Evidence map›Paper›PMID 26228677›Full record

ArticleJournal of clinical lipidology

Treatment decision making for adolescents with familial hypercholesterolemia: Role of family history and past experiences.

Thomas I Mackie, Lisa L Tse, Sarah D de Ferranti, Heather R Ryan, Laurel K Leslie

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical lipidology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Adolescent Perceptions of Cholesterol Screening Results: "Young Invincibles" or Developing Adults?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016
    Article
  7. 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

5 authors at 3 institutions in 1 country.

Thomas I MackieInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA. Electronic address: tmackie@tuftsmedicalcenter.org.
Lisa L TseInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
Sarah D de FerrantiDepartment of Cardiology, Boston Children's Hospital Harvard Medical School, Boston, MA, USA.
Heather R RyanDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Laurel K LeslieInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Tufts Clinical and Translational Science Institute, Tufts University School of Medicine, Boston, MA, USA.
Boston Children's Hospital · USTufts Medical Center · USTufts University · US

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
Tufts Clinical and Translation Science Institute (UL1)UL1TR000073 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2012 to 2013
$5.5M
NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1TR000073NCATS NIH HHS UL1 TR001064NCATS NIH HHS UL1TR001064NCRR NIH HHS UL1 RR025752NCRR NIH HHS UL1RR025752
6 · The paper itself

Abstract

backgroundAdolescents and young adults (AYAs) with familial hypercholesterolemia (FH) are at high risk for underdiagnosis and inadequate treatment. Yet, little is known about the factors that influence the medical decision making of AYAs with FH and their families.

objectiveThis study explores how family medical history, family narratives of medical experiences, and AYA medical experiences together function as "experiential evidence" and influence screening and treatment decisions.

methodsTwenty-four parents and AYAs affected by FH from a pediatric preventive cardiology practice responded to a survey and a semistructured qualitative interview. Transcribed interviews were analyzed using a modified grounded theory approach. Study design, instruments, and interpretation of results were informed by a 20-member stakeholder panel.

resultsAYAs and parents reported extensive personal and family experiences with cholesterol and cardiovascular conditions and treatments, sometimes distinct from FH, which were used as evidence to inform their own perceptions of FH risk and treatment. This experiential evidence impacted perceptions of: (1) hereditary risk for FH diagnoses, (2) risk for future cardiovascular disease, (3) risks associated with treatments, and (4) capacity to comply with recommended treatments. Although experiences of family members initially informed screening and treatment decisions, the subsequent personal experiences of AYAs led to new experiential evidence that informed future decisions.

conclusionsFamily cardiovascular history related to and distinct from FH influenced screening and treatment decisions of AYAs and parents affected by FH. Additional clinical assessment of personal and family medical experiences may enhance understanding of the decision-making processes among AYAs and ultimately improve adherence to screening and treatment recommendations.

Indexed as

Decision MakingAdolescentAdultCholesterolCholesterol, LDLFemaleHumansHyperlipoproteinemia Type IIMaleParentsRisk FactorsSurveys and QuestionnairesYoung AdultCholesterolCholesterol, LDLAdolescentCholesterolDecision makingExperiential evidenceFamilial hypercholesterolemia

Identifiers

PMID26228677
PMCPMC6594829
OpenAlexW1811760226

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.