Evidence map›Paper›PMID 25307407›Full record

ArticleActa oncologica (Stockholm, Sweden)2015

Breast cancer specialists' views on and use of risk prediction models in clinical practice: a mixed methods approach.

Ellen G Engelhardt, Arwen H Pieterse, Nanny van Duijn-Bakker, Judith R Kroep, Hanneke C J M de Haes, Ellen M A Smets, Anne M Stiggelbout

Abstract read
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Cost-Effectiveness Analyses of the 21-Gene Assay in Breast Cancer: Systematic Review and Critical Appraisal.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Pooled it
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  9. A Value of Information Analysis of Research on the 21-Gene Assay for Breast Cancer Management.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 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

7 authors.

Ellen G EngelhardtDepartment of Medical Decision Making, Leiden University Medical Center , Leiden , The Netherlands.
Arwen H Pieterse
Nanny van Duijn-Bakker
Judith R Kroep
Hanneke C J M de Haes
Ellen M A Smets
Anne M Stiggelbout

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRisk prediction models (RPM) in breast cancer quantify survival benefit from adjuvant systemic treatment. These models [e.g. Adjuvant! Online (AO)] are increasingly used during consultations, despite their not being designed for such use. As still little is known about oncologists' views on and use of RPM to communicate prognosis to patients, we investigated if, why, and how they use RPM.

methodsWe disseminated an online questionnaire that was based on the literature and individual and group interviews with oncologists.

resultsFifty-one oncologists (partially) completed the questionnaire. AO is the best known (95%) and most frequently used RPM (96%). It is used to help oncologists decide whether or not to recommend chemotherapy (>85%), to inform (86%) and help patients decide about treatment (>80%), or to persuade them to follow the proposed course of treatment (74%). Most oncologists (74%) believe that using AO helps patients understand their prognosis.

conclusionRPM have found a place in daily practice, especially AO. Oncologists think that using AO helps patients understand their prognosis, yet studies suggest that this is not always the case. Our findings highlight the importance of exploring whether patients understand the information that RPM provide.

Indexed as

Attitude of Health PersonnelGeneral SurgeryMedical OncologyModels, StatisticalAdultBreast NeoplasmsComprehensionConfidence IntervalsDecision MakingFemaleFocus GroupsHumansMaleMiddle AgedPractice Patterns, Physicians'Prognosis

Identifiers

PMID25307407
PMCPMC4445013

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.