Evidence map›Paper›PMID 34154588›Full record

Trial reportBMC health services research2021

The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey.

Daniel M Saman, Ella A Chrenka, Melissa L Harry, Clayton I Allen, Laura A Freitag, Stephen E Asche, Anjali R Truitt, Heidi L Ekstrom, Patrick J O'Connor, JoAnn M Sperl-Hillen and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02986230 (Implementing Cancer Prevention Using Patient-Provider Clinical Decision Support), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT02986230 nacompletednot on this map

Implementing Cancer Prevention Using Patient-Provider Clinical Decision Support

TypeinterventionalSponsorHealthPartners InstituteRan2018 to 2021Enrolled35,953ConditionsCancer PreventionArmsCP-CDS
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Report from an NCI Roundtable: Cancer Prevention in Primary Care.Cancer prevention research (Philadelphia, Pa.) · 2022
    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

12 authors at 2 institutions in 1 country.

Daniel M SamanNicklaus Children's Health System, 3601 NW 107th Ave, Doral, FL, 33178, USA.
Ella A ChrenkaHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Melissa L HarryEssentia Institute of Rural Health, 502 E. Second Street, Duluth, MN, 55805, USA. Melissa.Harry@EssentiaHealth.org.
Clayton I AllenEssentia Institute of Rural Health, 502 E. Second Street, Duluth, MN, 55805, USA.
Laura A FreitagEssentia Institute of Rural Health, 502 E. Second Street, Duluth, MN, 55805, USA.
Stephen E AscheHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Anjali R TruittHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Heidi L EkstromHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Patrick J O'ConnorHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
JoAnn M Sperl-HillenHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Jeanette Y ZiegenfussHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
Thomas E ElliottHealthPartners Institute, 3311 E. Old Shakopee Road, Bloomington, MN, 55425, USA.
HealthPartners · USEssentia Health · US

Funding

Implementing Cancer Prevention Using Patient - Provider Clinical Decision SupportR01CA193396 · NCI · HEALTHPARTNERS INSTITUTE · PI ELLIOTT, THOMAS EDWARD · 2016 to 2020
$3.0M
NCI NIH HHS R01 CA193396
6 · The paper itself

Abstract

backgroundFew studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients' perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient's perceptions on cancer screening or prevention.

methodsWe mailed surveys (10/2018-1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents' answers by study arm: usual care; CDS; or CDS + SDMT.

resultsOf 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001).

conclusionsMost patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period.

trial registrationclinicaltrials.gov , NCT02986230 , December 6, 2016.

Indexed as

Colorectal NeoplasmsDecision Support Systems, ClinicalPapillomavirus InfectionsPapillomavirus VaccinesCross-Sectional StudiesEarly Detection of CancerHumansPrimary Health CarePapillomavirus VaccinesCancer preventionCancer screeningClinical decision supportDecision aidElectronic health recordPatient survey

Identifiers

PMID34154588
PMCPMC8215810
OpenAlexW3177092793

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.