Evidence map›Paper›PMID 29730621›Full record

ArticleBMJ open2018

How a deliberative approach includes women in the decisions of screening mammography: a citizens' jury feasibility study in Andalusia, Spain.

José M Baena-Cañada, Violeta Luque-Ribelles, Alicia Quílez-Cutillas, Petra Rosado-Varela, Encarnación Benítez-Rodríguez, Soledad Márquez-Calderón, Juan Manuel Rivera-Bautista

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Citizens' Jury as a Strategy to Increase Social Participation Among Older People.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  3. Article
  4. Public Engagement in Health Policy-Making for Older Adults: A Systematic Search and Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
  6. Layperson Views about the Design and Evaluation of Decision Aids: A Public Deliberation.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Article
  7. Article
  8. An Australian community jury to consider case-finding for dementia: Differences between informed community preferences and general practice guidelines.Health expectations : an international journal of public participation in health care and health policy · 2019
    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 at 4 institutions in 1 country.

José M Baena-CañadaDepartment of Medical Oncology, Hospital Universitario Puerta del Mar, Cadiz, Spain.
Violeta Luque-RibellesDepartment of Psychology, School of Educational Sciences, Universidad de Cadiz, Cadiz, Spain.
Alicia Quílez-CutillasDepartment of Medical Oncology, Hospital Universitario Puerta del Mar, Cadiz, Spain.
Petra Rosado-VarelaHospital Universitario de Puerto Real, Medical Oncology, Puerto Real, Andalucía, Spain.
Encarnación Benítez-RodríguezPopulation Cancer Registry, Provincial Office of Health, Cádiz, Spain.
Soledad Márquez-CalderónServicio de Calidad y Procesos, Junta de Andalucia Consejeria de Salud, Sevilla, Spain.
Juan Manuel Rivera-BautistaEthics Committee Bahía de Cádiz - La Janda, Hospital Universitario Puerta del Mar, Cadiz, Spain.
Hospital Universitario Puerta del Mar · ESHospital Universitario Puerto Real · ESJunta de Andalucía · ESUniversidad de Cádiz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo verify whether a citizens' jury study is feasible to the Andalusian population and to know if women, when better informed, are able to answer the research question of whether the Andalusian Public Health System must continue offering screening mammography to women aged 50-69. The reasons for the pertinent decision and recommendations to the political authorities will be stated.

designQualitative research study with the methodology of citizens' jury.

settingBreast cancer screening programme in Andalusia (Spain).

participantsThirteen women aged 50-69 with secondary school or higher education accepted to participate as a jury. Two epidemiologists were the expert witnesses. The main researcher was the neutral moderator.

interventionsJury met on Monday, 15 February 2016. The moderator indicated to the jury that it had to assess the screening programme's key benefits and main harm. On Tuesday, 16 February, the expert witnesses positioned for and against the programme. On Thursday, 18 February, the jury deliberated, reached final conclusions, submitted its vote and stated its recommendations to politicians. The deliberation session was transcribed and analysed with the support of ATLAS.ti.5.2 software. PRIMARY AND SECONDARY OUTCOME MEASURES: Feasibility in the Andalusian population, women's vote and opinion, reasons for votes and recommendations to political authorities.

resultsEleven participants voted yes and two voted no. There are three reasons to vote 'yes': health, the test nature, and individual freedom. Some women invoke the lack of efficacy and the cost to justify their negative vote, at least in universal terms. On completion, they made suggestions to be submitted to the pertinent authorities for the improvement of information, psychology services and research.

conclusionsThe deliberative strategy is feasible and causes a favourable positioning regarding screening mammography, although information changes the opinion of some women, who desire informed decision making and to keep or increase medicalisation in their lives.

Indexed as

Decision MakingMammographyMass ScreeningPatient Acceptance of Health CarePublic OpinionAgedBreast NeoplasmsCost-Benefit AnalysisEarly Detection of CancerFeasibility StudiesFemaleGroup ProcessesHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansInformed Consentbreast tumourshealth policypublic healthqualitative research

Identifiers

PMID29730621
PMCPMC5942446
OpenAlexW2799390154

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.