Evidence map›Paper›PMID 25553273›Full record

ArticleCancer treatment communications2014

Patient, Physician and Contextual Factors Are Influential in the Treatment Decision Making of Older Adults Newly Diagnosed with Symptomatic Myeloma.

Joseph D Tariman, Ardith Doorenbos, Karen G Schepp, Pamela S Becker, Donna L Berry

Abstract read
In one paragraph

Article in Cancer treatment communications, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

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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

5 authors.

Joseph D TarimanCollege of Science & Health, De Paul University, USA.
Ardith DoorenbosBiobehavioral Nursing & Health Systems Department, University of Washington, USA.
Karen G ScheppPsychosocial & Community Health Department, University of Washington, USA.
Pamela S BeckerDivision of Hematology, University of Washington and Seattle Cancer Care Alliance, USA.
Donna L BerryDana Farber Cancer Institute, Harvard Medical School, USA.

Funding

BIOBEHAVIORAL NURSING RESEARCH TRAINING PROGRAMT32NR007106 · NINR · UNIVERSITY OF WASHINGTON · PI LANDIS, CAROL A · 1999 to 2013
$4.6M
Treatment decision making in older adults newly diagnosed with multiple myelomaF31NR011124 · NINR · UNIVERSITY OF WASHINGTON · PI TARIMAN, JOSEPH D · 2009 to 2010
$50k
NINR NIH HHS F31 NR011124NINR NIH HHS T32 NR007106
6 · The paper itself

Abstract

aimsTo examine patient perspectives on their personal and contextual factors relevant to TDM. The second aim was to describe physician perspectives on the TDM in older adults (≥60 y.o.) diagnosed with symptomatic MM. STUDY

designDescriptive, cross-sectional. METHODOLOGY: A semi-structured interview schedule was administered. Directed content analysis procedures were used to develop major themes from the patient and physician participant interviews.

resultsThemes related to treatment decision making among patient participants include various decisional role preferences; several sources of information related to myeloma; contextual and patient-specific factors influence treatment decisions; negative perceptions related to the treatment decision-making process exist; strong desire to be in remission and to live a longer life; For physician participants, top themes related to decision making were: QOL or survival considerations or simultaneously considerations of treatment effectiveness, QOL and survival; screening patients for eligibility for autologous HSCT; time is a barrier to effective TDM; Various methods were used to assess patient decisional role preferences.

conclusionsTreatment decision making in older adults newly diagnosed with symptomatic myeloma is influenced by personal, social and contextual factors. Patients must be given the opportunity to choose the best possible treatment within the limits of the patient's personal, social and medical contexts.

Indexed as

Decision making factorsMultiple MyelomaOlder adultsPatient educationTreatment decision making

Identifiers

PMID25553273
PMCPMC4278366

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.