Evidence map›Paper›PMID 19908143›Full record

Trial reportBreast cancer research and treatment2010

Women's decisions regarding tamoxifen for breast cancer prevention: responses to a tailored decision aid.

Angela Fagerlin, Brian J Zikmund-Fisher, Vijayan Nair, Holly A Derry, Jennifer B McClure, Sarah Greene, Azadeh Stark, Sharon Hensley Alford, Paula Lantz, Daniel F Hayes and 5 more

Abstract readClinical Trial
In one paragraph

Trial report in Breast cancer research and treatment, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Patient decisions about breast cancer chemoprevention: a systematic review and meta-analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2010
    Pooled it
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  8. Phase III, placebo-controlled trial of three doses of citalopram for the treatment of hot flashes: NCCTG trial N05C9.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2010
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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
    Article
  16. Translating Cancer Risk Prediction Models into Personalized Cancer Risk Assessment Tools: Stumbling Blocks and Strategies for Success.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 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

15 authors at 6 institutions in 1 country.

Angela FagerlinAnn Arbor VA HSR&D, Center for Clinical Management Research, Ann Arbor, MI, USA.
Brian J Zikmund-Fisher
Vijayan Nair
Holly A Derry
Jennifer B McClure
Sarah Greene
Azadeh Stark
Sharon Hensley Alford
Paula Lantz
Daniel F Hayes
Cheryl Wiese
Sarah Claud Zweig
Rosemarie Pitsch
Aleksandra Jankovic
Peter A Ubel
University of Michigan–Ann Arbor · USDecision Sciences (United States) · USHenry Ford Health System · USGroup Health Cooperative · USVA Center for Clinical Management Research · USHealth Center · US

Funding

Training / Career DevelopmentP50CA101451 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELSTON, LAFATA J, RESNICOW, KEN A. · 2003 to 2012
$18.2M
NCI NIH HHS P50 CA101451
6 · The paper itself

Abstract

Tamoxifen reduces primary breast cancer incidence, yet causes serious side effects. To date, few women with increased breast cancer risk have elected to use tamoxifen for chemoprevention. The objective of the study was to determine women's knowledge of and attitudes toward tamoxifen following exposure to a tailored decision aid (DA). A total of 632 women with a 5-year risk of breast cancer > or = 1.66% (Mean = 2.56, range = 1.7-17.3) were recruited from two healthcare organizations. Participants viewed an online DA that informed them about their 5-year risk of breast cancer and presented individually tailored content depicting the risks/benefits of tamoxifen prophylaxis. Outcome measures included behavioral intentions (to seek additional information about tamoxifen, to talk to a physician about tamoxifen, and to take tamoxifen); knowledge; and perceived risks and benefits of tamoxifen. After viewing the DA, 29% of participants said they intended to seek more information or talk to their doctor about tamoxifen, and only 6% believed they would take tamoxifen. Knowledge was considerable, with 63% of women answering at least 5 of 6 knowledge questions correctly. Participants were concerned about the risks of tamoxifen, and many believed that the benefits of tamoxifen did not outweigh the risks. This study is the largest to date to test women's preferences for taking tamoxifen and one of the largest to have tested the impact of a tailored DA. After viewing the DA, women demonstrated good understanding of tamoxifen's risks and benefits, but most were not interested in taking tamoxifen for breast cancer chemoprevention.

Indexed as

Decision Support TechniquesHealth Knowledge, Attitudes, PracticeAdultAgedBreast NeoplasmsDecision MakingFemaleHumansMiddle AgedPatient Education as TopicSelective Estrogen Receptor ModulatorsTamoxifenSelective Estrogen Receptor ModulatorsTamoxifen

Identifiers

PMID19908143
PMCPMC3736824
OpenAlexW1977853445

What OpenQuestion holds

Textmetadata
LicenceTDM
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.