Evidence map›Paper›PMID 28143529›Full record

Trial reportBMC musculoskeletal disorders2017

Individualized patient decision-aid for immunosuppressive drugs in women with lupus nephritis: study protocol of a randomized, controlled trial.

Jasvinder A Singh, Nipam Shah, Candace Green

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02319525 (Individualized Patient Decision Making for Treatment Choices Among Minorities With Lupus), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
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.

NCT02319525 nacompletednot on this map

Individualized Patient Decision Making for Treatment Choices Among Minorities With Lupus

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2014 to 2016Enrolled301ConditionsSystemic Lupus ErythematosusArmsComputerized patient decision-aid, Usual care (lupus pamphlet)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Despite high objective numeracy, lower numeric confidence relates to worse financial and medical outcomes.Proceedings of the National Academy of Sciences of the United States of America · 2019
    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

3 authors at 2 institutions in 1 country.

Jasvinder A SinghRheumatology Section, Medicine Service, VA Medical Center, Birmingham, AL, USA. Jasvinder.md@gmail.com.
Nipam ShahDivision of Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Candace GreenDivision of Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USBirmingham VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic Lupus erythematosus (SLE), also commonly referred to as lupus, is a rare, but sometimes, fatal disease, that primarily affects young women. Lupus nephritis, a common manifestation of lupus, is more common and more devastating in patients of minority race/ethnicity. Patients have negative views of immunosuppressive drugs for lupus nephritis due to a concern about side effects and under-appreciation of its benefit. We designed a study to assess the effectiveness of individualized, computerized patient decision-aid for immunosuppressive drugs for lupus nephritis compared to a standard pamphlet for patient decision-making.

methodsAdult women with lupus nephritis, with a current lupus nephritis flare or at risk of a future lupus nephritis flare will be randomized to individualized, computerized patient decision-aid for immunosuppressive drugs vs. standard pamphlet with information about lupus and its treatment including immunosuppressive drugs and outcomes. Patients will complete outcome assessments immediately after the intervention has been administered. Patients will be followed at 3-months with a brief survey, either in person or on the phone, and at 6-months with medical record review for exploratory outcomes. Co-primary outcomes are decisional conflict and informed choice regarding immunosuppressive drugs (combines values, knowledge and choice). Secondary outcomes include: (1) assessment of patient-physician communication by assessing audio-taped physician-patient communication after intervention administration; (2) concordance between patient's desired and actual role in immunosuppressive drugs decision-making using the control preference scale (CPS); and (3) patient perception of physician interaction using the interpersonal process of care- short form (IPC-SF). DISCUSSION: This is one of the first studies to evaluate the effectiveness of an educational intervention targeting minorities with lupus nephritis. This patient-centered lupus nephritis decision-aid will be available in the public domain in English and Spanish.

trial registrationClinicalTrials.gov Identifier: NCT02319525 ; registered on November 5, 2014.

Indexed as

Decision Support TechniquesFemaleFollow-Up StudiesHumansImmunosuppressive AgentsLupus NephritisPatient Education as TopicPatient ParticipationPrecision MedicineProspective StudiesImmunosuppressive AgentsDecision-aidLupusLupus nephritisMinoritiesRandomized controlled trialRandomized trialWomen

Identifiers

PMID28143529
PMCPMC5282664
OpenAlexW2582051234

What OpenQuestion holds

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LicenceCC BY
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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.