Evidence map›Paper›PMID 30878684›Full record

ArticleUrology2019

Parental Preferences for Vesicoureteral Reflux Treatment: A Crowd-sourced, Best-worst Scaling Study.

Zachary R Dionise, Juan Marcos Gonzalez, Michael L Garcia-Roig, Andrew J Kirsch, Charles D Scales, John S Wiener, J Todd Purves, Jonathan C Routh

Abstract read
In one paragraph

Article in Urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Zachary R DioniseDivision of Urology, Duke University Medical Center, Durham, NC.
Juan Marcos GonzalezDuke Clinical Research Institute, Durham, NC.
Michael L Garcia-RoigDepartment of Pediatric Urology, Emory University and Children's Healthcare of Atlanta, Atlanta, GA.
Andrew J KirschDepartment of Pediatric Urology, Emory University and Children's Healthcare of Atlanta, Atlanta, GA.
Charles D ScalesDivision of Urology, Duke University Medical Center, Durham, NC; Duke Clinical Research Institute, Durham, NC.
John S WienerDivision of Urology, Duke University Medical Center, Durham, NC.
J Todd PurvesDivision of Urology, Duke University Medical Center, Durham, NC.
Jonathan C RouthDivision of Urology, Duke University Medical Center, Durham, NC. Electronic address: jonathan.routh@duke.edu.

Funding

Comparative Effectiveness of Vesicoureteral Reflux Treatments in ChildrenK08DK100534 · NIDDK · DUKE UNIVERSITY · PI ROUTH, JONATHAN C · 2014 to 2018
$671k
NIDDK NIH HHS K08 DK100534
6 · The paper itself

Abstract

objectiveTo quantitatively evaluate parental preferences for the various treatments for vesicoureteral reflux using crowd-sourced best-worst scaling, a novel technique in urologic preference estimation.

methodsPreference data were collected from a community sample of parents via 2 best-worst scaling survey instruments published to Amazon's Mechanical Turk online community. Attributes and attribute levels were selected following extensive review of the reflux literature. Respondents completed an object case best-worst scaling exercise to prioritize general aspects of reflux treatments and multiprofile case best-worst scaling to elicit their preferences for the specific differences in reflux treatments. Data were analyzed using multinomial logistic regression. Results from the object-case provided probability scaled values (PSV) that reflected the order of importance of attributes.

resultsWe analyzed data for 248 and 228 respondents for object and multiprofile case BWS, respectively. When prioritizing general aspects of reflux treatment, effectiveness (PSV = 20.37), risk of future urinary tract infection (PSV = 14.85), and complication rate (PSV = 14.55) were most important to parents. Societal cost (PSV = 1.41), length of hospitalization (PSV = 1.09), and cosmesis (PSV = 0.91) were least important. Parents perceived no difference in preference for the cosmetic outcome of open vs minimally invasive surgery (P = .791). Bundling attribute preference weights, parents in our study would choose open surgery 74.9% of the time.

conclusionHigh treatment effectiveness was the most important and preferred attribute to parents. Alternatively, cost and cosmesis were among the least important. Our findings serve to inform shared parent-physician decision-making for vesicoureteral reflux.

Indexed as

Decision MakingAdolescentAdultCrowdsourcingFemaleHumansMaleMiddle AgedParentsSurveys and QuestionnairesUrologic Surgical ProceduresVesico-Ureteral RefluxYoung Adult

Identifiers

PMID30878684
PMCPMC6525647

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.