Evidence map›Paper›PMID 32243312›Full record

ArticleJournal of lower genital tract disease2020

Incorporating Stakeholder Feedback in Guidelines Development for the Management of Abnormal Cervical Cancer Screening Tests.

Rebecca B Perkins, Lindsay N Fuzzell, Paige Lake, McKenzie McIntyre, Ritu Nayar, Mona Saraiya, Jennifer Loukissas, Tamika Felder, Richard S Guido, Susan T Vadaparampil

Abstract read
In one paragraph

Article in Journal of lower genital tract disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Rebecca B PerkinsBoston University, Boston, MA.
Lindsay N FuzzellDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, FL.
Paige LakeDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, FL.
McKenzie McIntyreDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, FL.
Ritu NayarNorthwestern University, Feinberg School of Medicine, Chicago, IL.
Mona SaraiyaCenters for Disease Control and Prevention, Atlanta, GA.
Jennifer LoukissasNational Cancer Institute, Bethesda, MD.
Tamika FelderCervivor, Washington, DC.
Richard S GuidoMagee-Women's Hospital, Pittsburgh, PA.
Susan T VadaparampilDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, FL.

Funding

Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
NCI NIH HHS T32 CA190194
6 · The paper itself

Abstract

objectiveThe 2019 ASCCP Risk-Based Management Consensus Guidelines present a paradigm shift from results- to risk-based management. Patient and provider factors can affect guideline adoption. We sought feedback from stakeholders to inform guideline development. MATERIALS AND

methodsTo solicit provider feedback, we surveyed attendees at the 2019 ASCCP annual meeting regarding readiness to adopt proposed changes and used a web-based public comment period to gauge agreement/disagreement with preliminary guidelines. We elicited patient feedback via a brief survey on preferences around proposed recommendations for treatment without biopsy. Surveys and public comment included both closed-ended and free-text items. Quantitative results were analyzed using descriptive statistics; qualitative results were analyzed using content analysis. Results were incorporated into guideline development in real time.

resultsSurveys indicated that 98% of providers currently evaluate their patients' past results to determine management; 88% felt formally incorporating history into management would represent an improvement in care. Most providers supported expedited treatment without biopsy: 22% currently perform expedited treatment and 60% were willing to do so. Among patients, 41% preferred expedited treatment, 32% preferred biopsy before treatment, and the remainder were undecided. Responses from the public comment period included agreement/disagreement with preliminary guidelines, reasons for disagreement, and suggestions for improvement.

conclusionsStakeholder feedback was incorporated into the development of the 2019 ASCCP Risk-Based Management Consensus Guidelines. Proposed recommendations with less than two-thirds agreement in the public comment period were considered for revision. Findings underscore the importance of stakeholder feedback in developing guidelines that meet the needs of patients and providers.

Indexed as

Attitude of Health PersonnelPractice Guidelines as TopicAdultAttitude to HealthConsensusEarly Detection of CancerFeedbackFemaleHumansMiddle AgedPhysiciansStakeholder ParticipationSurveys and QuestionnairesUterine Cervical Neoplasms

Identifiers

PMID32243312
PMCPMC7147423

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.