Evidence map›Paper›PMID 22041948›Full record

Trial reportAnnals of internal medicine2011

Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial.

James A Tulsky, Robert M Arnold, Stewart C Alexander, Maren K Olsen, Amy S Jeffreys, Keri L Rodriguez, Celette Sugg Skinner, David Farrell, Amy P Abernethy, Kathryn I Pollak

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 131 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 16 pooled it
24.5field-weighted citation impact, top 1% 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.

NCT00276627 nacompletednot on this map

Enhancing Patient-Oncologist Communication

TypeinterventionalSponsorDuke UniversityRan2003 to 2006Enrolled800ConditionsUnspecified Adult Solid Tumor, Protocol SpecificArmscommunication lecture, lecture plus CD-ROM
NCT04158908 completednot on this mapstarted 2020, after this paper: background citation

Giving Information Systematically and Transparently in Lung and GI Cancer

TypeobservationalSponsorWeill Medical College of Cornell UniversityRan2020 to 2020Enrolled20ConditionsCritical Illness, Oncology, CommunicationArmsOncolo-GIST
NCT04179305 nacompletednot on this mapstarted 2020, after this paper: background citation

Giving Information Systematically and Transparently in Lung and GI Cancer Phase 2

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2020 to 2023Enrolled37ConditionsCritical Illness, Oncology, CommunicationArmsOncolo-GIST, Usual Care Arm
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 16 syntheses or guidelines pooled it, 256 citations in OpenAlex.

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  17. The Effect of a Surgeon Communication Strategy on Treatment Preference for Thyroid Cancer: A Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
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71 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 2 countries.

James A TulskyDuke University, Veterans Affairs Medical Center, Durham, North Carolina, USA. jtulsky@duke.edu
Robert M Arnold
Stewart C Alexander
Maren K Olsen
Amy S Jeffreys
Keri L Rodriguez
Celette Sugg Skinner
David Farrell
Amy P Abernethy
Kathryn I Pollak
Duke University · USDuke Cancer InstituteHarold C. Simmons Comprehensive Cancer CenterPeople Designs (United States) · USUniversity of Pittsburgh · US

Funding

Enhancing Patient-Oncologist CommunicationR01CA100387 · NCI · DUKE UNIVERSITY · PI POLLAK, KATHRYN I · 2003 to 2013
$6.1M
NCI NIH HHS R01 CA100387
6 · The paper itself

Abstract

backgroundQuality cancer care requires addressing patients' emotions, which oncologists infrequently do. Multiday courses can teach oncologists skills to handle emotion; however, such workshops are long and costly.

objectiveTo test whether a brief, computerized intervention improves oncologist responses to patient expressions of negative emotion.

designRandomized, controlled, parallel-group trial stratified by site, sex, and oncologic specialty. Oncologists were randomly assigned to receive a communication lecture or the lecture plus a tailored CD-ROM. (ClinicalTrials.gov registration number: NCT00276627)

settingOncology clinics at a comprehensive cancer center and Veterans Affairs Medical Center in Durham, North Carolina, and a comprehensive cancer center in Pittsburgh, Pennsylvania.

participants48 medical, gynecologic, and radiation oncologists and 264 patients with advanced cancer.

interventionOncologists were randomly assigned in a 1:1 ratio to receive an interactive CD-ROM about responding to patients' negative emotions. The CD-ROM included tailored feedback on the oncologists' own recorded conversations. MEASUREMENTS: Postintervention audio recordings were used to identify the number of empathic statements and responses to patients' expressions of negative emotion. Surveys evaluated patients' trust in their oncologists and perceptions of their oncologists' communication skills.

resultsOncologists in the intervention group used more empathic statements (relative risk, 1.9 [95% CI, 1.1 to 3.3]; P = 0.024) and were more likely to respond to negative emotions empathically (odds ratio, 2.1 [CI, 1.1 to 4.2]; P = 0.028) than control oncologists. Patients of intervention oncologists reported greater trust in their oncologists than did patients of control oncologists (estimated mean difference, 0.1 [CI, 0.0 to 0.2]; P = 0.036). There was no significant difference in perceptions of communication skills. LIMITATIONS: Long-term effects were not examined. The findings may not be generalizable outside of academic medical centers.

conclusionA brief computerized intervention improves how oncologists respond to patients' expressions of negative emotions. PRIMARY FUNDING SOURCE: National Cancer Institute.

Indexed as

Clinical CompetenceCommunicationComputer-Assisted InstructionPhysician-Patient RelationsDepressionEmpathyHumansMedical OncologyNeoplasmsPatientsSingle-Blind MethodSoftwareStress, PsychologicalTrust

Identifiers

PMID22041948
PMCPMC3368370
OpenAlexW2007320440

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.