Evidence map›Paper›PMID 23335150›Full record

Trial reportCancer2013

A Web-based communication aid for patients with cancer: the CONNECT Study.

Neal J Meropol, Brian L Egleston, Joanne S Buzaglo, Andrew Balshem, Al B Benson, Donald J Cegala, Roger B Cohen, Michael Collins, Michael A Diefenbach, Suzanne M Miller and 10 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03632850 (Shared Decision-making), which is not on this map. Cited by 24 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 7 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.

NCT03632850 completednot on this mapstarted 2019, after this paper: background citation

Shared Decision-making: Investigating the Potential of an Interactive, Web-Based, Information Tool for People With Advanced Pancreatic Cancer

TypeobservationalSponsorBournemouth UniversityRan2019 to 2021Enrolled34ConditionsAdvanced Pancreatic CancerArmsweb-based interactive tool
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
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  6. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
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  20. Good intentions are not enough: how informatics interventions can worsen inequality.Journal of the American Medical Informatics Association : JAMIA · 2018
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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

20 authors.

Neal J MeropolUniversity Hospitals Case Medical Center Seidman Cancer Center, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA. Neal.Meropol@case.edu
Brian L Egleston
Joanne S Buzaglo
Andrew Balshem
Al B Benson
Donald J Cegala
Roger B Cohen
Michael Collins
Michael A Diefenbach
Suzanne M Miller
Linda Fleisher
Jennifer L Millard
Eric A Ross
Kevin A Schulman
Allison Silver
Elyse Slater
Nicholas Solarino
Daniel P Sulmasy
Jonathan Trinastic
Kevin P Weinfurt

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
PATIENT DECISION MARKING--PHASE 1 CLINICAL TRIALSR01CA082085 · NCI · FOX CHASE CANCER CENTER · PI MEROPOL, NEAL J · 1998 to 2007
$3.2M
NCATS NIH HHS UL1 TR000150NCI NIH HHS P30 CA006927NCI NIH HHS P30 CA043703NCI NIH HHS P30 CA06927NCI NIH HHS P30 CA43703NCI NIH HHS R01 CA082085
6 · The paper itself

Abstract

backgroundCancer patients and their oncologists often report differing perceptions of consultation discussions and discordant expectations regarding treatment outcomes. CONNECT, a computer-based communication aid, was developed to improve communication between patients and oncologists.

methodsCONNECT includes assessment of patient values, goals, and communication preferences; patient communication skills training; and a preconsultation physician summary report. CONNECT was tested in a 3-arm, prospective, randomized clinical trial. Prior to the initial medical oncology consultation, adult patients with advanced cancer were randomized to the following arms: 1) control; 2) CONNECT with physician summary; or 3) CONNECT without physician summary. Outcomes were assessed with postconsultation surveys.

resultsOf 743 patients randomized, 629 completed postconsultation surveys. Patients in the intervention arms (versus control) felt that the CONNECT program made treatment decisions easier to reach (P = .003) and helped them to be more satisfied with these decisions (P < .001). In addition, patients in the intervention arms reported higher levels of satisfaction with physician communication format (P = .026) and discussion regarding support services (P = .029) and quality of life concerns (P = .042). The physician summary did not impact outcomes. Patients with higher levels of education and poorer physical functioning experienced greater benefit from CONNECT.

conclusionsThis prospective randomized clinical trial demonstrates that computer-based communication skills training can positively affect patient satisfaction with communication and decision-making. Measurable patient characteristics may be used to identify subgroups most likely to benefit from an intervention such as CONNECT.

Indexed as

CommunicationDecision MakingInternetPhysician-Patient RelationsReferral and ConsultationAgedFemaleHumansMaleMedical OncologyMiddle AgedNeoplasmsPatient Satisfaction

Identifiers

PMID23335150
PMCPMC3604078

What OpenQuestion holds

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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.