Evidence map›Paper›PMID 31942296›Full record

ArticlePlastic and reconstructive surgery. Global open2019

Considering Breast Reconstruction after Mastectomy: A Patient Decision Aid Video and Workbook.

Aubri S Hoffman, Scott B Cantor, Michelle C Fingeret, Ashley J Housten, Summer E Hanson, Jennifer H McGee, Jordan T Pietz, Alina Bennett, Robert J Volk, Gregory P Reece

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Development of a patient decision aid (PDA)for patients undergoing breast reconstructive surgery: towards shared decision-making.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
  6. Decision-making Tools for Postmastectomy Breast Reconstruction: A Scoping Review.Plastic and reconstructive surgery. Global open · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Health Literacy in Plastic Surgery: A Scoping Review.Plastic and reconstructive surgery. Global open · 2022
    Article
  11. 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 · 2022
    Article
  12. Article
  13. Article
  14. 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.

Aubri S HoffmanDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Scott B CantorDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Michelle C FingeretDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Ashley J HoustenDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Summer E HansonDepartment of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Jennifer H McGeeDepartment of Creative Services, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Jordan T PietzDepartment of Creative Services, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Alina BennettDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Robert J VolkDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Gregory P ReeceDepartment of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
3-D modeling-based decision support for optimizing quality of life following breast reconstructionR01CA203984 · NCI · UNIVERSITY OF TEXAS AT AUSTIN · PI MARKEY, MIA K, MERCHANT, FATIMA AZIZ · 2016 to 2020
$3.4M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA203984
6 · The paper itself

Abstract

Women report difficulty understanding and personalizing breast reconstruction information during the complex and time-limited period of cancer treatment planning. Patient decision aids can help patients become well informed, form realistic expectations, prepare to communicate with the surgical team, and be more satisfied with their decision-making process.

methodsWe engaged patients, providers, and stakeholders in a user-centered design process to develop an online patient decision aid video and interactive workbook for breast reconstruction after mastectomy. The video and workbook introduce breast reconstruction and compare the risks and benefits of 3 key decisions: reconstruction versus no reconstruction, immediate versus delayed, and tissue- versus implant based. Pilot testing using cognitive interviews and pre-/postdecision aid questionnaires assessed acceptability, knowledge, and decision-making values.

resultsAfter viewing the decision aid, patients (n = 20) scored 97.5% correct on a knowledge test; however, the factors driving their decisions were varied. All (n = 40) patients and providers/stakeholders provided over 80% positive acceptability ratings. 97.5% said they would recommend the video and workbook to other women with breast cancer.

conclusionsThe Considering Breast Reconstruction after Mastectomy patient decision aid video and workbook show potential for improving informed decision-making. Delivery before the initial plastic surgery consultation was well supported as a way to give women time to process the information and prepare to talk with the surgical team about their options. The Personal Decision Worksheet shows potential for assessing patients' knowledge and the factors driving their personal decision-making process.

Identifiers

PMID31942296
PMCPMC6908343

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.