Evidence map›Paper›PMID 30689492›Full record

ArticleJournal of oncology practice2019

"A Tool, Not a Crutch": Patient Perspectives About IBM Watson for Oncology Trained by Memorial Sloan Kettering.

Jada G Hamilton, Margaux Genoff Garzon, Joy S Westerman, Elyse Shuk, Jennifer L Hay, Chasity Walters, Elena Elkin, Corinna Bertelsen, Jessica Cho, Bobby Daly and 5 more

Abstract read
In one paragraph

Article in Journal of oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Adaptive Cancer Therapy in the Age of Generative Artificial Intelligence.Cancer control : journal of the Moffitt Cancer Center
    Review
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

15 authors.

Jada G Hamilton1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Margaux Genoff Garzon1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Joy S Westerman1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Elyse Shuk1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Jennifer L Hay1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Chasity Walters1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Elena Elkin1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Corinna Bertelsen1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Jessica Cho1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Bobby Daly1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Ayca Gucalp1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Andrew D Seidman1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Marjorie G Zauderer1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Andrew S Epstein1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.
Mark G Kris1 Memorial Sloan Kettering Cancer Center; and Weill Cornell Medical College, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeIBM Watson for Oncology trained by Memorial Sloan Kettering (WFO) is a clinical decision support tool designed to assist physicians in choosing therapies for patients with cancer. Although substantial technical and clinical expertise has guided the development of WFO, patients' perspectives of this technology have not been examined. To facilitate the optimal delivery and implementation of this tool, we solicited patients' perceptions and preferences about WFO.

methodsWe conducted nine focus groups with 46 patients with breast, lung, or colorectal cancer with various treatment experiences: neoadjuvant/adjuvant chemotherapy, chemotherapy for metastatic disease, or systemic therapy through a clinical trial. In-depth qualitative and quantitative data were collected and analyzed to describe patients' attitudes and perspectives concerning WFO and how it may be used in clinical care.

resultsAnalysis of the qualitative data identified three main themes: patient acceptance of WFO, physician competence and the physician-patient relationship, and practical and logistic aspects of WFO. Overall, participant feedback suggested high levels of patient interest, perceived value, and acceptance of WFO, as long as it was used as a supplementary tool to inform their physicians' decision making. Participants also described important concerns, including the need for strict processes to guarantee the integrity and completeness of the data presented and the possibility of physician overreliance on WFO.

conclusionParticipants generally reacted favorably to the prospect of WFO being integrated into the cancer treatment decision-making process, but with caveats regarding the comprehensiveness and accuracy of the data powering the system and the potential for giving WFO excessive emphasis in the decision-making process. Addressing patients' perspectives will be critical to ensuring the smooth integration of WFO into cancer care.

Indexed as

AdultAgedAged, 80 and overFemaleFocus GroupsHumansMaleMedical OncologyMiddle AgedUnited StatesYoung Adult

Identifiers

PMID30689492
PMCPMC6494242

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.