ArticlePatient education and counseling2016
Does physician communication style impact patient report of decision quality for breast cancer treatment?
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 32 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Improving African American women's engagement in clinical research: A systematic review of barriers to participation in clinical trials.Journal of the National Medical Association · 2022Pooled it
- Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Pooled it
- Impact of a Web-Based Decision Aid on Socioeconomically Disadvantaged Patients' Engagement in Breast Surgery Decision-Making: Stepped-Wedge Clinical Trial (Alliance-A231701CD).Annals of surgical oncology · 2025Trial
- Improving Breast Cancer Surgical Treatment Decision Making: The iCanDecide Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Trial
- Supportive Outpatient-Provider Communication-A Scoping Review About Expectations, Experiences, and Actual Behaviours Regarding Healthcare Visits.Journal of evaluation in clinical practice · 2026Review
- Defer, Share, or Drive the Decision: Empowering Patients With Varied Preferences to Engage in Decision-making (an Analysis From Alliance A231701CD).Annals of surgery · 2026Article
- Which questionnaires can be used to elicit patients' preferences regarding patient-provider consultations? Results of a scoping review.BMC health services research · 2025Article
- Developing and testing the feasibility of a theory-based brief counseling intervention to promote physical activity in breast cancer survivors enrolled in the PAC-WOMAN trial.Pilot and feasibility studies · 2025Article
- The dialogue dilemma: the role of patient-clinician communication for low-income people who smoke and manage multiple conditions.Frontiers in medicine · 2025Article
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- Provider-client rapport in pre-exposure prophylaxis delivery: a qualitative analysis of provider and client experiences of an implementation science project in Kenya.Sexual and reproductive health matters · 2022Article
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- Motivational interviewing for genetic counseling: A unified framework for persuasive and equipoise conversations.Journal of genetic counseling · 2022Article
- Shared Decision Making in Health Care: Theoretical Perspectives for Why It Works and For Whom.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Article
- Psychobiological, clinical, and sociocultural factors that influence Black women seeking treatment for infertility: a mixed-methods study.F&S reports · 2022Article
- Decision-making about mastectomy among Chinese women with breast cancer: a mixed-methods study protocol.BMJ open · 2022Article
- Multilevel Factors Associated With More Intensive Use of Radioactive Iodine for Low-Risk Thyroid Cancer.The Journal of clinical endocrinology and metabolism · 2021Article
- Discussing Prognosis with Empathy to Cancer Patients.Current oncology reports · 2021Review
- Association Between Therapeutic Alliance and Outcomes Following Telephone-Delivered Exercise by a Physical Therapist for People With Knee Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2021Article
- Shared decision making in surgery: a scoping review of patient and surgeon preferences.BMC medical informatics and decision making · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveProvider communication that supports patient autonomy has been associated with numerous positive patient outcomes. However, to date, no research has examined the relationship between perceived provider communication style and patient-assessed decision quality in breast cancer.
methodsUsing a population-based sample of women with localized breast cancer, we assessed patient perceptions of autonomy-supportive communication from their surgeons and medical oncologists, as well as patient-reported decision quality. We used multivariable linear regression to examine the association between autonomy-supportive communication and subjective decision quality for surgery and chemotherapy decisions, controlling for sociodemographic and clinical factors, as well as patient-reported communication preference (non-directive or directive).
resultsAmong the 1690 women included in the overall sample, patient-reported decision quality scores were positively associated with higher levels of perceived autonomy-supportive communication from surgeons (β=0.30; p<0.001) and medical oncologists (β=0.26; p<0.001). Patient communication style preference moderated the association between physician communication style received and perceived decision quality.
conclusionAutonomy-supportive communication by physicians was associated with higher subjective decision quality among women with localized breast cancer. These results support future efforts to design interventions that enhance autonomy-supportive communication. PRACTICE IMPLICATIONS: Autonomy-supportive communication by cancer doctors can improve patients' perceived decision quality.
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Registered trials
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.