Evidence map›Paper›PMID 28623628›Full record

Trial reportThe patient2017

Does Patient Preference Measurement in Decision Aids Improve Decisional Conflict? A Randomized Trial in Men with Prostate Cancer.

Joseph D Shirk, Catherine M Crespi, Josemanuel D Saucedo, Sylvia Lambrechts, Ely Dahan, Robert Kaplan, Christopher Saigal

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The patient, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. 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
  7. Article
  8. Article
  9. Surgeon Information-Sharing, Parent Verbal Engagement, and Parent Knowledge of Pediatric Adenotonsillectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Article
  10. Article
  11. Article
  12. Factors that shape preference for acupuncture or cognitive behavioral therapy for the treatment of insomnia in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  13. Article
  14. 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

7 authors.

Joseph D ShirkUCLA Department of Urology, David Geffen School of Medicine at UCLA, 300 Stein Plaza, 3rd Floor, Los Angeles, CA, 90095, USA. jshirk@mednet.ucla.edu.
Catherine M CrespiDepartment of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Josemanuel D SaucedoUCLA Department of Urology, David Geffen School of Medicine at UCLA, 300 Stein Plaza, 3rd Floor, Los Angeles, CA, 90095, USA.
Sylvia LambrechtsUCLA Department of Urology, David Geffen School of Medicine at UCLA, 300 Stein Plaza, 3rd Floor, Los Angeles, CA, 90095, USA.
Ely DahanUCLA Anderson School of Management, Los Angeles, CA, USA.
Robert KaplanDepartment of Health Services, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Christopher SaigalUCLA Department of Urology, David Geffen School of Medicine at UCLA, 300 Stein Plaza, 3rd Floor, Los Angeles, CA, 90095, USA.

Funding

National Institutes of Health 5R01CA134997-02
6 · The paper itself

Abstract

backgroundShared decision making (SDM) has been advocated as an approach to medical decision making that can improve decisional quality. Decision aids are tools that facilitate SDM in the context of limited physician time; however, many decision aids do not incorporate preference measurement.

objectivesWe aim to understand whether adding preference measurement to a standard patient educational intervention improves decisional quality and is feasible in a busy clinical setting.

methodsMen with incident localized prostate cancer (n = 122) were recruited from the Greater Los Angeles Veterans Affairs (VA) Medical Center urology clinic, Olive View UCLA Medical Center, and Harbor UCLA Medical Center from January 2011 to May 2015 and randomized to education with a brochure about prostate cancer treatment or software-based preference assessment in addition to the brochure. Men undergoing preference assessment received a report detailing the relative strength of their preferences for treatment outcomes used in review with their doctor. Participants completed instruments measuring decisional conflict, knowledge, SDM, and patient satisfaction with care before and/or after their cancer consultation.

resultsBaseline knowledge scores were low (mean 62%). The baseline mean total score on the Decisional Conflict Scale was 2.3 (±0.9), signifying moderate decisional conflict. Men undergoing preference assessment had a significantly larger decrease in decisional conflict total score (p = 0.023) and the Perceived Effective Decision Making subscale (p = 0.003) post consult compared with those receiving education only. Improvements in satisfaction with care, SDM, and knowledge were similar between groups.

conclusionsIndividual-level preference assessment is feasible in the clinic setting. Patients with prostate cancer who undergo preference assessment are more certain about their treatment decisions and report decreased levels of decisional conflict when making these decisions.

Indexed as

Conflict, PsychologicalDecision MakingDecision Support TechniquesAgedChoice BehaviorHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Education as TopicPatient ParticipationPatient PreferenceProstatic NeoplasmsSocioeconomic Factors

Identifiers

PMID28623628

What OpenQuestion holds

Textmetadata
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.