Evidence map›Paper›PMID 29859242›Full record

ArticleJournal of clinical epidemiology2018

Patient preferences for personalized (N-of-1) trials: a conjoint analysis.

Nathalie Moise, Dallas Wood, Ying Kuen K Cheung, Naihua Duan, Tara St Onge, Joan Duer-Hefele, Tiffany Pu, Karina W Davidson, Ian M Kronish, Members of the “Personalized Trial Collaboratory”

Abstract read
In one paragraph

Article in Journal of clinical epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. N-of-1 trials: The epitome of personalized medicine?Journal of clinical and translational science · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Clinical care and therapeutic trials in PLS.Amyotrophic lateral sclerosis & frontotemporal degeneration · 2020
    Article
  10. 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

10 authors.

Nathalie MoiseColumbia University Medical Center, New York, NY, USA. Electronic address: nm2562@cumc.columbia.edu.
Dallas WoodRTI International, Research Triangle Park, NC, USA.
Ying Kuen K CheungColumbia University Medical Center, New York, NY, USA.
Naihua DuanColumbia University Medical Center, New York, NY, USA.
Tara St OngeColumbia University Medical Center, New York, NY, USA.
Joan Duer-HefeleColumbia University Medical Center, New York, NY, USA.
Tiffany PuIpsos Group, Mahwah, NJ, USA.
Karina W DavidsonColumbia University Medical Center, New York, NY, USA.
Ian M KronishColumbia University Medical Center, New York, NY, USA.
Members of the “Personalized Trial Collaboratory”

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Re-engineering Precision Therapeutics Through N-of-1 TrialsR01LM012836 · NLM · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DAVIDSON, KARINA W. · 2017 to 2023
$7.6M
OPERATE AUDIO-VISUAL EQUIPMENT FOR THE NLMN01LM033504 · NLM · RCA SERVICE COMPANY · PI MC GLYNN, C V · 1985 to 1986
–
NCATS NIH HHS UL1 TR001873NLM NIH HHS N01 LM033504NLM NIH HHS R01 LM012836
6 · The paper itself

Abstract

objectiveDespite their promise for increasing treatment precision, Personalized Trials (i.e., N-of-1 trials) have not been widely adopted. We aimed to ascertain patient preferences for Personalized Trials. STUDY DESIGN AND

settingWe recruited 501 adults with ≥2 common chronic conditions from Harris Poll Online. We used Sawtooth Software to generate 45 plausible Personalized Trial designs comprising combinations of eight key attributes (treatment selection, treatment type, clinician involvement, blinding, time commitment, self-monitoring frequency, duration, and cost) at different levels. Conditional logistic regression was used to assess relative importance of different attributes using a random utility maximization model.

resultsOverall, participants preferred Personalized Trials with no costs vs. $100 cost (utility difference 1.52 [standard error 0.07], P < 0.001) and with less vs. more time commitment/day (0.16 [0.07], P < 0.015) but did not hold preferences for the other six attributes. In subgroup analyses, participants ≥65 years, white, and with income ≤$50,000 were more averse to costs than their counterparts (P all <0.05).

conclusionTo optimize dissemination, Personalized Trial designers should seek to minimize out-of-pocket costs and time burden of self-monitoring. They should also consider adaptive designs that can accommodate subgroup differences in design preferences.

Indexed as

AdultAgedAge FactorsClinical Trials as TopicCross-Sectional StudiesEvidence-Based MedicineFemaleHealth ExpendituresHumansLogistic ModelsMaleMiddle AgedPatient PreferencePrecision MedicineSocioeconomic FactorsSurveys and QuestionnairesConjoint analysisDiscrete choiceHeterogeneity of treatment effectsMulti-morbidityN-of-1 trialsPatient-centered care

Identifiers

PMID29859242
PMCPMC6119511

What OpenQuestion holds

Textmetadata
LicenceTDM
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.