Evidence map›Paper›PMID 18275401›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2008

Implementing breast cancer decision aids in community sites: barriers and resources.

Kerry A Silvia, Elissa M Ozanne, Karen R Sepucha

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Providing information to prepare breast cancer patients for their surgical consultation: barriers and recommendations (an analysis from Alliance A231701CD).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  7. A Narrative Inquiry of East Asian Parents and Mental Health in Canada: Critical Openings for Anti-Racism Strategies in Knowledge Translation.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
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  15. Introducing Decision Aids into Routine Prostate Cancer Care in The Netherlands: Implementation and Patient Evaluations from the Multi-regional JIPPA Initiative.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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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

3 authors.

Kerry A SilviaMassachusetts General Hospital, Boston, MA 02114, USA.
Elissa M Ozanne
Karen R Sepucha

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility of implementing four patient decision aids (PtDAs) for early stage breast cancer treatment decisions into routine clinical care in community settings.

backgroundThere is very limited information available about implementing decision aids into routine clinical practice and most of this information is based on academic centres; more information is needed about implementing them into routine clinical practice in community settings.

designStructured individual interviews. SETTING AND

participantsProviders from 12 sites, including nine community hospitals, a community oncology centre and two academic centres.

main outcome measuresUsage data, barriers to and resources for implementing the PtDAs.

resultsNine of the 12 sites were using the PtDAs with patients. All of the sites were lending the PtDAs to patients, usually without a formal sign-out system. The keys to successful implementation included nurses' and social workers' interest in distributing the PtDAs and the success of the lending model. Barriers that limited or prevented sites from using the PtDA included a lack of physician support, a lack of an organized system for distributing the PtDAs and nurses' perceptions about patients' attitude towards participation in decision making.

conclusionsIt is feasible to implement PtDAs for early stage breast cancer into routine clinical care in community settings, even with few resources available.

Indexed as

Choice BehaviorDecision Support TechniquesProfessional-Patient RelationsBreast NeoplasmsCommunity Health ServicesFeasibility StudiesFemaleHumansInterviews as TopicMassachusettsPatient Education as TopicPatient ParticipationProgram DevelopmentVideotape Recording

Identifiers

PMID18275401
PMCPMC5060426

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.