Evidence map›Paper›PMID 30098907›Full record

ArticlePatient education and counseling2019

Decision role preferences for return of results from genome sequencing amongst young breast cancer patients.

Cindy B Matsen, Sarah Lyons, Melody S Goodman, Barbara B Biesecker, Kimberly A Kaphingst

Abstract read
In one paragraph

Article in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Cindy B MatsenHuntsman Cancer Institute at the University of Utah, Salt Lake City, UT, 84112, USA; Department of Surgery, University of Utah, Salt Lake City, UT, 84132, USA. Electronic address: cindy.matsen@hsc.utah.edu.
Sarah LyonsDivision of Public Health Sciences, Washington University in St. Louis, St. Louis, MO, 63110, USA.
Melody S GoodmanDepartment of Biostatistics, College of Global Public Health, New York University, New York, NY, 10003, USA.
Barbara B BieseckerResearch Triangle Institute, International, Washington DC, 20005, USA.
Kimberly A KaphingstHuntsman Cancer Institute at the University of Utah, Salt Lake City, UT, 84112, USA; Department of Communcation, University of Utah, Salt Lake City, UT, 84112, USA.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Interventions in Genetic CounselingZIAHG200317 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, BARBARA BOWLES · 2009 to 2018
$7.6M
Utah Building Interdisciplinary Resreach Careers in Women's Health Career Development ProgramK12HD085852 · NICHD · UNIVERSITY OF UTAH · PI VARNER, MICHAEL W. · 2015 to 2019
$2.3M
COMMUNICATION PREFERENCES FOR GENOME SEQUENCING RESULTS IN BREAST CANCER PATIENTSR01CA168608 · NCI · WASHINGTON UNIVERSITY · PI GOODMAN, MELODY S, KAPHINGST, KIMBERLY A · 2012 to 2014
$826k
An Intervention to Improve Decision Role Concordance in Newly Diagnosed Breast Cancer PatientsR03HS024784 · AHRQ · UNIVERSITY OF UTAH · PI MATSEN, CINDY · 2016 to 2017
$80k
AHRQ HHS R03 HS024784NCATS NIH HHS UL1 TR002538NCI NIH HHS L30 CA209676NCI NIH HHS R01 CA168608NICHD NIH HHS K12 HD085852
6 · The paper itself

Abstract

objectiveTo better understand decision role preferences in women diagnosed with breast cancer at a young age for return of results of genome sequencing in research and clinical settings.

methodsParticipants were surveyed about communication and decision-making preferences related to genome sequencing results and factors that may affect these preferences. The primary outcome was decision role preference (Control Preference Scale) for selecting what results to receive within medical care or within a research study.

resultsFor results returned as part of medical care, most patients preferred a collaborative (N = 481, 45%) or active (N = 488, 45%) role with only 107 (10%) choosing a passive role. When making the decision as part of a research study, most patients preferred an active role (N = 617, 57%), 350 (33%) choosing a collaborative role, and110 (10%) choosing a passive role.

conclusionMost women in this study preferred to share in decision making. Participants had somewhat different role preferences for clinical and research contexts, with greater preference for active roles in the research context. PRACTICE IMPLICATIONS: We advocate for practice guidelines that incorporate discussion of decision role as an integral part of patient centered care and shared decision-making and recognize that more work is needed to inform guidelines.

Indexed as

Decision MakingAdultBreast NeoplasmsFemaleGenetic Predisposition to DiseaseGenetic TestingHumansPatient PreferenceAdvanced genetic testingBRCABreast cancerDecision makingDecision role preferencesGenetic knowledge

Identifiers

PMID30098907
PMCPMC6289762

What OpenQuestion holds

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Registered trials

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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.