Evidence map›Paper›PMID 24207116›Full record

ArticlePatient education and counseling2014

Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS.

Mónica E López, Celia P Kaplan, Anna M Nápoles, E Shelley Hwang, Jennifer C Livaudais, Leah S Karliner

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.8field-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

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

  1. Quality of life issues in patients with ductal carcinoma in situ: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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  4. Cultural impacts on shared decision-making: A cross-European study of psychiatrist preferences in 38 countries.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  18. Local Therapy Decisional Regret in Older Women With Breast Cancer: A Population-Based Study.International journal of radiation oncology, biology, physics · 2019
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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

6 authors at 3 institutions in 1 country.

Mónica E LópezDepartment of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA.
Celia P KaplanDepartment of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.
Anna M NápolesDepartment of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.
E Shelley HwangDepartment of Surgery, Duke University, Durham, USA.
Jennifer C LivaudaisDepartment of Medicine, University of California San Francisco, San Francisco, USA.
Leah S KarlinerDepartment of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA. Electronic address: leah.karliner@ucsf.edu.
University of California, San Francisco · USUCSF Helen Diller Family Comprehensive Cancer Center · USDuke University · US

Funding

RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N01-PC-35136NCI NIH HHS N01-PC-35139NCI NIH HHS N02 PC015105NIA NIH HHS P30 AG015272NIA NIH HHS P30-AG15272PHS HHS U55/CCR921930-02
6 · The paper itself

Abstract

objectiveTo examine differences in treatment decision-making participation, satisfaction, and regret among Latinas and non-Latina whites with DCIS.

methodsSurvey of Latina and non-Latina white women diagnosed with DCIS. We assessed women's preferences for involvement in decision-making, primary treatment decision maker, and participatory decision-making. We examined primary outcomes of satisfaction with treatment decision-making and treatment regret by ethnic-language group.

resultsAmong 745 participants (349 Latinas, 396 white) Spanish-speaking Latinas (SSL) had the highest mean preference for involvement in decision-making score and the lowest mean participatory decision-making score and were more likely to defer their final treatment decision to their physicians than English-speaking Latinas or whites (26%, 13%, 18%, p<0.05). SSLs reported lower satisfaction with treatment decision-making (OR 0.4; CI 95%, 0.2-0.8) and expressed more regret than whites (OR 6.2; CI 95%, 3.0-12.4). More participatory decision-making increased the odds of satisfaction (OR 1.5; CI 95%, 1.3-1.8) and decreased the odds of treatment regret (OR 0.8; CI 95%, 0.7-1.0), independent of ethnicity-language.

conclusionLanguage barriers impede the establishment of decision-making partnerships between Latinas and their physicians, and result in less satisfaction with the decision-making process and more treatment regret. PRACTICE IMPLICATIONS: Use of professional interpreters may address communication-related disparities for these women.

Indexed as

CommunicationDecision MakingPatient SatisfactionAdolescentAdultBreast NeoplasmsCaliforniaCarcinoma, Intraductal, NoninfiltratingEmotionsFemaleHispanic or LatinoHumansLanguageMiddle AgedPatient ParticipationPersonal SatisfactionDecision-makingDoctor–patient communicationDuctal carcinoma in situHealth disparitiesLanguage barriersLatina health

Identifiers

PMID24207116
PMCPMC3918475
OpenAlexW2003145745

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.