Evidence map›Paper›PMID 32843034›Full record

ArticleBMC health services research2020

Radiation oncologists' attitudes and beliefs about intensity-modulated radiation therapy and stereotactic body radiation therapy for prostate cancer.

Bruce L Jacobs, Megan Hamm, Flor de Abril Cameron, Jose G Luiggi-Hernandez, Dwight E Heron, Jeremy M Kahn, Amber E Barnato

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 47% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 2 countries.

Bruce L JacobsDepartment of Urology, University of Pittsburgh, 5200 Centre Avenue, Suite 209, Pittsburgh, PA, 15232, USA. jacobsbl107@gmail.com.ORCID http://orcid.org/0000-0003-1358-0764
Megan HammCenter for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA.
Flor de Abril CameronCenter for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA.
Jose G Luiggi-HernandezDepartment of Psychology, Duquesne University, Pittsburgh, PA, USA.
Dwight E HeronDepartment of Radiation Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
Jeremy M KahnDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Amber E BarnatoDartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
University of Pittsburgh · USDartmouth College · USDuquesne University · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Leonard J. Appleman · 1988 to 2026
$158.0M
Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Patient Oriented Research and Mentoring in Critical Care Implementation ScienceK24HL133444 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAHN, JEREMY M · 2016 to 2018
$348k
Henry Hillman Foundation naLevy Cluster in Health Care Delivery at Dartmouth naNCI NIH HHS P30 CA023108NCI NIH HHS P30 CA047904NCI NIH HHS P30CA047904NHLBI NIH HHS K24 HL133444NIH HHS K24HL133444NIH HHS KL2TR001856
6 · The paper itself

Abstract

backgroundTo better understand how radiation oncologists perceive intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT) for prostate cancer and how these perceptions may influence treatment decisions.

methodsWe conducted semi-structured interviews of radiation oncologists between January-May, 2016. We used a purposeful sampling technique to select participants across a wide range of experience, regions, and practice types. Two trained qualitative researchers used an inductive, iterative approach to code transcripts and identify themes. We then used content analysis and thematic analysis of the coded transcripts to understand radiation oncologists' attitudes and beliefs about IMRT and SBRT.

resultsThematic saturation was achieved after 20 interviews. Participants were affiliated with academic (n = 13; 65%), private (n = 5; 25%), and mixed (n = 2; 10%) practices and had a wide range of clinical experience (median 19 years; range 4-49 years). Analysis of interview transcripts revealed four general themes: 1) most radiation oncologists offered surgery, brachytherapy, IMRT, and active surveillance for low-risk patients; 2) there was no consensus on the comparative effectiveness of IMRT and SBRT; 3) key barriers to adopting SBRT included issues related to insurance, reimbursement, and practice inertia; and 4) despite these barriers, most participants envisioned SBRT use increasing over the next 5-10 years.

conclusionsIn the absence of strong opinions about effectiveness, nonclinical factors influence the choice of radiation treatment. Despite a lack of consensus, most participants agreed SBRT may become a standard of care in the future.

Indexed as

Health Knowledge, Attitudes, PracticeRadiosurgeryRadiotherapy, Intensity-ModulatedHumansMaleMiddle AgedProstatic NeoplasmsQualitative ResearchRadiation OncologistsIntensity-modulated radiation therapyInterviewsQualitative researchRadiation oncologistsStereotactic body radiation therapy

Identifiers

PMID32843034
PMCPMC7449079
OpenAlexW3081107322

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.