Evidence map›Paper›PMID 19526406›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2009

Are patients getting the "gist" in risk communication? Patient understanding of prognosis in breast cancer treatment.

David W Hutton, Jeffrey K Belkora, Ross D Shachter, Dan H Moore

Abstract read
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In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Trial
  2. Medical barriers to mammography screening of African American women in a high cancer mortality area: implications for cancer educators and health providers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2011
    Trial
  3. The Almost-Cancer Curriculum: Teaching General Practice/Family Medicine Trainees to Manage Risk-Bearing Findings Before Diagnosis.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  4. Article
  5. Physicians' perceptions of the value of prognostic models: the benefits and risks of prognostic confidence.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  6. Article
  7. Article
  8. Does use of the adjuvant! model influence use of adjuvant therapy through better risk communication?Journal of the National Comprehensive Cancer Network : JNCCN · 2011
    Article
  9. Article
  10. Decision making and cancer.The American psychologist
    Review
  11. Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy.Medical decision making : an international journal of the Society for Medical Decision Making
    Article
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.

David W HuttonDepartment of Management Science and Engineering, Stanford University, Stanford, CA, USA. david.hutton@stanfordalumni.org
Jeffrey K Belkora
Ross D Shachter
Dan H Moore

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
NICHD NIH HHS 9K12HD052163-06
6 · The paper itself

Abstract

backgroundMany oncologists consult the Adjuvant! prognostic model to communicate risk with breast cancer patients; however, little is known about how effective that communication is.

methodsThe authors analyzed this small data set featuring 20 breast cancer patients' risk estimates, focusing on rankings or gist of the estimates.

resultsOverall, there was no gain in the accuracy of patient rankings. The number of patients with more accurate estimates was matched by the number of patients with less accurate estimates after consultation.

conclusionsThe current methods used by oncologists to present Adjuvant! risks were not effective in helping patients to get the gist of their risks.

Indexed as

CommunicationHealth Knowledge, Attitudes, PracticePatient Education as TopicAdultAgedBreast NeoplasmsChemotherapy, AdjuvantFemaleHumansMiddle AgedPhysician-Patient RelationsPilot ProjectsPrognosisRisk FactorsTreatment Outcome

Identifiers

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.