Evidence map›Paper›PMID 31283676›Full record

ArticleTransplantation2020

Comparing Pretransplant and Posttransplant Outcomes When Choosing a Transplant Center: Focus Groups and a Randomized Survey.

Cory R Schaffhausen, Marilyn J Bruin, Sauman Chu, Andrew Wey, Warren T McKinney, Jon J Snyder, Jack R Lake, Arthur J Matas, Bertram L Kasiske, Ajay K Israni

Registry-linked trialAbstract read
In one paragraph

Article in Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03610555 (Creating a Patient-centered Report Card for Solid Organ Transplant Candidates), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT03610555 nacompletednot on this map

Creating a Patient-centered Report Card for Solid Organ Transplant Candidates

TypeinterventionalSponsorAjay Israni, MDRan2016 to 2023Enrolled268ConditionsTransplantsArmsIntervention 1 - SRTR (age question 1st), Intervention 2 - SRTR (BMI question 1st), Intervention 3 - TCST (age question 1st), Intervention 4 - TCST (BMI question 1st)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Kidney transplant program waitlisting rate as a metric to assess transplant access.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  7. Tool to Aid Patients in Selecting a Liver Transplant Center.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020
    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

10 authors.

Cory R SchaffhausenHennepin Healthcare Research Institute (HHRI), Minneapolis, MN.
Marilyn J BruinCollege of Design, UMN, Minneapolis, MN.
Sauman ChuCollege of Design, UMN, Minneapolis, MN.
Andrew WeyScientific Registry of Transplant Recipients, HHRI, Minneapolis, MN.
Warren T McKinneyHennepin Healthcare Research Institute (HHRI), Minneapolis, MN.
Jon J SnyderScientific Registry of Transplant Recipients, HHRI, Minneapolis, MN.
Jack R LakeDivision of Gastroenterology, Hepatology, and Nutrition, UMN, Minneapolis, MN.
Arthur J MatasDepartment of Surgery, UMN, Minneapolis, MN.
Bertram L KasiskeScientific Registry of Transplant Recipients, HHRI, Minneapolis, MN.
Ajay K IsraniScientific Registry of Transplant Recipients, HHRI, Minneapolis, MN.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NRSA Training CoreTL1TR002493 · NCATS · UNIVERSITY OF MINNESOTA · PI FULKERSON, JAYNE ALLYN · 2018 to 2022
$3.1M
Minnesota Learning Health System Mentored Career Development Program (MN-LHS)K12HS026379 · AHRQ · UNIVERSITY OF MINNESOTA · PI BEEBE, TIMOTHY, LINZER, MARK · 2018 to 2022
$2.9M
Creating a patient-centered report card for solid organ transplant candidatesR01HS024527 · AHRQ · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI ISRANI, AJAY K · 2016 to 2020
$1.3M
AHRQ HHS K12 HS026379AHRQ HHS R01 HS024527NCATS NIH HHS TL1 TR002493NCATS NIH HHS UL1 TR002494
6 · The paper itself

Abstract

backgroundIn response to calls for an increased focus on pretransplant outcomes and other patient-centered metrics in public reports of center outcomes, a mixed methods study evaluated how the content and presentation style of new information influences decision-making. The mixed methods design utilized qualitative and quantitative phases where the strengths of one method help address limitations of the other, and multiple methods facilitate comparing results.

methodsFirst, a series of organ-specific focus groups of kidney, liver, heart, and lung patients helped to develop and refine potential displays of center outcomes and understand patient perceptions. A subsequent randomized survey included adult internet users who viewed a single, randomly-selected variation of 6 potential online information displays. Multinomial regression evaluated the effects of graphical presentations of information on decision-making.

resultsOne hundred twenty-seven candidates and recipients joined 23 focus groups. Survey responses were analyzed from 975 adults. Qualitative feedback identified patient perceptions of uncertainty in outcome metrics, in particular pretransplant metrics, and suggested a need for clear guidance to interpret the most important metric for organ-specific patient mortality. In the randomized survey, only respondents who viewed a note indicating that transplant rate had the largest impact on survival chose the hospital with the best transplant rate over the hospital with the best posttransplant outcomes (marginal relative risk and 95% confidence interval, 1.161.501.95).

conclusionsThe presentation of public reports influenced decision-making behavior. The combination of qualitative and quantitative research helped to guide and enhance understanding of the impacts of proposed changes in reported metrics.

Indexed as

Choice BehaviorPatient Outcome AssessmentAdultAgedEvaluation Studies as TopicFeasibility StudiesFemaleFocus GroupsGraft SurvivalHumansMaleMiddle AgedOrgan TransplantationPostoperative ComplicationsRandom AllocationRegistries

Identifiers

PMID31283676
PMCPMC7282482

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.