Evidence map›Paper›PMID 27811543›Full record

ArticleCancer nursing

Understanding Advanced Prostate Cancer Decision Making Utilizing an Interactive Decision Aid.

Randy A Jones, Patricia J Hollen, Jennifer Wenzel, Geoff Weiss, Daniel Song, Terran Sims, Gina Petroni

Abstract read
In one paragraph

Article in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Randy A JonesAuthor Affiliations: School of Nursing (Drs Jones and Hollen and Ms Sims) and School of Medicine (Dr Weiss), University of Virginia, Charlottesville; School of Nursing (Dr Wenzel) and School of Medicine (Dr Daniel Song), Johns Hopkins University, Baltimore, Maryland; and Public Health Sciences, University of Virginia, Charlottesville (Dr Petroni).
Patricia J Hollen
Jennifer Wenzel
Geoff Weiss
Daniel Song
Terran Sims
Gina Petroni

Funding

Decision Making in Patients with Advanced Prostate CancerR21CA131754 · NCI · UNIVERSITY OF VIRGINIA · PI JONES, RANDY ALLEN · 2008 to 2009
$412k
NCI NIH HHS R21 CA131754
6 · The paper itself

Abstract

backgroundProstate cancer is the most commonly diagnosed cancer and the second leading cause of cancer deaths among men in the United States. Patients with advanced prostate cancer are vulnerable to difficult treatment decisions because of the nature of their disease.

objectiveThe aims of this study were to describe and understand the lived experience of patients with advanced prostate cancer and their decision partners who utilized an interactive decision aid, DecisionKEYS, to make informed, shared treatment decisions.

methodsThis qualitative study uses a phenomenological approach that included a sample of 35 pairs of patients and their decision partners (16 pairs reflected patients with <6 months since their diagnosis of metastatic castration-resistant prostate cancer; 19 pairs reflected patients with >6 months since their diagnosis of metastatic castration-resistant prostate cancer). Qualitative analysis of semistructured interviews was conducted describing the lived experience of patients with advanced prostate cancer and their decision partners using an interactive decision aid.

resultsThree major themes emerged: (1) the decision aid facilitated understanding of treatment options; (2) quality of life was more important than quantity of life; and (3) contact with healthcare providers greatly influenced decisions.

conclusionsParticipants believed the decision aid helped them become more aware of their personal values, assisted in their treatment decision making, and facilitated an interactive patient-healthcare provider relationship. IMPLICATIONS FOR PRACTICE: Decision aids assist patients, decision partners, and healthcare providers make satisfying treatment decisions that affect quality/quantity of life. These findings are important for understanding the experiences of patients who have to make difficult decisions.

Indexed as

Decision MakingDecision Support TechniquesPatient ParticipationAgedFemaleHumansMaleMiddle AgedPhysician-Patient RelationsProstatic NeoplasmsQualitative ResearchQuality of LifeSpouses

Identifiers

PMID27811543
PMCPMC5411342

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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.