Evidence map›Paper›PMID 25730718›Full record

ReviewThe American psychologist

Decision making and cancer.

Valerie F Reyna, Wendy L Nelson, Paul K Han, Michael P Pignone

3 registry-linked trialsAbstract readReview
In one paragraph

Review in The American psychologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 119 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 6 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.

NCT03511690 nacompletednot on this map

Testing an Intelligent Tutoring System Intervention to Enhance Genetic Risk Assessment in Underserved Blacks and Latinas at Risk of Hereditary Breast Cancer

TypeinterventionalSponsorGeorgetown UniversityRan2017 to 2022Enrolled95ConditionsHereditary Breast and Ovarian CancerArmsBRCA-Gist
NCT04158908 completednot on this map

Giving Information Systematically and Transparently in Lung and GI Cancer

TypeobservationalSponsorWeill Medical College of Cornell UniversityRan2020 to 2020Enrolled20ConditionsCritical Illness, Oncology, CommunicationArmsOncolo-GIST
NCT04179305 nacompletednot on this map

Giving Information Systematically and Transparently in Lung and GI Cancer Phase 2

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2020 to 2023Enrolled37ConditionsCritical Illness, Oncology, CommunicationArmsOncolo-GIST, Usual Care Arm
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Personalizing cancer risk: a systematic review of risk communication strategies.Journal of cancer research and clinical oncology · 2026
    Pooled it
  2. Pooled it
  3. Integrating Shared Decision-Making into Undergraduate Oncology Education: A Pedagogical Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. When Does the Incremental Risk Format Aid Informed Medical Decisions? The Role of Learning, Feedback, and Number of Treatment Options.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
    Trial
  10. Trial
  11. Trial
  12. The Lure of Beauty: People Select Representations of Statistical Information Largely Based on Attractiveness, Not Comprehensibility.Medical decision making : an international journal of the Society for Medical Decision Making
    Trial
  13. Observational
  14. Development and Validation of a Patient-Centered Scale to Evaluate Decision Aid Usability and Information Overload.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
    Article
  15. Article
  16. Article
  17. "It's Either Have Surgery or Die": How Patients Perceive the Choice to Undergo High-Risk Abdominal Surgery for Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  18. Article
  19. Article
  20. Review

59 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

4 authors.

Valerie F ReynaHuman Neuroscience Institute, Cornell University.
Wendy L NelsonDivision of Cancer Control and Population Sciences, National Cancer Institute.
Paul K HanCenter for Outcomes Research and Evaluation, Maine Medical Center.
Michael P PignoneDivision of General Internal Medicine, University of North Carolina at Chapel Hill.

Funding

The Gist of Hot and Cold Cognition in Adolescents Risky Decision MakingR01NR014368 · NINR · CORNELL UNIVERSITY · PI REYNA, VALERIE FRANCES · 2012 to 2014
$1.8M
Improving Cancer-Related Patient Decision MakingK05CA129166 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PIGNONE, MICHAEL P · 2008 to 2012
$765k
A Web Tutor to Help Women Decide About Testing for Genetic Breast Cancer RiskR21CA149796 · NCI · MIAMI UNIVERSITY OXFORD · PI REYNA, VALERIE FRANCES, WOLFE, CHRISTOPHER R · 2011 to 2012
$364k
NCI NIH HHS K05 CA129166NCI NIH HHS R21 CA149796NCI NIH HHS R21CA149796NINR NIH HHS R01 NR014368NINR NIH HHS R01NR014368-01
6 · The paper itself

Abstract

We review decision making along the cancer continuum in the contemporary context of informed and shared decision making in which patients are encouraged to take a more active role in their health care. We discuss challenges to achieving informed and shared decision making, including cognitive limitations and emotional factors, but argue that understanding the mechanisms of decision making offers hope for improving decision support. Theoretical approaches to decision making that explain cognition, emotion, and their interaction are described, including classical psychophysical approaches, dual-process approaches that focus on conflicts between emotion versus cognition (or reason), and modern integrative approaches such as fuzzy-trace theory. In contrast to the earlier emphasis on rote use of numerical detail, modern approaches emphasize understanding the bottom-line gist of options (which encompasses emotion and other influences on meaning) and retrieving relevant social and moral values to apply to those gist representations. Finally, research on interventions to support better decision making in clinical settings is reviewed, drawing out implications for future research on decision making and cancer.

Indexed as

Decision MakingCognitionComprehensionEarly Detection of CancerEmotionsHumansMoralsNeoplasmsPsychological Theory

Identifiers

PMID25730718
PMCPMC4347999

What OpenQuestion holds

Textmetadata
LicenceTDM
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.