Evidence map›Paper›PMID 28366581›Full record

ArticleInternational journal of radiation oncology, biology, physics2017

Information Needs of Older Women With Early-Stage Breast Cancer When Making Radiation Therapy Decisions.

Shi-Yi Wang, Gabrielle Kelly, Cary Gross, Brigid K Killelea, Sarah Mougalian, Carolyn Presley, Liana Fraenkel, Suzanne B Evans

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 6% 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.

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

21 citing papers in PubMed, 50 citations in OpenAlex.

  1. 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
    Trial
  2. Article
  3. Review
  4. Review
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  7. Article
  8. Attitudes and Perceptions Towards Radiation Therapy in Breast Cancer Patients: The Role of a Multidisciplinary Care Team.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
  9. Article
  10. Article
  11. Breast Cancer Patients' Perceptions of Adjuvant Radiotherapy: an Assessment of Pre-Treatment Knowledge and Informational Needs.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Information Needs Expressed During Patient-Oriented Oncology Consultations: Quantity, Variation, and Barriers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
  19. Article
  20. National Survey Among Radiation Oncology Residents Related to Their Needs in Geriatric Oncology.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Shi-Yi WangDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut; Cancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut. Electronic address: shiyi.wang@yale.edu.
Gabrielle KellyDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut.
Cary GrossCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut; Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Brigid K KilleleaCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut; Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.
Sarah MougalianCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut; Section of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Carolyn PresleyCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut; Section of Medical Oncology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Liana FraenkelSection of Rheumatology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Suzanne B EvansCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, Connecticut; Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Yale Cancer Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
Development and Evaluation of a Decision Analysis Based Decision AidK01HS023900 · AHRQ · YALE UNIVERSITY · PI WANG, SHIYI · 2015 to 2019
$754k
AHRQ HHS K01 HS023900NCATS NIH HHS UL1 TR001863NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

purposeTo identify the information older women with early-stage breast cancer need when making radiation therapy decisions, and who patients identify as the main decision maker. METHODS AND MATERIALS: We surveyed (through face-to-face interview, telephone, or mail) women aged ≥65 years who received lumpectomy and were considering or receiving adjuvant radiation therapy for early-stage breast cancer. The survey instrument was constructed with input from patient and professional advisory committees, including breast cancer survivors, advocates of breast cancer care and aging, clinicians, and researchers. Participants rated the importance (on a 4-point scale) of 24 statements describing the benefits, side effects, impact on daily life, and other issues of radiation therapy in relation to radiation therapy decision making. Participants also designated who was considered the key decision maker.

resultsThe response rate was 56.4% (93 of 165). Mean age was 72.5 years, ranging from 65 to 93 years. More than 96% of participants indicated they were the main decision maker on receiving radiation therapy. There was wide variation in information needs regarding radiation therapy decision making. Participants rated a mean of 18 (range, 3-24) items as "essential." Participants rated items related to benefits highest, followed by side effects. Participants who were older than 75 years rated 13.9 questions as essential, whereas participants aged ≤74 years rated 18.7 as essential (P=.018).

conclusionsOlder women desire information and have more agency and input in the decision-making process than prior literature would suggest. The variation in information needs indicates that future decision support tools should provide options to select what information would be of interest to the participants.

Indexed as

Decision MakingAgedAge FactorsBreast NeoplasmsDisease-Free SurvivalFamilyFemaleFriendsHumansMastectomy, SegmentalPatient Education as TopicPhysician's RoleQuality of LifeRadiotherapyRadiotherapy, AdjuvantSocioeconomic Factors

Identifiers

PMID28366581
PMCPMC5468466
OpenAlexW2586811195

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.