Evidence map›Paper›PMID 26012839›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2015

Communicating patient-reported outcome scores using graphic formats: results from a mixed-methods evaluation.

Michael D Brundage, Katherine C Smith, Emily A Little, Elissa T Bantug, Claire F Snyder, PRO Data Presentation Stakeholder Advisory Board

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Communicating treatment risks and benefits to cancer patients: a systematic review of communication methods.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Pooled it
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  8. Improving an electronic system for measuring PROs in routine oncology practice.Journal of cancer survivorship : research and practice · 2016
    Trial
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  10. Making sense of PROM outcomes: a mixed method study to optimize graphical visualization formats for children.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  17. Factors that impact the implementation of patient reported outcomes in routine clinical care for peripheral artery disease from the patient perspective.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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19 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

6 authors.

Michael D BrundageQueen's Cancer Research Institute, Queen's University, 10 Stuart St, Level 2, Kingston, ON, K7L 3N6, Canada. michael.brundage@krcc.on.ca.
Katherine C SmithSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 1650 Orleans St, Baltimore, MD, 21287, USA.
Emily A LittleDivision of General Internal Medicine, Johns Hopkins School of Medicine, 624 N. Broadway, Baltimore, MD, 21205, USA.
Elissa T BantugSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 1650 Orleans St, Baltimore, MD, 21287, USA.
Claire F SnyderSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 1650 Orleans St, Baltimore, MD, 21287, USA.
PRO Data Presentation Stakeholder Advisory Board

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
NCATS NIH HHS UL1 TR001079NCI NIH HHS P30 CA 006973NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

backgroundPatient-reported outcomes (PROs) promote patient-centered care by using PRO research results ("group-level data") to inform decision making and by monitoring individual patient's PROs ("individual-level data") to inform care. We investigated the interpretability of current PRO data presentation formats.

methodThis cross-sectional mixed-methods study randomized purposively sampled cancer patients and clinicians to evaluate six group-data or four individual-data formats. A self-directed exercise assessed participants' interpretation accuracy and ratings of ease-of-understanding and usefulness (0 = least to 10 = most) of each format. Semi-structured qualitative interviews explored helpful and confusing format attributes.

resultsWe reached thematic saturation with 50 patients (44 % < college graduate) and 20 clinicians. For group-level data, patients rated simple line graphs highest for ease-of-understanding and usefulness (median 8.0; 33 % selected for easiest to understand/most useful) and clinicians rated simple line graphs highest for ease-of-understanding and usefulness (median 9.0, 8.5) but most often selected line graphs with confidence limits or norms (30 % for each format for easiest to understand/most useful). Qualitative results support that clinicians value confidence intervals, norms, and p values, but patients find them confusing. For individual-level data, both patients and clinicians rated line graphs highest for ease-of-understanding (median 8.0 patients, 8.5 clinicians) and usefulness (median 8.0, 9.0) and selected them as easiest to understand (50, 70 %) and most useful (62, 80 %). The qualitative interviews supported highlighting scores requiring clinical attention and providing reference values.

conclusionsThis study has identified preferences and opportunities for improving on current formats for PRO presentation and will inform development of best practices for PRO presentation. Both patients and clinicians prefer line graphs across group-level data and individual-level data formats, but clinicians prefer greater detail (e.g., statistical details) for group-level data.

Indexed as

Patient Outcome AssessmentAdultAgedAged, 80 and overCross-Sectional StudiesDecision MakingFemaleHumansMaleMiddle AgedPatient-Centered CareQuality of LifeClinical practiceClinical trialsCommunicationPatient-reported outcomes

Identifiers

PMID26012839
PMCPMC4891942

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.