Evidence map›Paper›PMID 21294221›Full record

ArticlePsycho-oncology2012

Information giving and receiving in hematological malignancy consultations.

Stewart C Alexander, Amy M Sullivan, Anthony L Back, James A Tulsky, Roberta E Goldman, Susan D Block, Susan K Stewart, Maureen Wilson-Genderson, Stephanie J Lee

Open access · bronzeAbstract read
In one paragraph

Article in Psycho-oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
  3. Article
  4. More than "hematology": a qualitative study on the experience of hematologists treating people with blood cancer in Greece.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
  6. Article
  7. Behavioral Patterns in Breaking Bad News Communication: An Ethnographic Study with Hematologists.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Meeting the Information and Support Needs of Blood Cancer Patients and Caregivers: A Longitudinal Study of a Model of Patient-Centered Information Delivery.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
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  20. The role of unconscious bias in surgical safety and outcomes.The Surgical clinics of North America · 2012
    Review
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

9 authors at 8 institutions in 1 country.

Stewart C AlexanderCenter for Health Services Research, Durham VA Medical Center, Durham, NC, USA. alexa045@mc.duke.edu
Amy M Sullivan
Anthony L Back
James A Tulsky
Roberta E Goldman
Susan D Block
Susan K Stewart
Maureen Wilson-Genderson
Stephanie J Lee
Beth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USBrown University · USDuke Medical Center · USDurham VA Medical Center · USFred Hutch Cancer Center · USUniversity of Washington · USVirginia Commonwealth University · US

Funding

Enhancing Doctor-Patient CommunicationR01CA098486 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2003 to 2006
$1.9M
NCI NIH HHS CA 098486NCI NIH HHS R01 CA098486
6 · The paper itself

Abstract

purposeLittle is known about communication with patients suffering from hematologic malignancies, many of whom are seen by subspecialists in consultation at tertiary-care centers. These subspecialized consultations might provide the best examples of optimal physician-patient communication behaviors, given that these consultations tend to be lengthy, to occur between individuals who have not met before and may have no intention of an ongoing relationship, and which have a goal of providing treatment recommendations. The aim of this paper is to describe and quantify the content of the subspecialty consultation in regards to exchanging information and identify patient and provider characteristics associated with discussion elements.

methodsAudio-recorded consultations between 236 patients and 40 hematologists were coded for recommended communication practices. Multilevel models for dichotomous outcomes were created to test associations between patient, physician and consultation characteristics and key discussion elements.

resultsDiscussions about the purpose of the visit and patient's knowledge about their disease were common. Other elements such as patient's preference for his/her role in decision-making, preferences for information, or understanding of presented information were less common. Treatment recommendations were provided in 97% of the consultations and unambiguous presentations of prognosis occurred in 81% of the consultations. Unambiguous presentations of prognosis were associated with non-White patient race, lower educational status, greater number of questions asked, and specific physician provider.

conclusionAlthough some communication behaviors occur in most consultations, others are much less common and could help tailor the amount and type of information discussed. Approximately half of the patients are told unambiguous prognostic estimates for mortality or cure.

Indexed as

CommunicationPatient ParticipationPhysician-Patient RelationsAdultAgedFemaleHematologic NeoplasmsHumansMaleMedical OncologyMiddle AgedPhysicians

Identifiers

PMID21294221
PMCPMC3377472
OpenAlexW2110186643

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.