Evidence map›Paper›PMID 31342375›Full record

Trial reportAnnals of surgical oncology2019

A Randomized Controlled Trial Evaluating the Impact of Pre-Consultation Information on Patients' Perception of Information Conveyed and Satisfaction with the Decision-Making Process.

Trista J Stankowski-Drengler, Jennifer L Tucholka, Jordan G Bruce, Nicole M Steffens, Jessica R Schumacher, Caprice C Greenberg, Lee G Wilke, Bret Hanlon, Jennifer Steiman, Heather B Neuman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 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

8 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Article
  8. 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.

Trista J Stankowski-DrenglerDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Jennifer L TucholkaDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Jordan G BruceDepartment of Surgery, Washington University, St. Louis, MO, USA.
Nicole M SteffensDenver Public Health, Denver Health and Hospital Authority, Denver, CO, USA.
Jessica R SchumacherDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Caprice C GreenbergDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Lee G WilkeDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Bret HanlonDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA.
Jennifer SteimanDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Heather B NeumanDepartment of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, WI, USA. neuman@surgery.wisc.edu.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
BUILDING INTERDISCIPLINARY RESEARCH CAREER IN WOMEN'S HEALTH (BIRCWH) SCHOLARSK12HD055894 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI BURNSIDE, ELIZABETH S · 2007 to 2016
$4.1M
Mentored Training for Dissemination and Implemention Research in CancerR25CA171994 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C · 2013 to 2017
$1.5M
NCI NIH HHS L30 CA179525NCI NIH HHS P30 CA014520NCI NIH HHS R25 CA171994NCI NIH HHS R25CA171994NCI NIH HHS T32 CA090217NICHD NIH HHS K12 HD055894NIH HHS K12 HD055894
6 · The paper itself

Abstract

backgroundPatient participation in treatment decision-making is a health care priority. This study hypothesized that providing a decision aid before surgical consultation would better prepare patients for decision-making. The objective was to examine the impact of a decision aid versus high-quality websites on patients' perceptions of information conveyed during surgical consultation and satisfaction with the decision process.

methodsPatients with stages 0 to 3 breast cancer were randomized. Surveys assessed perceptions of information conveyed, being asked surgical preference, and satisfaction with the decision process. Multivariable logistic regression assessed associations between outcomes and randomization arm, patient factors, and surgeon. Change in Pseudo-R

resultsThe median patient age was 59 years. Most of the patients (98%) were white, and 62% were college educated (n = 201). The findings showed no association between randomization arm and perceptions of information conveyed, being asked surgical preference, or satisfaction with the decision process. Most of the patients reported discussing both breast-conserving therapy and mastectomy (69%) and being asked their surgical preference (65%). The surgeon seen was more important than the randomization arm or the patient factors in predicting patients' perceptions of information conveyed (explained 64-69% of the variation), and 63% of the patients were satisfied with the decision process.

conclusionUse of a decision aid compared with high-quality websites did not increase patients' perceptions of information conveyed or satisfaction with the decision process. Although the surgeon seen influenced aspects of the patient experience, the surgeon was not associated with satisfaction. Understanding the factors driving low satisfaction is critical because this is increasingly used as a marker of health care quality.

Indexed as

Decision MakingDecision Support TechniquesHealth Knowledge, Attitudes, PracticePatient Education as TopicAdultAgedAged, 80 and overBreast NeoplasmsFemaleFollow-Up StudiesHumansInformation DisseminationInternetMiddle AgedPatient SatisfactionPhysician-Patient Relations

Identifiers

PMID31342375
PMCPMC6947662

What OpenQuestion holds

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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.