Evidence map›Paper›PMID 29959285›Full record

Trial reportThe oncologist2019

Training for Medical Oncologists on Shared Decision-Making About Palliative Chemotherapy: A Randomized Controlled Trial.

Inge Henselmans, Hanneke W M van Laarhoven, Hanneke C J M de Haes, Meltem Tokat, Ellen G Engelhardt, Pomme E A van Maarschalkerweerd, Marleen Kunneman, Petronella B Ottevanger, Serge E Dohmen, Geert-Jan Creemers and 3 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Potential Adverse Outcomes of Shared Decision Making about Palliative Cancer Treatment: A Secondary Analysis of a Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Trial
  3. Trial
  4. Educational interventions for training oncology residents in palliative medicine: a rapid review of the available evidence to inform training standards in cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Oncologists' communication about tobacco and alcohol use during treatment for esophagogastric cancer: a qualitative observational study of simulated consultations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Blended online learning for oncologists to improve skills in shared decision making about palliative chemotherapy: a pre-posttest evaluation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 8 institutions in 2 countries.

Inge HenselmansDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands i.henselmans@amc.uva.nl.ORCID 0000-0002-3668-7495
Hanneke W M van LaarhovenDepartment of Medical Oncology, Academic Medical Center, University of Amsterdam, The Netherlands.
Hanneke C J M de HaesDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
Meltem TokatDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
Ellen G EngelhardtAmsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Pomme E A van MaarschalkerweerdDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
Marleen KunnemanDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
Petronella B OttevangerDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Serge E DohmenDepartment of Internal Medicine, BovenIJ Hospital, Amsterdam, The Netherlands.
Geert-Jan CreemersDepartment of Medical Oncology, Catharina Cancer Institute, Eindhoven, The Netherlands.
Dirkje W SommeijerDepartment of Medical Oncology, Academic Medical Center, University of Amsterdam, The Netherlands.
Filip Y F L de VosDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Ellen M A SmetsDepartment of Medical Psychology, Academic Medical Center, University of Amsterdam, The Netherlands.
Academic Medical Center · NLUniversity of Amsterdam · NLCancer Center AmsterdamAmsterdam UMC Location VUmc · NLCatharina Ziekenhuis · NLRadboud University Nijmegen · NLRijnstate Hospital · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic treatment for advanced cancer offers uncertain and sometimes limited benefit, while the burden can be high. This study examines the effect of shared decision-making (SDM) training for medical oncologists on observed SDM in standardized patient assessments. MATERIALS AND

methodsA randomized controlled trial comparing training with standard practice was conducted. Medical oncologists and oncologists-in-training (

resultsThe training had a significant and large effect on observed SDM in the simulated consultations (Cohen's f = 0.62) and improved observed SDM behavior in all four SDM stages (f = 0.39-0.72). The training improved oncologists' information provision skills (f = 0.77), skills related to anticipating/responding to emotions (f = 0.42), and their satisfaction with the consultation (f = 0.53).

conclusionTraining medical oncologists in SDM about palliative systemic treatment improves their performance in simulated consultations. The next step is to examine the effect of such training on SDM in clinical practice and on patient outcomes. IMPLICATIONS FOR PRACTICE: Systemic treatment for advanced cancer offers uncertain and sometimes limited benefit, while the burden can be high. Hence, applying the premises of shared decision-making (SDM) is recommended. SDM is increasingly advocated based on the ethical imperative to provide patient-centered care and the increasing evidence for beneficial patient outcomes. Few studies examined the effectiveness of SDM training in robust designs. This randomized controlled trial demonstrated that SDM training (10 hours) improves oncologists' performance in consultations with standardized patients. The next step is to examine the effect of training on oncologists' performance and patient outcomes in clinical practice.

Indexed as

AdultDecision MakingDrug TherapyFemaleHumansMaleOncologistsPalliative CareCommunicationMedical oncologyPalliative carePhysician‐patient relationsShared decision‐making

Identifiers

PMID29959285
PMCPMC6369949
OpenAlexW2810511560

What OpenQuestion holds

Textmetadata
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.