ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2018
Learning When Communications Between Healthcare Providers Indicate Hormonal Therapy Medication Discontinuation.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Electronic Medical Record-Based Electronic Messaging Among Patients with Breast Cancer: A Systematic Review.Applied clinical informatics · 2023Pooled it
- Systematic adaptation of the adherence improving self-management strategy to support breast cancer survivors' adherence to adjuvant endocrine therapy: An intervention mapping approach.European journal of cancer care · 2022Review
- Patient Messaging Content Associated with Initiating Hormonal Therapy after a Breast Cancer Diagnosis.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hormonal therapy is an effective yet challenging long-term treatment for patients with hormone receptor positive breast cancer. Understanding what factors indicate discontinuation of a recommended hormonal therapy medication can help improve treatment experience. To date, studies on medication discontinuation have focused on patient information gathered through questionnaires, structured electronic medical records and online discussion boards. However, there has been little investigation into the communications between healthcare providers, which may provide additional indicators of patients' medication discontinuation, particularly from a clinical perspective. In this paper, we investigate the relation between such communications and hormonal therapy medication discontinuation. We studied a cohort of 2,579 patients on hormonal therapy at the Vanderbilt University Medical Center over a 16-year period. We adopt a data-driven approach to investigate the clinical messages communicated by their healthcare providers, the messaging patterns, topics they communicated, and the extent to which these factors are affiliated with discontinuation to a recommended 5-year treatment protocol. Our findings suggest that notification of unread messages, plans for clinical trials and the occurrence of treatment-related complications are affiliated with an increased risk of medication discontinuation. By contrast, ordering prescriptions, making appointments, using positive communication verbs, and noting patients' stable health conditions are affiliated with a decreased risk of medication discontinuation.
Indexed as
Identifiers
30815205PMC6371302What OpenQuestion holds
Registered trials
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.