Evidence map›Paper›PMID 23570278›Full record

Trial reportBMC cancer2013

Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers.

Michael Hoerger, Ronald M Epstein, Paul C Winters, Kevin Fiscella, Paul R Duberstein, Robert Gramling, Phyllis N Butow, Supriya G Mohile, Paul R Kaesberg, Wan Tang and 15 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC 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 NCT01485627 (Randomized Controlled Trial), which is not on this map. Cited by 76 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 4 pooled it
13.4field-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.

NCT01485627 nacompletednot on this map

Randomized Controlled Trial(RCT)of Patient, Caregiver and Physician Communication Coaching in Advanced Cancer

TypeinterventionalSponsorUniversity of RochesterRan2011 to 2017Enrolled485ConditionsCancerArmsCommunication training and coaching
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 4 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Pooled it
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  7. The Effect of Video-Assisted Education Prior Intrathecal Chemotherapy on Anxiety and Knowledge Enhancement.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Trial
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  12. Patterns of interactions among patients with advanced pancreatic cancer, their caregivers, and healthcare providers during symptom discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Trial
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  16. Promoting End-of-Life Discussions in Advanced Cancer: Effects of Patient Coaching and Question Prompt Lists.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Trial
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  18. Article
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  20. A dyadic stress induction tool for experimental investigation of adult patients with cancer and their family caregivers.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article

16 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

25 authors at 4 institutions in 2 countries.

Michael HoergerRochester Healthcare Decision-Making Group, University of Rochester Medical Center, Rochester, NY, USA. michael_hoerger@urmc.rochester.edu
Ronald M Epstein
Paul C Winters
Kevin Fiscella
Paul R Duberstein
Robert Gramling
Phyllis N Butow
Supriya G Mohile
Paul R Kaesberg
Wan Tang
Sandy Plumb
Adam Walczak
Anthony L Back
Daniel Tancredi
Alison Venuti
Camille Cipri
Gisela Escalera
Carol Ferro
Don Gaudion
Beth Hoh
Blair Leatherwood
Linda Lewis
Mark Robinson
Peter Sullivan
Richard L Kravitz
University of Rochester Medical Center · USUniversity of California, Davis · USUniversity of Sydney · AUUniversity of Washington · US

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
NIMH INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARDT32MH018911 · NIMH · UNIVERSITY OF ROCHESTER · PI CAINE, ERIC D. · 1988 to 2012
$2.9M
RCT of Patient, Caregiver and Physician Communication Coaching in Advanced CancerR01CA140419 · NCI · UNIVERSITY OF ROCHESTER · PI EPSTEIN, RONALD M., KRAVITZ, RICHARD L · 2011 to 2015
$2.7M
NCI NIH HHS R01CA140419NIMH NIH HHS T32MH018911
6 · The paper itself

Abstract

backgroundCommunication about prognosis and treatment choices is essential for informed decision making in advanced cancer. This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers. METHODS/

designThe Values and Options in Cancer Care (VOICE) Study is a National Cancer Institute sponsored randomized controlled trial conducted in the Rochester/Buffalo, NY and Sacramento, CA regions. A total of 40 oncologists, approximately 400 patients with advanced cancer, and their family/friend caregivers (one per patient, when available) are expected to enroll in the study. Drawing upon ecological theory, the intervention uses a two-pronged approach: oncologists complete a multifaceted tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns. Follow-up data will be collected approximately quarterly for up to three years. DISCUSSION: The intervention is hypothesized to enhance patient-centered communication, quality of care, and patient outcomes. Analyses will examine the effects of the intervention on key elements of physician-patient-caregiver communication (primary outcomes), the physician-patient relationship, shared understanding of prognosis, patient well-being, and health service utilization (secondary outcomes).

trial registrationClinical Trials Identifier: NCT01485627.

Indexed as

CaregiversCommunicationDecision MakingPatient Education as TopicPhysiciansHumansNeoplasmsPalliative CarePhysician-Patient RelationsProfessional-Family RelationsQuality of LifeResearch DesignTerminal Care

Identifiers

PMID23570278
PMCPMC3637237
OpenAlexW2007620107

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.