Evidence map›Paper›PMID 22508828›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2012

Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.

Kathleen M Mazor, Douglas W Roblin, Sarah M Greene, Celeste A Lemay, Cassandra L Firneno, Josephine Calvi, Carolyn D Prouty, Kathryn Horner, Thomas H Gallagher

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–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

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: Systematic review of qualitative evidence.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  2. Trial
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  9. Patient Information Needs During Ambulatory Medication Changes: A Qualitative Study.Journal of patient-centered research and reviews · 2025
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  13. Unpacking the Cinderella black box of complex intervention development through the Partners at Care Transitions (PACT) programme of research.Health expectations : an international journal of public participation in health care and health policy · 2023
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  14. Article
  15. When attitudes and beliefs get in the way of shared decision-making: A mediation analysis of participation preference.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Kathleen M MazorMeyers Primary Care Institute, Worcester, MA 01605, USA. Kathy.Mazor@meyersprimary.org
Douglas W Roblin
Sarah M Greene
Celeste A Lemay
Cassandra L Firneno
Josephine Calvi
Carolyn D Prouty
Kathryn Horner
Thomas H Gallagher

Funding

Training and DevelopmentP20CA137219 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEARING, JAMES WILLIAM · 2008 to 2012
$7.8M
NCI NIH HHS P20 CA137219NCI NIH HHS P20CA137219
6 · The paper itself

Abstract

purposeCancer treatments are complex, involving multiple clinicians, toxic therapies, and uncertain outcomes. Consequently, patients are vulnerable when breakdowns in care occur. This study explored cancer patients' perceptions of preventable, harmful events; the impact of these events; and interactions with clinicians after such events. PATIENTS AND

methodsIn-depth telephone interviews were conducted with cancer patients from three clinical sites. Patients were eligible if they believed: something "went wrong" during their cancer care; the event could have been prevented; and the event caused, or could have caused, significant harm. Interviews focused on patients' perceptions of the event, its impact, and clinicians' responses to the event.

resultsNinety-three of 416 patients queried believed something had gone wrong in their care that was preventable and caused or could have caused harm. Seventy-eight patients completed interviews. Of those interviewed, 28% described a problem with medical care, such as a delay in diagnosis or treatment; 47% described a communication problem, including problems with information exchange or manner; and 24% described problems with both medical care and communication. Perceived harms included physical and emotional harm, disruption of life, effect on family members, damaged physician-patient relationship, and financial expense. Few clinicians initiated discussion of the problematic events. Most patients did not formally report their concerns.

conclusionCancer patients who believe they experienced a preventable, harmful event during their cancer diagnosis or care often do not formally report their concerns. Systems are needed to encourage patients to report such events and to help physicians and health care systems respond effectively.

Indexed as

Health Knowledge, Attitudes, PracticePerceptionAdultCooperative BehaviorDelivery of Health Care, IntegratedHealth Maintenance OrganizationsHumansInterviews as TopicMaleMedical ErrorsMedical OncologyMiddle AgedNeoplasmsOrganizational ObjectivesPatient Care TeamPatient-Centered Care

Identifiers

PMID22508828
PMCPMC3383179

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.