-term effect on screening behavior and appear to promote informed decision making.

Indexed as

Decision MakingAgedFollow-Up StudiesHumansMaleMass ScreeningMiddle AgedPatient Education as TopicPhysical ExaminationProstate-Specific AntigenProstatic NeoplasmsRectumVideotape RecordingProstate-Specific Antigen

Identifiers

PMID15043176
PMCPMC1466553

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.