Evidence map›Paper›PMID 31472276›Full record

ArticleJournal of pain and symptom management2019

A Video Decision Aid Improves Informed Decision Making in Patients With Advanced Cancer Considering Palliative Radiation Therapy.

Kavita V Dharmarajan, Chasity B Walters, Tomer T Levin, Carol Ann Milazzo, Christopher Monether, Robin Rawlins-Duell, Roma Tickoo, Daniel E Spratt, Shona Lovie, Gina Giannantoni-Ibelli and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. A Joanna Briggs Institute Framework Approach to Shared Decision Making in End-of-Life.Health expectations : an international journal of public participation in health care and health policy · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. 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

11 authors at 5 institutions in 1 country.

Kavita V DharmarajanDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: kavita.dharmarajan@mountsinai.org.
Chasity B WaltersDepartment of Patient & Caregiver Education, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Tomer T LevinDepartment of Psychiatry, Weill Cornell Psychiatry Collaborative Care Center, Weill Cornell Medicine, New York, New York, USA.
Carol Ann MilazzoDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Christopher MonetherAlvarez & Marsal, New York, New York, USA.
Robin Rawlins-DuellDivision of Pain and Palliative Care, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Roma TickooDivision of Pain and Palliative Care, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Daniel E SprattDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.
Shona LovieThe Leukemia & Lymphoma Society, New York, New York, USA.
Gina Giannantoni-IbelliDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Beryl McCormickDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Memorial Sloan Kettering Cancer Center · USCornell University · USIcahn School of Medicine at Mount Sinai · USLeukemia and Lymphoma Society · USUniversity of Michigan · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

contextAdvanced cancer patients have unrecognized gaps in their understanding about palliative radiation therapy (PRT).

objectivesTo build a video decision aid for hospitalized patients with advanced cancer referred for PRT and prospectively test its efficacy in reducing decisional uncertainty, improving knowledge, increasing treatment readiness and readiness for palliative care consultation, and its acceptability among patients.

methodsForty patients with advanced cancer hospitalized at Memorial Sloan Kettering Cancer Center watched a video decision aid about PRT and palliative care. Patients' conceptual and logistical knowledge of PRT, decisional uncertainty, treatment readiness, and readiness for palliative care consultation were assessed before and after watching the video with a six-item knowledge survey, the decisional uncertainty subscale of the Decisional Conflict Scale, and Likert instruments to assess readiness to accept radiation treatment and/or palliative care consultation, respectively. A postvideo survey assessed the video's acceptability among patients.

resultsAfter watching the video, decisional uncertainty was reduced (28.3 vs. 21.7; P = 0.02), knowledge of PRT improved (60.4 vs. 88.3; P < 0.001), and PRT readiness increased (2.0 vs. 1.3; P = 0.04). Readiness for palliative care consultation was unchanged (P = 0.58). Patients felt very comfortable (70%) watching the video and would highly recommend it (75%) to others.

conclusionAmong hospitalized patients with advanced cancer, a video decision aid reduced decisional uncertainty, improved knowledge of PRT, increased readiness for PRT, and was well received by patient viewers.

Indexed as

AdultAgedClinical Decision-MakingFemaleHumansMaleMiddle AgedNeoplasmsPalliative CarePatient Acceptance of Health CarePatient Education as TopicPatient SatisfactionProspective StudiesReferral and ConsultationSurveys and QuestionnairesTreatment Outcomeadvanced cancerdecision aidPalliative radiation therapyvideo tool

Identifiers

PMID31472276
PMCPMC8132595
OpenAlexW2970336740

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.