Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Who decides? Shared decision-making among colorectal cancer surgery patients in China.
Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Analysis of Influencing Factors and Strategies of Implementing Shared Decision-Making Among Patients with Gastrointestinal Cancer: A Systematic Review and Meta-analysis of Qualitative Studies.Annals of surgical oncology · 2025Pooled it
- Understanding social integration and health outcomes among China's internal migrants: a systematic review.Frontiers in public health · 2025Pooled it
- The burdens, coping strategies, and unmet needs of family caregivers of Chinese patients with lymphoma receiving commercial CAR-T-cell therapy: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Heterogeneity in decision-making engagement among total knee arthroplasty patients in China: a cross-sectional study.BMJ open · 2026Article
- Lessons from the field: culturally grounded approaches to recruiting Chinese American immigrant cancer patients to psycho-oncology trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Cultural and Structural Influences on Shared Decision-Making in the Care of Critically Ill Patients with Stroke in China: A Critical Realist Qualitative Study.Neurocritical care · 2026Article
- Patient Participation in Decision-Making During Nursing Care: A Relational Autonomy Perspective.Journal of advanced nursing · 2026Article
- Comparative effectiveness and cost-effectiveness of ALK-positive NSCLC sequential strategies under physician and patient preferences.Cost effectiveness and resource allocation : C/E · 2026Article
- Authorized surrogate presence and its association with early in-hospital delays and outcomes in acute ischemic stroke.International journal of emergency medicine · 2026Article
- Chinese people's experience of cancer in the UK: a reflexive thematic analysis.Frontiers in psychology · 2026Article
- Cultural and ethical barriers to implementing end-of-life advance care planning among oncology nursing professionals: a content analysis of open-ended questions.BMC medical ethics · 2025Article
- Congruence of cancer patients' desired and achieved decision-making roles between self, doctor and family: a cross-sectional multi-site survey.BMC cancer · 2025Article
- Cognitive Authority Theory: Reframing health inequity, disadvantage and privilege in palliative and end-of-life care.Palliative medicine · 2025Article
- Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China.BMC medical informatics and decision making · 2025Article
- A SWOT Analysis of Death Literacy Education in Nursing: Implications for Hospice and Palliative Care in China.Journal of multidisciplinary healthcare · 2025Review
- Applying Neural Networks to Analyse Inflammatory, Sociodemographic, and Psychological Factors in Non-Melanoma Skin Cancer and Colon Cancer: A Statistical and Artificial Intelligence Approach.Diagnostics (Basel, Switzerland) · 2024Article
- Tensions in caring for chronic patients' medication adherence: A qualitative study in Cyprus.Journal of health psychology · 2024Article
- Family roles in informed consent from the perspective of young Chinese doctors: a questionnaire study.BMC medical ethics · 2024Article
- Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia.BMC psychiatry · 2023Article
- Status quo of advanced cancer patients participating in shared decision-making in China: a mixed study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposePatient-centered care (PCC) and shared decision-making (SDM) is advised within the English medical literature for its positive impact. The benefits of such approaches are said to foster increased trust, patient decision satisfaction, and even better outcomes. Looking at a Chinese cancer hospital, this research sought to understand how surgical decision-making was made among colorectal cancer patients.
methodsObservations (n = 36) and semi-structured interviews (n = 24) were conducted with patients and family members.
resultsIn the observations, 69.4% of the participating families made the decision to undergo surgery at the end of the consultation. In the interviews, three main themes emerged in regard to the characteristics in the family decision-making model, and they included three structural elements: the patient's sick role, family functional structure, and control of information.
conclusionThis study showed that the Chinese decision-making model is different from the western SDM model. In the Chinese context, family members dominated the decision-making process which raised concerns around informed consent. This may benefit patients insofar as receiving timely treatment in the short term but at the same time may be at the expense of limiting patient's autonomy. The promotion of a new model or a model encompassing family-centered care values may be more appropriate in clinical practice in China that can address the issues around informed consent.
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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.