Evidence map›Paper›PMID 29401514›Full record

ArticlePloS one2018

Patient and provider experiences with active surveillance: A scoping review.

Claire Kim, Frances C Wright, Nicole J Look Hong, Gary Groot, Lucy Helyer, Pamela Meiers, May Lynn Quan, Robin Urquhart, Rebecca Warburton, Anna R Gagliardi

Open access · goldAbstract readScoping Review
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.8field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

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  12. Identifying risk factors for depression and anxiety symptoms in patients with chronic lymphocytic leukemia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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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 at 6 institutions in 1 country.

Claire KimDepartment of Clinical Decision Making & Health Care, University Health Network, Toronto, Ontario, Canada.
Frances C WrightDepartment of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Nicole J Look HongDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Gary GrootDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Lucy HelyerDivision of General Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Pamela MeiersDepartment of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
May Lynn QuanDepartment of Oncology, University of Calgary, Calgary, Alberta, Canada.
Robin UrquhartDepartment of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Rebecca WarburtonDepartment of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Anna R GagliardiDepartment of Clinical Decision Making & Health Care, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-5721-809X
Dalhousie University · CASunnybrook Health Science Centre · CAUniversity Health Network · CAUniversity of Saskatchewan · CAUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveActive surveillance (AS) represents a fundamental shift in managing select cancer patients that initiates treatment only upon disease progression to avoid overtreatment. Given uncertain outcomes, patient engagement could support decision-making about AS. Little is known about how to optimize patient engagement for AS decision-making. This scoping review aimed to characterize research on patient and provider communication about AS, and associated determinants and outcomes.

methodsMEDLINE, EMBASE, CINAHL, and The Cochrane Library were searched from 2006 to October 2016. English language studies that evaluated cancer patient or provider AS views, experiences or behavioural interventions were eligible. Screening and data extraction were done in duplicate. Summary statistics were used to describe study characteristics and findings.

resultsA total of 2,078 studies were identified, 1,587 were unique, and 1,243 were excluded based on titles/abstracts. Among 344 full-text articles, 73 studies were eligible: 2 ductal carcinoma in situ (DCIS), 4 chronic lymphocytic leukemia (CLL), 6 renal cell carcinoma (RCC) and 61 prostate cancer. The most influential determinant of initiating AS was physician recommendation. Others included higher socioeconomic status, smaller tumor size, comorbid disease, older age, and preference to avoid adverse treatment effects. AS patients desired more information about AS and reassurance about future treatment options, involvement in decision-making and assessment of illness uncertainty and supportive care needs during follow-up. Only three studies of prostate cancer evaluated interventions to improve AS communication or experience.

conclusionsThis study revealed a paucity of research on AS communication for DCIS, RCC and CLL, but generated insight on how to optimize AS discussions in the context of routine care or clinical trials from research on AS for prostate cancer. Further research is needed on AS for patients with DCIS, RCC and CLL, and to evaluate interventions aimed at patients and/or providers to improve AS communication, experience and associated outcomes.

Indexed as

Disease ProgressionHumansNeoplasms

Identifiers

PMID29401514
PMCPMC5798833
OpenAlexW2786032507

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.