SynthesisBreast cancer research and treatment2019
Assessing the quality and communicative aspects of patient decision aids for early-stage breast cancer treatment: a systematic review.
Synthesis in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses 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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- A systematic review of the effects of shared decision-making in the South Korean healthcare system.Frontiers in public health · 2025Pooled it
- Communication in decision aids for stage I-III colorectal cancer patients: a systematic review.BMJ open · 2021Pooled it
- Decision Regret About Treatment Amongst Women With Early Breast Cancer: An Integrative Review.Journal of advanced nursing · 2025Review
- Defining the strategies to advance health-literacy-friendly patient decision aids based on the ICA-NRM approach.BMC health services research · 2025Article
- The Implementation of Shared Decision-Making Using Patient Decision Aid Tools to Select Breast Cancer Treatment Options: A Systematic Review in the Time of Minimum Quality Standards.Healthcare (Basel, Switzerland) · 2025Review
- Comparison of analog and digital patient decision aids for the treatment of depression: a scoping review.Frontiers in digital health · 2023Article
- Article
- Need for numbers: assessing cancer survivors' needs for personalized and generic statistical information.BMC medical informatics and decision making · 2022Article
- Prediction Models and Decision Aids for Women with Ductal Carcinoma In Situ: A Systematic Literature Review.Cancers · 2022Review
- A web-based personalized decision support tool for patients diagnosed with ductal carcinoma in situ: development, content evaluation, and usability testing.Breast cancer research and treatment · 2022Article
- Development of a patient decision aid for patients with breast cancer who consider immediate breast reconstruction after mastectomy.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- A scoping review of interactive and personalized web-based clinical tools to support treatment decision making in breast cancer.Breast (Edinburgh, Scotland) · 2022Article
- Picturing aesthetic futures: values and visual tools within shared decision-making.Integrated healthcare journal · 2022Article
- A patient decision aid for breast cancer patients deciding on their radiation treatment, no change in decisional conflict but better informed choices.Technical innovations & patient support in radiation oncology · 2021Article
- Exploring Cancer Survivor Needs and Preferences for Communicating Personalized Cancer Statistics From Registry Data: Qualitative Multimethod Study.JMIR cancer · 2021Article
- Implementing a patient decision aid, a process evaluation of a large-scale pre- and post-implementation trial.Breast cancer research and treatment · 2021Article
- Communicating tailored risk information of cancer treatment side effects: Only words or also numbers?BMC medical informatics and decision making · 2020Article
- Article
- Identifying opportunities to support patient-centred care for ductal carcinoma in situ: qualitative interviews with clinicians.BMC cancer · 2020Article
- Web-Based Medical Information Searching by Chinese Patients With Breast Cancer and its Influence on Survival: Observational Study.Journal of medical Internet research · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 3 countries.
Funding
Abstract
purposeDecision aids (DAs) support patients in shared decision-making by providing balanced evidence-based treatment information and eliciting patients' preferences. The purpose of this systematic review was to assess the quality and communicative aspects of DAs for women diagnosed with early-stage breast cancer.
methodsTwenty-one currently available patient DAs were identified through both published literature (MEDLINE, Embase, CINAHL, CENTRAL, and PsycINFO) and online sources. The DAs were reviewed for their quality by using the International Patient Decision Aid Standards (IPDAS) checklist, and subsequently assessed to what extent they paid attention to various communicative aspects, including (i) information presentation, (ii) personalization, (iii) interaction, (iv) information control, (v) accessibility, (vi) suitability, and (vii) source of information.
resultsThe quality of the DAs varied substantially, with many failing to comply with all components of the IPDAS criteria (mean IPDAS score = 64%, range 31-92%). Five aids (24%) did not include any probability information, 10 (48%) presented multimodal descriptions of outcome probabilities (combining words, numbers, and visual aids), and only 2 (10%) provided personalized treatment outcomes based on patients and tumor characteristics. About half (12; 57%) used interaction methods for eliciting patients' preferences, 16 (76%) were too lengthy, and 5 (24%) were not fully accessible.
conclusionsIn addition to the limited adherence to the IPDAS checklist, our findings suggest that communicative aspects receive even less attention. Future patient DA developments for breast cancer treatment should include communicative aspects that could influence the uptake of DAs in daily clinical practice.
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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.