Evidence map›Paper›PMID 29516434›Full record

ArticleJournal of racial and ethnic health disparities2018

Racial and Ethnic Differences in Prostate Cancer Survivors' Perceived Engagement in Treatment Decision-Making.

Nynikka R Palmer, Steven E Gregorich, Jennifer Livaudais-Toman, Jane Jih, Celia P Kaplan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

5 authors.

Nynikka R PalmerDivision of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California, 1001 Potrero Avenue, Building 10, 3rd Floor, UCSF Box 1364, San Francisco, CA, 94143, USA. nynikka.palmer@ucsf.edu.
Steven E GregorichDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Jennifer Livaudais-TomanDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Jane JihDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Celia P KaplanDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Funding

CALIFORNIA COORDINATED CANCER PREVENTION & CONTROL PROGRAMU58DP003862 · DP · CALIFORNIA STATE DEPT OF PUBLIC HEALTH · PI SNIPES, KURT P · 2012 to 2014
$31.5M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nynikka Palmer · 1997 to 2026
$19.5M
Identifying and Assessing Food Insecurity In Older Diverse Primary Care PatientsR03AG050880 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JIH, JANE · 2015 to 2016
$238k
NCCDPHP CDC HHS U58 DP003862NCI NIH HHS HHSN261201000034CNCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000035INCI NIH HHS HHSN261201000140CNIA NIH HHS P30 AG015272NIA NIH HHS R03 AG050880NIMHD NIH HHS L60 MD009289
6 · The paper itself

Abstract

objectiveWe examined prostate cancer patients' perceived engagement in treatment decision-making and associated factors by race/ethnicity in a multiethnic sample.

methodWe identified patients through the California Cancer Registry. Patients completed a cross-sectional telephone interview in English, Spanish, Cantonese, or Mandarin. Multivariable logistic regression models, stratified by race/ethnicity, estimated the associations of patient demographic and health status characteristics on (1) doctor asked patient to help decide treatment plan and (2) patient and doctor worked out a treatment plan together.

resultsWe included 855 prostate cancer patients: African American (19%), Asian American (15%), Latino (24%), and White (42%). Asian American patients were less likely than White patients to report that their doctors asked them to help decide a treatment plan (OR = 0.31; 95% CI = 0.18-0.53) and that they worked out a treatment plan with their doctors (OR = 0.54; 95% CI = 0.33-0.90). Language of interview was a significant contributing factor in stratified analysis for both outcomes.

conclusionAsian American prostate cancer patients reported less engagement in treatment decision-making, with Chinese language being a significant contributing factor. Future research should identify patient-centered strategies that effectively engage underserved patients and support healthcare providers in shared decision-making with multiethnic and multilingual patients.

Indexed as

Cancer SurvivorsEthnicityPatient ParticipationAdultAgedAsianBlack or African AmericanCross-Sectional StudiesDecision MakingHealthcare DisparitiesHispanic or LatinoHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisDisparitiesEngagementMenProstate cancerTreatment decision-making

Identifiers

PMID29516434
PMCPMC6526935

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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.