Evidence map›Paper›PMID 34296220›Full record

ArticleHealth2015

Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits.

Lixin Song, Mark P Toles, Jinbing Bai, Matthew E Nielsen, Donald E Bailey, Betsy Sleath, Barbara Mark

Abstract read
In one paragraph

Article in Health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. 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

7 authors.

Lixin SongSchool of Nursing, University of North Carolina (UNC), Chapel Hill, USA.
Mark P TolesSchool of Nursing, University of North Carolina (UNC), Chapel Hill, USA.
Jinbing BaiSchool of Nursing, University of North Carolina (UNC), Chapel Hill, USA.
Matthew E NielsenLineberger Comprehensive Cancer Center, University of North Carolina (UNC), Chapel Hill, USA.
Donald E BaileySchool of Nursing, Duke University, Durham, USA.
Betsy SleathEshelman School of Pharmacy, University of North Carolina, Chapel Hill, USA.
Barbara MarkSchool of Nursing, University of North Carolina (UNC), Chapel Hill, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Decision-Making Under Uncertainty in Prostate CancerR01NR008144 · NINR · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI MISHEL, MERLE H · 2002 to 2005
$1.7M
NCATS NIH HHS KL2 TR001109NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NINR NIH HHS R01 NR008144
6 · The paper itself

Abstract

objectivesTo describe the communication behaviors of patients and physicians and patient participation in communication about treatment decision-making during consultation visits for localized prostate cancer (LPCa).

methodsThis is a secondary analysis of data from 52 men enrolled in the usual care control group of a randomized trial that focused on decision-making for newly diagnosed men with LPCa. We analyzed the patient-physician communication using the transcribed audio-recordings of real-time treatment consultations and a researcher-developed coding tool, including codes for communication behaviors (information giving, seeking, and clarifying/ verifying) and contents of clinical consultations (health histories, survival/mortality, treatment options, treatment impact, and treatment preferences). After qualitative content analysis, we categorized patient participation in communication about treatment-related clinical content, including "none" (content not discussed); "low" (patient listening only); "moderate" (patient providing information or asking questions); and "high" (patient providing information and asking questions).

resultsPhysicians mainly provided information during treatment decision consultations and patients frequently were not active participants in communication. The participation of patients with low and moderate cancer risk typically was: 1) "moderate and high" in discussing health histories; 2) "low" in discussing survival/mortality; 3) "low and moderate" in discussing treatment options; 4) "none and low" in discussing treatment impacts; and 5) "low" in discussing treatment preferences.

conclusionsFindings suggest opportunities for increasing patient participation in communication about treatment decision-making for LPCa during clinical consultations.

Indexed as

Audio-RecordingConsultationDecision-MakingLocalized Prostate Cancer (LPCa)Patient ParticipationPatient-Provider Communication

Identifiers

PMID34296220
PMCPMC8293682

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.