Evidence map›Paper›PMID 26094729›Full record

ArticleCancer2015

Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer.

Yuhree Kim, Megan Winner, Andrew Page, Diana M Tisnado, Kathryn A Martinez, Stefan Buettner, Aslam Ejaz, Gaya Spolverato, Sydney E Morss Dy, Timothy M Pawlik

Abstract read
In one paragraph

Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Perception of cure and quality of life in anal cancer survivors.Acta oncologica (Stockholm, Sweden) · 2025
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  9. Surgeon Strategies to Patient-Centered Decision-making in Cancer Care: Validation and Applications of a Conceptual Model.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  10. Article
  11. Anticancer Treatment Goals and Prognostic Misperceptions among Advanced Cancer Outpatients.International journal of environmental research and public health · 2022
    Article
  12. The patient's perspective: a qualitative study of individual experience with decision-making, treatment, and recovery for resectable pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Assessment of Cancer Center Variation in Textbook Oncologic Outcomes Following Colectomy for Adenocarcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  14. Article
  15. Characterizing Perceptions Around the Patient-Oncologist Relationship: a Qualitative Focus Group Analysis.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  16. Article
  17. Physician engagement: a concept analysis.Journal of healthcare leadership · 2019
    Article
  18. Review
  19. Decision-Making for the Management of Cystic Lesions of the Pancreas: How Satisfied Are Patients with Surgery?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Yuhree KimDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Megan WinnerDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Andrew PageDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Diana M TisnadoDepartment of Health Science, California State University at Fullerton, Fullerton, California.
Kathryn A MartinezVA Center for Clinical Management Research, Ann Arbor, Michigan.
Stefan BuettnerDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Aslam EjazDepartment of Surgery, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
Gaya SpolveratoDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Sydney E Morss DyHealth Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Timothy M PawlikDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Funding

PROPENSITY SCORES IN HIERARCHICAL MODELSU01CA093344 · NCI · DANA-FARBER CANCER INSTITUTE · PI AYANIAN, JOHN Z., FOUAD, MONA N. · 2001 to 2011
$19.5M
Lung/Colon Cancer Outcomes--Cancer Research NetworkU01CA093332 · NCI · DANA-FARBER CANCER INSTITUTE · PI WEEKS, JANE C. · 2001 to 2008
$7.4M
RAND-UCLA CanCORS PDCR ApplicationU01CA093348 · NCI · RAND CORPORATION · PI KAHN, KATHERINE LESLIE · 2001 to 2008
$7.3M
Cancer Care Outcomes Research &Surveillance ConsortiumU01CA093324 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI AYANIAN, JOHN Z. · 2001 to 2008
$7.1M
RACIAL DISPARITIES IN END OF LIFE CARE--ACCESSU01CA093329 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2001 to 2008
$6.6M
Clinical and Laboratory Research Training for Surgical OncologistsT32CA126607 · NCI · JOHNS HOPKINS UNIVERSITY · PI CAMERON, ANDREW M. · 2008 to 2024
$6.0M
NC Colorectal Cancer Care Outcomes Research StudyU01CA093326 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SANDLER, ROBERT S. · 2001 to 2008
$4.3M
Lung Cancer Care Outcomes/Surveillance Consortium-IowaU01CA093339 · NCI · UNIVERSITY OF IOWA · PI WALLACE, ROBERT BRUCE · 2001 to 2008
$3.7M
NCI NIH HHS T32 CA126607NCI NIH HHS U01 CA093324NCI NIH HHS U01 CA 093326NCI NIH HHS U01 CA093326NCI NIH HHS U01 CA093329NCI NIH HHS U01 CA093332NCI NIH HHS U01 CA093339NCI NIH HHS U01 CA093344NCI NIH HHS U01 CA093348
6 · The paper itself

Abstract

backgroundThe objective of the current study was to characterize the prevalence of the expectation that surgical resection of lung or colorectal cancer might be curative. The authors sought to assess patient-level, tumor-level, and communication-level factors associated with the perception of cure.

methodsBetween 2003 and 2005, a total of 3954 patients who underwent cancer-directed surgery for lung (30.3%) or colorectal (69.7%) cancer were identified from a population-based and health system-based survey of participants from multiple US regions.

resultsApproximately 80.0% of patients with lung cancer and 89.7% of those with colorectal cancer responded that surgery would cure their cancer. Even 57.4% and 79.8% of patients with stage IV lung and colorectal cancer, respectively, believed surgery was likely to be curative. On multivariable analyses, the odds ratio (OR) of the perception of curative intent was found to be higher among patients with colorectal versus lung cancer (OR, 2.27). Patients who were female, with an advanced tumor stage, unmarried, and having a higher number of comorbidities were less likely to believe that surgery would cure their cancer; educational level, physical function, and insurance status were not found to be associated with perception of cure. Patients who reported optimal physician communication scores (reference score, 0-80; score of 80-100 [OR, 1.40] and score of 100 [OR, 1.89]) and a shared role in decision-making with their physician (OR, 1.16) or family (OR, 1.17) had a higher odds of perceiving surgery would be curative, whereas patients who reported physician-controlled (OR, 0.56) or family-controlled (OR, 0.72) decision-making were less likely to believe surgery would provide a cure.

conclusionsGreater focus on patient-physician engagement, communication, and barriers to discussing goals of care with patients who are diagnosed with cancer is needed.

Indexed as

AdultAgedAged, 80 and overCohort StudiesColorectal NeoplasmsDecision MakingFemaleHealth SurveysHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingPatient Care PlanningPhysician-Patient RelationsUnited Statescancercommunicationcureperceptionsurgery

Identifiers

PMID26094729
PMCPMC4872514

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Registered trials

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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.