Evidence map›Paper›PMID 26188047›Full record

ArticleJournal of oncology practice2015

Obtaining Helpful Information From the Internet About Prognosis in Advanced Cancer.

Ivan Chik, Thomas J Smith

Abstract read
In one paragraph

Article in Journal of oncology practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Prostate Cancer on the Web-Expedient Tool for Patients' Decision-Making?Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  2. Communicating About Precision Oncology.JCO precision oncology · 2017
    Article
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

2 authors.

Ivan ChikUniversity of Hawai'i John A. Burns School of Medicine, Honolulu, HI; and The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD.
Thomas J SmithUniversity of Hawai'i John A. Burns School of Medicine, Honolulu, HI; and The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD tsmit136@jhmi.edu.

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Summer Research Training in Aging for Medical StudentsT35AG026758 · NIA · JOHNS HOPKINS UNIVERSITY · PI Stephanie Nothelle, Sevil Yasar · 2005 to 2026
$1.9M
NCI NIH HHS P30 CA 006973NCI NIH HHS P30 CA006973NIA NIH HHS T35 AG026758
6 · The paper itself

Abstract

purposePrognostic awareness, or knowing that one has a life-ending disease, is associated with a better end-of-life experience, including less depression and anxiety. We sought to determine whether reliable sources on the Internet contained helpful prognostic information about advanced cancer.

methodsWe played the role of a 62-year-old person with stage IV incurable cancer and accessed four commonly used Web sites for the 10 most common causes of cancer death (American Cancer Society, ASCO, National Cancer Institute, Up To Date), as well as disease-specific Web sites.

resultsApproximately half the Web sites (26 of 50; 52%) had some notation of 5-year survival. Only four of 50 (8%) gave any average or median survival. Only 13 of 50 (26%) noted that stage IV cancer was a serious and usually life-ending illness. Nearly all had some information about hospice and palliative care.

conclusionInformation that can help with patient prognostic awareness is not currently found on cancer-related Web sites. Oncologists should be aware that their patients will not find estimates of survival or treatment effect on the Internet. This may contribute to overoptimistic estimates of survival and subsequent aggressive end-of-life care.

Indexed as

InternetPalliative CareAdvance Care PlanningConsumer Health InformationHospice CareHumansMiddle AgedNeoplasmsPrognosisSurvival Rate

Identifiers

PMID26188047
PMCPMC4507392

What OpenQuestion holds

Textmetadata
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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.