Evidence map›Paper›PMID 27645527›Full record

ArticleUrology2017

Patient-centered Treatment Decisions for Urethral Stricture: Conjoint Analysis Improves Surgical Decision-making.

Lindsay A Hampson, Isabel E Allen, Thomas W Gaither, Tracy Lin, Jie Ting, E Charles Osterberg, Leslie Wilson, Benjamin N Breyer

Registry-linked trialAbstract read
In one paragraph

Article in Urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03532373 (Testing of a Tool to Elicit Patient Preferences for CTS), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT03532373 nacompletednot on this mapstarted 2021, after this paper: background citation

Testing of a Tool to Elicit Patient Preferences for CTS

TypeinterventionalSponsorStanford UniversityRan2021 to 2023Enrolled49ConditionsCarpal Tunnel, Carpal Tunnel Syndrome, Carpal Tunnel Syndrome Left, Carpal Tunnel Syndrome RightArmsPreference Elicitation tool
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Influence of a COVID-19 vaccine's effectiveness and safety profile on vaccination acceptance.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Trial
  2. A Simple Goal Elicitation Tool Improves Shared Decision Making in Outpatient Orthopedic Surgery: A Randomized Controlled Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
    Trial
  3. Comparison of Rating Scale, Time Tradeoff, and Conjoint Analysis Methods for Assessment of Preferences in Prostate Cancer.Medical decision making : an international journal of the Society for Medical Decision Making · 2019
    Trial
  4. Trial
  5. Treatment Priorities in Patients With a History of Laryngeal Cancer: A Conjoint Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction.International journal of environmental research and public health · 2021
    Article
  10. [Definition of the quality of hand surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lindsay A HampsonPhilip R. Lee Institute for Health Policy Studies, Department of Urology, UCSF School of Medicine, San Francisco, CA. Electronic address: Lindsay.Hampson@ucsf.edu.
Isabel E AllenDepartment of Epidemiology & Biostatistics, UCSF School of Medicine, San Francisco, CA.
Thomas W GaitherUCSF School of Medicine, San Francisco, CA.
Tracy LinDepartment of Clinical Pharmacy, UCSF School of Pharmacy, San Francisco, CA.
Jie TingDepartment of Clinical Pharmacy, UCSF School of Pharmacy, San Francisco, CA.
E Charles OsterbergDepartment of Urology, UCSF School of Medicine, San Francisco, CA.
Leslie WilsonDepartment of Clinical Pharmacy, UCSF School of Pharmacy, San Francisco, CA.
Benjamin N BreyerDepartment of Urology, UCSF School of Medicine, San Francisco, CA.

Funding

UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
NIDDK NIH HHS K12 DK083021
6 · The paper itself

Abstract

objectiveTo determine whether the use of a choice-based conjoint analysis (CA) exercise decreased patients' decisional conflict about treatment preferences for surgical management of urethral stricture disease. Understanding patient preferences for treatment decisions assists in shared decision-making and emphasizes patient-centered outcomes. CA offers a method to understand what risks patients are willing to take for what gains.

methodsThe CA methodology was used by providing participants with case-based choices to elucidate the relative importance that individuals place on various treatment aspects. Patients' decisional conflict regarding surgery for urethral stricture was assessed before and after the CA exercise to assess the impact the exercise had on their decisional conflict.

resultsCompletion of the CA exercise resulted in a significant decrease in decisional conflict (P < .001). The majority (59.5%) of participants with decisional conflict before the CA exercise experienced a decrease in decisional conflict afterwards, with only a minority (16.5%) experiencing new decisional conflict after the exercise. Participants felt the choice-based CA exercise was helpful in deciding what was important in making treatment decisions (70%) and in expressing their priorities and treatment preferences (82%). The number needed to counsel to achieve a decrease in decisional conflict was 1.69 and to achieve no decisional conflict was 3.65.

conclusionChoice-based CA improves patients' ability to express their treatment preferences and decreases decisional conflict. CA may be a new tool that physicians and patients can use to aid in shared decision-making with a focus on patient-centered outcomes.

Indexed as

Urologic Surgical Procedures, MaleClinical Decision-MakingHumansMaleMiddle AgedPatient-Centered CarePatient ParticipationSurveys and QuestionnairesUrethral Stricture

Identifiers

PMID27645527
PMCPMC6425929

What OpenQuestion holds

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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.