Trial reportBMC medical informatics and decision making2010
A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial.
Trial report in BMC medical informatics and decision making, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Pooled it
- Patient Decision Aids for Colorectal Cancer Screening: A Systematic Review and Meta-analysis.American journal of preventive medicine · 2016Pooled it
- Effectiveness of Visual-Based Interventions on Understanding Cancer Information: A Systematic Review.Cancer control : journal of the Moffitt Cancer CenterPooled it
- Effect of a Patient Decision Aid on Preferences for Colorectal Cancer Screening Among Older Adults: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2022Trial
- Trial
- Interactivity in a Decision Aid: Findings From a Decision Aid to Technologically Enhance Shared Decision Making RCT.American journal of preventive medicine · 2019Trial
- Design of a randomized clinical trial of a colorectal cancer screening decision aid to promote appropriate screening in community-dwelling older adults.Clinical trials (London, England) · 2017Trial
- Correlates of Patient Intent and Preference on Colorectal Cancer Screening.American journal of preventive medicine · 2017Trial
- Patient perspective on pre-operative communication; a post-operative cross-sectional survey of patients with gastro-intestinal malignancy.Surgery open science · 2026Article
- Navigating the evolving landscape of colorectal cancer screening with a practical framework: a comprehensive analysis of existing and emerging technologies for informed decision-making.Oncology reviews · 2025Review
- Cancer Screening in Older Adults: Individualized Decision-Making and Communication Strategies.The Medical clinics of North America · 2020Review
- Cancer Screening Among Older Adults: a Geriatrician's Perspective on Breast, Cervical, Colon, Prostate, and Lung Cancer Screening.Current oncology reports · 2020Review
- Knowledge, attitudes, and worries among different health literacy groups before receiving first invitation to colorectal cancer screening: Cross-sectional study.Preventive medicine reports · 2019Article
- Development and validation of a 5-year mortality prediction model using regularized regression and Medicare data.Pharmacoepidemiology and drug safety · 2019Article
- Implementation and Evaluation of a Novel Colorectal Cancer Decision Aid Using a Centralized Delivery Strategy.Joint Commission journal on quality and patient safety · 2018Article
- Article
- Assessing information needs on bone health in cancer survivors.Journal of cancer survivorship : research and practice · 2016Article
- A universal decision support system. Addressing the decision-making needs of patients, families, and clinicians in the setting of critical illness.American journal of respiratory and critical care medicine · 2014Review
- Older adults newly diagnosed with symptomatic myeloma and treatment decision making.Oncology nursing forum · 2014Article
- Continuing cancer screening later in life: attitudes and intentions among older adults in England.Age and ageing · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundCompeting causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly can decide whether or not to undergo colorectal cancer (CRC) screening. The objective is to develop and test a decision aid designed to promote individualized colorectal cancer screening decision making for adults age 75 and over.
methodsWe used formative research and cognitive testing to develop and refine the decision aid. We then tested the decision aid in an uncontrolled trial. The primary outcome was the proportion of patients who were prepared to make an individualized decision, defined a priori as having adequate knowledge (10/15 questions correct) and clear values (25 or less on values clarity subscale of decisional conflict scale). Secondary outcomes included overall score on the decisional conflict scale, and preferences for undergoing screening.
resultsWe enrolled 46 adults in the trial. The decision aid increased the proportion of participants with adequate knowledge from 4% to 52% (p < 0.01) and the proportion prepared to make an individualized decision from 4% to 41% (p < 0.01). The proportion that preferred to undergo CRC screening decreased from 67% to 61% (p = 0. 76); 7 participants (15%) changed screening preference (5 against screening, 2 in favor of screening)
conclusionIn an uncontrolled trial, the elderly participants appeared better prepared to make an individualized decision about whether or not to undergo CRC screening after using the decision aid.
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What OpenQuestion holds
Registered trials
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.