Evidence map›Paper›PMID 27296081›Full record

ArticlePatient education and counseling2016

Communication predictors and consequences of Complementary and Alternative Medicine (CAM) discussions in oncology visits.

Debra L Roter, Kathleen J Yost, Thomas O'Byrne, Megan Branda, Aaron Leppin, Brittany Kimball, Cara Fernandez, Aminah Jatoi, Ashok Kumbamu, Victor Montori and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 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

33 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Pooled it
  3. Guideline
  4. The use of complementary and integrative therapies as adjunct interventions during radiotherapy: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  5. Pooled it
  6. Trial
  7. Integrative oncology consultation and patient referral to complementary therapies: results from the prospective study THERAC.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Attitude of healthcare professionals toward the use of complementary and alternative medication during anti-cancer therapy.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

14 authors.

Debra L RoterJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kathleen J YostMayo Clinic, Rochester, MN, USA.
Thomas O'ByrneMayo Clinic, Rochester, MN, USA.
Megan BrandaMayo Clinic, Rochester, MN, USA.
Aaron LeppinMayo Clinic, Rochester, MN, USA.
Brittany KimballMayo Clinic, Rochester, MN, USA.
Cara FernandezMayo Clinic, Rochester, MN, USA.
Aminah JatoiMayo Clinic, Rochester, MN, USA.
Ashok KumbamuMayo Clinic, Rochester, MN, USA.
Victor MontoriMayo Clinic, Rochester, MN, USA.
Barbara KoenigUniversity of California San Francisco, San Francisco, CA, USA.
Gail GellerJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Susan LarsonJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jon TilburtMayo Clinic, Rochester, MN, USA. Electronic address: Droter1@jhu.edu.

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Assessing Patient Experience in Cancer Care: An Observational Communication StudyR01AT006515 · NCCIH · MAYO CLINIC ROCHESTER · PI TILBURT, JON C · 2011 to 2015
$3.5M
NCCIH NIH HHS R01 AT006515
6 · The paper itself

Abstract

objectiveCancer patients use complementary and alternative medicine (CAM), but do not routinely talk about it with their clinicians. This study describes CAM discussions in oncology visits, the communication patterns that facilitate these discussions and their association with visit satisfaction.

methods327 patients (58% female; average age 61) and 37 clinicians were recorded during an oncology visit and completed post-visit questionnaires. All CAM discussions were tagged and the Roter Interaction Analysis System (RIAS) was used to code visit dialogue.

resultsCAM was discussed in 36 of 327 visits; discussions were brief (<one minute), the majority patient initiated (65%) and more common for patients in early stages of cancer care. Longer visits (35 vs 29min; p<0.05), greater patient engagement in visit dialogue, lowered clinician verbal dominance and a more patient-centered pattern of visit communication were significantly related to visits with CAM discussions (all p values<0.01). Both patient and clinician visit satisfaction was higher with CAM discussion (p<0.05).

conclusionsCAM discussions do not occur at random; they take place in visits characterized by patient-centered communication and are associated with higher visit satisfaction. PRACTICE IMPLICATIONS: CAM discussions are perceived positively by both patients and clinicians and are facilitated by patient-centered visit communication.

Indexed as

CommunicationComplementary TherapiesPhysician-Patient RelationsAdultAgedAttitude of Health PersonnelFemaleHealth Care SurveysHumansMaleMedical OncologyMiddle AgedNeoplasmsOffice VisitsOncologistsPatient SatisfactionClinician satisfactionComplimentary and Alternative Medicine (CAM)Patient-physician communicationPatient satisfactionRoter Interaction Analysis System (RIAS)

Identifiers

PMID27296081
PMCPMC5007180

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.