Evidence map›Paper›PMID 29209835›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Patient-clinician communication among patients with stage I lung cancer.

Shannon M Nugent, Sara E Golden, Charles R Thomas, Mark E Deffebach, Mithran S Sukumar, Paul H Schipper, Brandon H Tieu, Drew Moghanaki, Juan Wisnivesky, Christopher Slatore

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

10 authors.

Shannon M NugentCenter to Improve Veteran Involvement in Care, VA Portland Health Care System (R&D66), 3710 SW US Veterans Hospital Road, Portland, OR, 97239, USA. Shannon.nugent@va.gov.
Sara E GoldenCenter to Improve Veteran Involvement in Care, VA Portland Health Care System (R&D66), 3710 SW US Veterans Hospital Road, Portland, OR, 97239, USA.
Charles R ThomasDepartment of Radiation Medicine, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA.
Mark E DeffebachDivision of Pulmonary & Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Mithran S SukumarDivision of Cardiothoracic Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
Paul H SchipperDivision of Cardiothoracic Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
Brandon H TieuDivision of Cardiothoracic Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
Drew MoghanakiDivision of Clinical Research, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA.
Juan WisniveskyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Christopher SlatoreCenter to Improve Veteran Involvement in Care, VA Portland Health Care System (R&D66), 3710 SW US Veterans Hospital Road, Portland, OR, 97239, USA.

Funding

Radiation Oncology Institute #ROI2013-915VA Cooperative Studies Program CSP #2005VA HSR&D Career Development Award CDA 09-025
6 · The paper itself

Abstract

purposeLimited data exist about patient-centered communication (PCC) and patient-centered outcomes among patients who undergo surgery or stereotactic body radiation therapy (SBRT) for stage I non-small cell lung cancer (NSCLC). We aimed to examine the relationship between PCC and decision-making processes among NSCLC patients, using baseline data from a prospective, multicenter study.

methodsPatients with stage 1 NSCLC completed a survey prior to treatment initiation. The survey assessed sociodemographic characteristics, treatment decision variables, and patient psychosocial outcomes: health-related quality of life (HRQOL), treatment self-efficacy, decisional conflict, and PCC.

resultsFifty-two percent (n = 85) of 165 individuals planned to receive SBRT. There were no baseline differences detected on patient psychosocial outcomes between those who planned to receive SBRT or surgery. All participants reported high HRQOL (M = 72.5, SD = 21.3) out of 100, where higher scores indicate better functioning; high self-efficacy (M = 1.5, SD = 0.5) out of 6, where lower numbers indicate higher self-efficacy; minimal decisional conflict (M = 15.2, SD = 12.7) out of 100, where higher scores indicate higher decisional conflict; and high levels of patient-centered communication (M = 2.4, SD = 0.8) out of 7 where higher scores indicate worse communication. Linear regression analyses adjusting for sociodemographic and clinical variables showed that higher quality PCC was associated with higher self-efficacy (β = 0.17, p = 0.03) and lower decisional conflict (β = 0.42, p < 0.001).

conclusionsHigher quality PCC was associated with higher self-efficacy and lower decisional conflict. Self-efficacy and decisional conflict may influence subsequent health outcomes. Therefore, our findings may inform future research and clinical programs that focus on communication strategies to improve these outcomes.

Indexed as

CommunicationAgedCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMalePhysician-Patient RelationsProspective StudiesQuality of LifeRadiosurgeryLung cancerPatient-clinician communicationPsychosocial outcomesStereotactic radiation therapy

Identifiers

PMID29209835

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.