Evidence map›Paper›PMID 28135140›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2017

Promoting End-of-Life Discussions in Advanced Cancer: Effects of Patient Coaching and Question Prompt Lists.

Rachel A Rodenbach, Kim Brandes, Kevin Fiscella, Richard L Kravitz, Phyllis N Butow, Adam Walczak, Paul R Duberstein, Peter Sullivan, Beth Hoh, Guibo Xing and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 8 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

43 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Question prompt list intervention for patients with advanced cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  12. Question prompts to empower cancer patients: results of a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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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

12 authors.

Rachel A RodenbachRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Kim BrandesRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Kevin FiscellaRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Richard L KravitzRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Phyllis N ButowRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Adam WalczakRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Paul R DubersteinRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Peter SullivanRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Beth HohRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Guibo XingRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Sandy PlumbRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.
Ronald M EpsteinRachel A. Rodenbach, Kevin Fiscella, Paul R. Duberstein, Peter Sullivan, Beth Hoh, Sandy Plumb, and Ronald M. Epstein, Center for Communication and Disparities Research; Rachel A. Rodenbach and Ronald M. Epstein, University of Rochester School of Medicine and Dentistry; Kevin Fiscella and Paul R. Duberstein, University of Rochester Medical Center, Rochester, NY; Rachel A. Rodenbach, University of Pittsburgh Medical Center, Pittsburgh, PA; Kim Brandes, University of Amsterdam, Amsterdam, the Netherlands; Richard L. Kravitz and Guibo Xing, University of California Davis, Sacramento, CA; and Phyllis N. Butow and Adam Walczak, The University of Sydney, Sydney, New South Wales, Australia.

Funding

RCT of Patient, Caregiver and Physician Communication Coaching in Advanced CancerR01CA140419 · NCI · UNIVERSITY OF ROCHESTER · PI EPSTEIN, RONALD M., KRAVITZ, RICHARD L · 2011 to 2015
$2.7M
Impact of a Novel Cancer Communication Intervention on Caregiver BereavementR01CA168387 · NCI · UNIVERSITY OF ROCHESTER · PI DUBERSTEIN, PAUL R, PRIGERSON, HOLLY GWEN · 2013 to 2017
$2.6M
NCI NIH HHS R01 CA140419NCI NIH HHS R01 CA168387
6 · The paper itself

Abstract

Purpose To build on results of a cluster randomized controlled trial (RCT) of a combined patient-oncologist intervention to improve communication in advanced cancer, we conducted a post hoc analysis of the patient intervention component, a previsit patient coaching session that used a question prompt list (QPL). We hypothesized that intervention-group participants would bring up more QPL-related topics, particularly prognosis-related topics, during the subsequent oncologist visit. Patients and Methods This cluster RCT with 170 patients who had advanced nonhematologic cancer (and their caregivers) recruited from practices of 24 participating oncologists in western New York. Intervention-group oncologists (n = 12) received individualized communication training; up to 10 of their patients (n = 84) received a previsit individualized communication coaching session that incorporated a QPL. Control-group oncologists (n = 12) and patients (n = 86) received no interventions. Topics of interest identified by patients during the coaching session were summarized from coaching notes; one office visit after the coaching session was audio recorded, transcribed, and analyzed by using linear regression modeling for group differences. Results Compared with controls, more than twice as many intervention-group participants brought up QPL-related topics during their office visits (70.2% v 32.6%; P < .001). Patients in the intervention group were nearly three times more likely to ask about prognosis (16.7% v 5.8%; P =.03). Of 262 topics of interest identified during coaching, 158 (60.3%) were QPL related; 20 (12.7%) addressed prognosis. Overall, patients in the intervention group brought up 82.4% of topics of interest during the office visit. Conclusion A combined coaching and QPL intervention was effective to help patients with advanced cancer and their caregivers identify and bring up topics of concern, including prognosis, during their subsequent oncologist visits. Considering that most patients are misinformed about prognosis, more intensive steps are needed to better promote such discussions.

Indexed as

CommunicationPhysician-Patient RelationsAdultAdvance Care PlanningAgedAttitude to DeathFemaleHumansMaleMiddle AgedNeoplasmsOncologistsTerminal Care

Identifiers

PMID28135140
PMCPMC5455683

What OpenQuestion holds

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Registered trials

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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.