Evidence map›Paper›PMID 33092602›Full record

SynthesisBMC medical informatics and decision making2020

Decision aids on breast conserving surgery for early stage breast cancer patients: a systematic review.

Jing Si, Rong Guo, Xiang Lu, Chao Han, Li Xue, Dan Xing, Caiping Chen

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. IDECIDE breast surgery patient decision aid: Development and testing of a quality of life-integrated decision support tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. 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.

Jing SiDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China. sijing1008@163.com.ORCID 0000-0003-4540-6859
Rong GuoDepartment of Breast Surgery, Fudan University Shanghai Cancer Center, No. 270, Dongan Rd., Shanghai, 200032, China.
Xiang LuDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China.
Chao HanDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China.
Li XueDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China.
Dan XingDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China.
Caiping ChenDepartment of Breast Disease, The First Hospital of Jiaxing and The First Affiliated Hospital of Jiaxing University, No. 1882, South Zhonghuan Rd., Jiaxing, 314000, China. luyun6@163.com.

Funding

Natural Science Foundation of China 81902674
6 · The paper itself

Abstract

backgroundBreast cancer is a worldwide health concern. For early stage breast cancer patients, choosing the surgical method after diagnosis is always a dilemma. Decision aids designed for use by patients are tools which may help with surgical decision making for these patients.

methodsWe screened through MEDLINE, EMBASE, PubMed and Web of Science using the inclusion criteria which included (1) newly diagnosed patients with early stage breast cancer, (2) outcomes/results involving surgical options including breast conserving surgery. The search strategy used these key words or the combination of these words: "breast cancer", "decision aid", "decision making", "decision support", "breast conserving surgery", "breast conserving therapy".

resultsA total of 621 studies were identified, but only seven studies were included. Results were synthesized into narrative format. Various patterns of decision aids designed for use by patients were implemented. Mostly were educational materials via booklet, video or CDROM with or without assistance from surgeons. After decision aids, four studies showed that patients were more likely to change their original choices into mastectomy or modified radical instead of sticking to breast conserving surgery. Other results such as knowledge of breast cancer and treatments, decisional conflict and satisfaction, psychological changes after surgery and quality of life were all showed with a better trend in patients with decision aids in most studies.

conclusionDecision aids on breast conserving surgery made it easier for patient involvement in surgical decision making and improved decision-related outcomes in most early stage breast cancer patients. With more attention, improving procedures, and better interdisciplinary cooperation, more research is necessary for the improvement of decision aids. And we believe decision aids with agreed objective information are needed.

Indexed as

Decision Support TechniquesMastectomyBreast NeoplasmsDecision MakingDecision Making, Computer-AssistedFemaleHealth Knowledge, Attitudes, PracticeHumansMastectomy, SegmentalPatient Education as TopicPatient ParticipationPatient SatisfactionPhysician-Patient RelationsQuality of LifeBreast cancerBreast conserving surgeryBreast conserving therapyDecision aidsDecision makingDecision support

Identifiers

PMID33092602
PMCPMC7583180

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.