Evidence map›Paper›PMID 32574143›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2020

Shared decision-making for the management of small renal masses: Development and acceptability testing of a novel patient decision aid.

Kristen McAlpine, Rodney H Breau, Dawn Stacey, Christopher Knee, Michael A S Jewett, Philippe D Violette, Patrick O Richard, Ilias Cagiannos, Christopher Morash, Luke T Lavallée

Abstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Review
  3. Automated vs. manual segmentation for small renal mass imaging.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  4. Article
  5. Complications and blood loss after invasive treatments for small renal masses A systematic review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Review
  6. 2024 CUA-KCRNC Expert Report: Management of non-clear cell renal cell carcinoma.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Practice-changing publications: Kidney cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  12. Treatment on active surveillance of small renal masses: Progression vs. preference.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  13. Article
  14. Review
  15. Striving for consistent, multidisciplinary, evidence-based counselling for all patients.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  16. Canadian Urological Association guideline: Management of small renal masses - Full-text.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  17. Article
  18. Review
  19. 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.

Kristen McAlpineDivision of Urology, University of Ottawa, Ottawa, ON, Canada.
Rodney H BreauDivision of Urology, University of Ottawa, Ottawa, ON, Canada.
Dawn StaceyOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Christopher KneeDivision of Urology, University of Ottawa, Ottawa, ON, Canada.
Michael A S JewettDepartments of Surgery (Urology) and Surgical Oncology, Princess Margaret Cancer Centre, University Health Network and the University of Toronto, Toronto, ON, Canada.
Philippe D VioletteDepartments of Health Research Methods Evidence and Impact and Surgery, McMaster University, Hamilton, ON, Canada.
Patrick O RichardDivision of Urology, University of Sherbrooke, Sherbrooke, QC, Canada.
Ilias CagiannosDivision of Urology, University of Ottawa, Ottawa, ON, Canada.
Christopher MorashDivision of Urology, University of Ottawa, Ottawa, ON, Canada.
Luke T LavalléeDivision of Urology, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShared decision-making incorporates patients' values and preferences to achieve high-quality decisions. The objective of this study was to develop an acceptable patient decision aid to facilitate shared decision-making for the management of small renal masses (SRMs).

methodsThe International Patient Decision Aids Standards were used to guide an evidence-based development process. Management options included active surveillance, thermal ablation, partial nephrectomy, and radical nephrectomy. A literature review was performed to provide incidence rates for outcomes of each option. Once a prototype was complete, alpha-testing was performed using a 10-question survey to assess acceptability with patients, patient advocates, urologists, and methodological experts. The primary outcome was acceptability of the decision aid.

resultsA novel patient decision aid was created to facilitate shared decision-making for the management of SRMs. Acceptability testing was performed with 20 patients, 10 urologists, two patient advocates, and one methodological expert. Responders indicated the decision aid was appropriate in length (82%, 27/33), well-balanced (82%, 27/33), and had language that was easy to follow (94%, 31/33). All patient responders felt the decision aid would have been helpful during their consultation and would recommend the decision aid for future patients (100%, 20/20). Most urologists reported they intend to use the decision aid (90%, 9/10).

conclusionsA novel patient decision aid was created to facilitate shared decision-making for management of SRMs. This clinical tool was acceptable with patients, patient advocates, and urologists and is freely available at: https://decisionaid.ohri.ca/decaids.html.

Identifiers

PMID32574143
PMCPMC7704079

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.