Evidence map›Paper›PMID 32208092›Full record

ArticleJCO oncology practice2020

Implementing Decision Coaching for Lung Cancer Screening in the Low-Dose Computed Tomography Setting.

Lisa M Lowenstein, Myrna Cobos Barco Godoy, Jeremy J Erasmus, Zineb Zirari, Alina Bennett, Viola B Leal, Ashley J Housten, Robert J Volk

Abstract read
In one paragraph

Article in JCO oncology practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  9. Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lisa M LowensteinDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Myrna Cobos Barco GodoyDepartment of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Jeremy J ErasmusDepartment of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Zineb ZirariDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Alina BennettRegional Ethics Department, Kaiser Permanente Northern California, Oakland, CA.
Viola B LealDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ashley J HoustenDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Robert J VolkDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposeThe uptake of shared decision making (SDM) for lung cancer screening (LCS) as required by the Centers for Medicare & Medicaid Services (CMS) is suboptimal. Alternative models for delivering SDM are needed, such as decision coaching in the low-dose computed tomography (LDCT) setting. METHODS AND MATERIALS: The Replicating Effective Programs framework guided our implementation of decision coaching, which included a patient-facilitated component before screening followed by in-person coaching that addressed the required elements for the SDM visit from CMS. We surveyed two LCS patient cohorts (pre-implementation and implementation of decision coaching) about their knowledge of LCS and perception of the SDM process. We conducted time-motion studies to assess the feasibility of implementing decision coaching and audio recorded clinical encounters from the implementation cohort to assess fidelity of the SDM conversation to the CMS requirements.

resultsCompared with the pre-implementation cohort (n = 51), the implementation cohort (n = 30) had greater knowledge of LCS (

conclusionDecision coaching in the LDCT setting provides an opportunity for patients to confirm their screening decision by ensuring that patients are truly informed about the potential harms and benefits of LCS. The decision coaching had excellent fidelity in addressing the required SDM elements from CMS and is feasible.

Indexed as

Lung NeoplasmsMentoringAgedDecision MakingEarly Detection of CancerHumansMedicareTomography, X-Ray ComputedUnited States

Identifiers

PMID32208092
PMCPMC7427416

What OpenQuestion holds

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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.