Evidence map›Paper›PMID 33555928›Full record

ArticleJCO oncology practice2021

Needs and Perspectives of Cancer Center Stakeholders for Access to Patient Values in the Electronic Health Record.

Anjali V Desai, Rajiv Agarwal, Andrew S Epstein, Gilad J Kuperman, Chelsea L Michael, Haley Mittelstaedt, MaryAnn Connor, Camila Bernal, Kathleen A Lynch, Jamie S Ostroff and 5 more

Open access · greenAbstract read
In one paragraph

Article in JCO oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Review
  10. Advance Care Planning in Serious Illness: A Narrative Review.Journal of pain and symptom management · 2023
    Review
  11. Article
  12. Article
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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

15 authors at 4 institutions in 1 country.

Anjali V DesaiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-8586-7188
Rajiv AgarwalDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-3146-7231
Andrew S EpsteinDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1808-3070
Gilad J KupermanDepartment of Health Informatics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-4130-1577
Chelsea L MichaelDepartment of Health Informatics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9525-7591
Haley MittelstaedtDepartment of Health Informatics, Memorial Sloan Kettering Cancer Center, New York, NY.
MaryAnn ConnorDepartment of Nursing Informatics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2340-7770
Camila BernalDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-0867-1688
Kathleen A LynchDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2174-1604
Jamie S OstroffDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2671-5680
Brittany KatzWeill Cornell Medical College, New York, NY.
Kelsey L CorriganDepartment of Radiation Oncology, MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-0314-6972
Dana KramerDepartment of Advanced Practice Providers, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-1501-9236
Mary Elizabeth DavisDepartment of Nursing, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-3771-8289
Judith E NelsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-3624-3111
Memorial Sloan Kettering Cancer Center · USNewYork–Presbyterian Hospital · USThe University of Texas MD Anderson Cancer Center · USVanderbilt University Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Communicating the Gist of Prognosis: Giving Information Simply and Transparently ("GIST") in Advanced CancerR21NR018693 · NINR · WEILL MEDICAL COLL OF CORNELL UNIV · PI EPSTEIN, ANDREW, PRIGERSON, HOLLY GWEN · 2019 to 2020
$488k
Communicating with Oncology Nurses about Values from the Outset (CONVO): An Innovative Primary Palliative Care Intervention in English and EspanolR21NR019188 · NINR · SLOAN-KETTERING INST CAN RESEARCH · PI GANY, FRANCESCA M, NELSON, JUDITH E · 2020 to 2021
$487k
NCI NIH HHS K12 CA090625NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461NINR NIH HHS R21 NR018693NINR NIH HHS R21 NR019188
6 · The paper itself

Abstract

purposeHigh-quality cancer care must incorporate patients' personal values in decision making throughout illness. Unfortunately, patient values are neither consistently elicited nor easily accessible in the electronic health record (EHR). Memorial Sloan Kettering Cancer Center is deploying a major EHR innovation, called the Patient Values Tab, which provides ready access to patients' values and personhood. To inform the Tab's design, we interviewed a large, diverse group of institutional stakeholders to understand their user needs for this Tab.

methodsQualitative data were collected through semistructured, audio-recorded, in-person, individual interviews. An interdisciplinary team of four coders conducted a process of thematic content analysis. Thematic saturation was achieved, and member checking was performed.

resultsA total of 110 stakeholders were approached and interviewed. Participants comprised a wide range of disciplines or professions and others involved in hospital and/or clinic administration. Analysis revealed the following themes related to important Tab content: personhood, support system or resources, social history, communication preferences, future planning, end of life, and illness and treatment understanding. Participants also discussed implementation considerations, the Tab's potential to improve communication, and privacy implications.

conclusionThis study focused on a major EHR innovation to centralize information about values and personhood of patients with cancer. We elicited views of over 100 institutional stakeholders through in-depth interviews that were rigorously analyzed, yielding themes related to content and format that helped guide the Tab's design. The interviews generated a sense of ownership and enthusiasm for the Tab among future users. The Tab's introduction advances the use of the EHR as a driver of the delivery of patient-centered care.

Indexed as

Electronic Health RecordsNeoplasmsCommunicationHospitalsHumansPatient-Centered CarePrivacy

Identifiers

PMID33555928
PMCPMC9810135
OpenAlexW3128667936

What OpenQuestion holds

Textmetadata
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.