Evidence map›Paper›PMID 27279001›Full record

ArticlePsycho-oncology2016

Perceptions of cancer treatment decision making among American Indians/Alaska Natives and their physicians.

Arden M Morris, Ardith Z Doorenbos, Emily Haozous, Alexa Meins, Sara Javid, David R Flum

Open access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. The influence of opioid-taking self-efficacy and social support on pain management satisfaction in outpatients with cancer pain.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  2. Article
  3. Article
  4. Understanding American Indian Perceptions Toward Radiation Therapy.Cancer control : journal of the Moffitt Cancer Center
    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

6 authors at 4 institutions in 1 country.

Arden M MorrisCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA.
Ardith Z DoorenbosUniversity of Washington School of Nursing, Department of Biobehavioral Nursing and Health Systems, Seattle, WA, USA.
Emily HaozousUniversity of New Mexico College of Nursing, Albuquerque, NM, USA.
Alexa MeinsUniversity of Washington School of Nursing, Department of Biobehavioral Nursing and Health Systems, Seattle, WA, USA.
Sara JavidUniversity of Washington, School of Medicine Department of Surgery, Seattle, WA, USA.
David R FlumUniversity of Washington, School of Medicine Department of Surgery, Seattle, WA, USA.
Neurobehavioral Systems · USUniversity of Washington · USUniversity of New Mexico · USVA Ann Arbor Healthcare System · US

Funding

USING DIGITAL STORIES TO IMPROVE COLORECTAL CANCER SCREENING IN NATIVE AMERICANSP50CA148110 · NCI · UNIVERSITY OF WASHINGTON · PI BUCHWALD, DEDRA S · 2010 to 2014
$9.7M
NCI NIH HHS P50 CA148110
6 · The paper itself

Abstract

objectiveAmerican Indian/Alaska Native (AI/AN) patients are significantly less likely than non-Hispanic whites to receive guideline-concordant cancer care. Our objective was to examine cancer treatment decision making among AI/AN patients and their providers.

methodsFrom 2011 to 2014, AI/AN cancer patients and their surgeons were identified through a hospital registry in Washington State. Patients were invited to participate in a mailed survey that queried socio-demographics, cultural affiliation, everyday perceived discrimination, and trust in providers. Both patients and surgeons were queried about decision-making quality (collaboration and satisfaction). The primary outcome was association between patient and provider assessments of decision-making quality. The secondary outcome was non-adherence to treatment.

resultsForty-nine patients (62% response rate) and 14 surgeons (37% response rate) returned surveys. Half of patients had not completed high school; 41% were living in poverty. Half of patients reported a strong tribal affiliation and most reported experiencing some form of discrimination. Patients endorsed high trust in surgeons and a high quality decision-making process; and surgeons' rated decision-making quality even more highly than patients did in every domain. Non-adherence to treatment recommendations was common (26%) and was significantly associated with lower patient-reported collaboration and satisfaction with decision making.

conclusionsGiven the importance of adherence to cancer treatment for survival, the many non-clinical reasons for non-adherence, and the currently demonstrated association between decision-making quality and adherence, it would be worthwhile to investigate how to increase AI/AN patient satisfaction with decision making and whether improving satisfaction yields improved adherence to the cancer treatment plan. Copyright © 2016 The Authors. Psycho-Oncology Published by John Wiley & Sons Ltd.

Indexed as

American Indian or Alaska NativeDecision MakingNeoplasmsPhysician-Patient RelationsAgedFemaleHealthcare DisparitiesHumansMaleMiddle AgedPerceptionPhysiciansRegistriesSurveys and QuestionnairesTrustWashingtonAmerican Indiancancerdecision makingdisparitiesoncologypatient reported outcomes

Identifiers

PMID27279001
PMCPMC5014590
OpenAlexW2467745110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.