Evidence map›Paper›PMID 31734854›Full record

ArticleJournal of cancer survivorship : research and practice2020

Off to a good start after a cancer diagnosis: implementation of a time out consultation in primary care before cancer treatment decision.

Eveline A Noteboom, Niek J de Wit, Ingrid J E M van Asseldonk, Monique C A M Janssen, Wai Yee Lam-Wong, Rob H P J Linssen, Manon J A E Pepels, Natascha A W P Schrama, Mariëlle E H Trompper, L Maaike Veldhuizen and 8 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Through the Eyes of Patients: The Effect of Training General Practitioners and Nurses on Perceived Shared Decision-Making Support.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Innovations in cancer survivorship care: "Lessons from the Clinic" special section.Journal of cancer survivorship : research and practice · 2020
    Article
  11. Review
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

18 authors at 2 institutions in 1 country.

Eveline A NoteboomJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands. e.a.noteboom@umcutrecht.nl.ORCID 0000-0001-5044-5591
Niek J de WitJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.
Ingrid J E M van AsseldonkQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Monique C A M JanssenQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Wai Yee Lam-WongQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Rob H P J LinssenQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Manon J A E PepelsQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Natascha A W P SchramaQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Mariëlle E H TrompperQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
L Maaike VeldhuizenQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Anne P WijtvlietQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Ed G F ZeldenrustQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Ans M HendrikxQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Wil A van de BoomenQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Dorothé M ElbersenQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Esther M G JacobsQuality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
Elsken van der WallDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, Utrecht, 3508 GA, The Netherlands.
Charles W HelsperJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.
Elkerliek Ziekenhuis · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSupportive care for cancer patients may benefit from improving treatment decisions and optimal use of the family physicians' and specialists' strengths. To improve shared decision-making (SDM) and facilitate continuity of primary care during treatment, a cancer care path including a "time out consultation" (TOC) in primary care before treatment decision, was implemented. This study assesses the uptake of a TOC and the added value for SDM.

methodsFor patients with metastatic lung or gastro-intestinal cancer, a TOC was introduced in their care path in a southern region of The Netherlands, from April until October 2016. Uptake of a TOC was measured to reflect on facilitation of continuity of primary care. The added value for SDM and overall experiences were evaluated with questionnaires and semi-structured interviews among patients, family physicians, and specialists.

resultsOf the 40 patients who were offered a TOC, 31 (78%) had a TOC. Almost all patients, family physicians, and specialists expressed that they experienced added value for SDM. This includes a stimulating effect on reflection on choice (expressed by 83% of patients) and improved preparation for treatment decision (75% of patients). Overall added value of a TOC for SDM, only evaluated among family physicians and specialists, was experienced by 71% and 86% of these physicians, respectively. CONCLUSION AND IMPLICATIONS FOR CANCER SURVIVORS: The first experiences with a TOC in primary care before cancer treatment decision suggest that it may help to keep the GP "in the loop" after a cancer diagnosis and that it may contribute to the SDM process, according to patients, family physicians, and specialists.

Indexed as

Decision MakingFemaleHumansMaleMiddle AgedNeoplasmsPrimary Health CareReferral and ConsultationSurveys and QuestionnairesSurvivorsDecision-makingMedical oncologyPrimary health care

Identifiers

PMID31734854
PMCPMC7028803
OpenAlexW2988260078

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.