Evidence map›Paper›PMID 25122421›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2014

Association of patient-provider communication domains with lung cancer treatment.

Jenny J Lin, Jessica Lake, Melanie M Wall, Andrew R Berman, John Salazar-Schicchi, Charles Powell, Steven M Keller, Ethan A Halm, Howard Leventhal, Juan P Wisnivesky

Abstract readMulticenter Study
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
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  7. Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  13. Connecting with healthcare providers at diagnosis: adolescent/young adult cancer survivors' perspectives.International journal of qualitative studies on health and well-being · 2017
    Article
  14. Article
  15. The Impact of Preexisting Mental Health Disorders on the Diagnosis, Treatment, and Survival among Lung Cancer Patients in the U.S. Military Health System.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
    Article
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.

Jenny J Lin*Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, NY; †Department of Biostatistics, Mailman School of Public Health, NY; ‡Division of Pulmonary and Critical Care Medicine, Rutgers University, NJ; §Division of Pulmonary and Critical Care Medicine, Columbia University, NY; ‖Division of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, NY; ¶Department of Thoracic Surgery, Montefiore Medical Center, NY; #Department of Internal Medicine and Clinical Sciences, University of Texas, Southwestern Medical Center University of Texas Southwestern Medical Center, TX; **Department of Psychology, Rutgers University, NJ; and ††Institute for Health, Health Care Policy and Aging Research, Rutgers University, NJ.
Jessica Lake
Melanie M Wall
Andrew R Berman
John Salazar-Schicchi
Charles Powell
Steven M Keller
Ethan A Halm
Howard Leventhal
Juan P Wisnivesky

Funding

Impact of Cancer on Adherence in DiabetesK07CA166462 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LIN, JENNY J. · 2013 to 2017
$846k
NCI NIH HHS 1K07CA166462-01NCI NIH HHS K07 CA166462
6 · The paper itself

Abstract

backgroundPatient-physician communication is critical for helping patients understand and complete the complex steps needed to diagnose stage and treat lung cancer. We assessed which domains of patient-physician communication about lung cancer and its treatment are associated with receipt of disease-directed, stage-appropriate treatment.

methodsPatients with recently diagnosed lung cancer were recruited from four medical centers in New York City from 2008 to 2011. Participants were surveyed about discussions with physicians regarding treatment, symptoms, and needs. Multiple regression analysis and structural equation modeling were used to assess which communication factors were associated with disease treatment.

resultsOf the 352 participants, 191 (54%) received disease-directed, stage-appropriate treatment. Unadjusted associations between communication items and treatment found that participants who felt that their physicians explained the risks and disadvantages of lung cancer treatment (p < 0.01), discussed their chances of cure (p = 0.02), discussed goals of treatment (p < 0.01), or who were warm and friendly (p = 0.04) were more likely to undergo treatment. Three communication domains were identified: treatment information, physician support, and patient symptoms/needs. After adjusting for known determinants of lung cancer treatment, increased treatment information was associated with higher probability of cancer-directed treatment (p = 0.003). Other communication domains (physician support or patient symptoms/needs) were not independent predictors of treatment (p > 0.05 for both comparisons).

conclusionThese data suggest that treatment information is particularly important for increasing the probability of cancer-directed therapy among lung cancer patients. Clinicians should ensure that they clearly discuss treatment goals and options with patients while maintaining empathy, supporting patient needs, and addressing symptoms.

Indexed as

CommunicationPhysician-Patient RelationsAgedCombined Modality TherapyFemaleFollow-Up StudiesHumansLung NeoplasmsMalePrognosisRetrospective Studies

Identifiers

PMID25122421
PMCPMC4133738

What OpenQuestion holds

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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.