Trial reportBMJ open2017
The involvement of early stage breast cancer patients during oncology consultations in Italy: a multi-centred, randomized controlled trial of a question prompt sheet versus question listing.
Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01510964 (The Involvement of Breast Cancer Patients During Oncological Consultations. A Multi-centre Randomized Controlled Trial. The Study Protocol), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled 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.
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.
The Involvement of Breast Cancer Patients During Oncological Consultations. A Multi-centre Randomized Controlled Trial. The Study Protocol
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- 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 · 2024Pooled it
- 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 · 2020Trial
- Effects of a Question Prompt Sheet on the Oncologist-Patient Relationship: a Multi-centred Randomised Controlled Trial in Breast Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Trial
- Effectiveness of question prompt list interventions for patients with cancer: A systematic review and meta-analysis of randomized controlled trials.Asia-Pacific journal of oncology nursing · 2025Review
- Patient preferences for treatment pathways in early-stage breast cancer: application of a discrete choice experiment.Future oncology (London, England) · 2025Article
- Assessment of Appearance-related Questions About Breast Reconstruction Generated by Chat Generative Pre-trained Transformer.Plastic and reconstructive surgery. Global open · 2025Article
- Optimizing the design and implementation of question prompt lists to support person-centred care: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Patient focused interventions and communication in the surgical clinic: a systematic review and meta-analysis.EClinicalMedicine · 2023Article
- Article
- An Electronic Health Tool to Prepare for the First Orthopedic Consultation: Use and Usability Study.JMIR formative research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate, prior to an oncology consultation, the use of a pre-prepared list of evidence based questions, Question Prompt Sheet (QPS), compared with a Question List (QL), a patient self-generated list of questions.
designMulti-centred, randomised controlled trial.
settingSecondary-care patients attending three outpatient oncology clinics in Northern Italy.
participants308 women completed the study. Inclusion criteria were an age between 18 and 75 years, a recent diagnosis of early stage, non-metastatic breast cancer, adequate Italian language skills, no previous oncology visits and no evidence of cognitive impairment.
interventionPatients received the QPS or the QL prior to the consultation, completed it without suggestion or coaching session and delivered back before the visit.The consultations were audio-recorded and analysed for the number and content of questions. Multilevel linear models were used to compare the two groups. OUTCOME MEASURES: The primary outcome was the comparison of questions asked between QPS and QL group. Secondary outcomes included satisfaction about questions asked, satisfaction with decision, and level of anxiety.
resultsPatients in the QPS and QL group asked 13 and 16 questions respectively. The difference was not significant (b=1.7, CI -0.3 to 3.6, p=0.10). A mean of 22 questions was selected in the QPS, while a mean of 2 questions was written in the QL. Patients in the QPS group were significantly less satisfied (t=3.60, p<0.01) with questions asked but wanted less additional information (t=2.20, p<0.05). Levels of patient decisional satisfaction were equivalent between groups. Similarly, anxiety levels were equal between groups prior to the consultation and decreased in similar way after the consultation.
conclusionsBoth interventions have similar impact on patients' participation in terms of question asking during the consultation. Future research is needed in order to explore which components of the interventions are really useful and efficacious.
trial registrationClinicalTrials.gov NCT01510964.
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