Evidence map›Paper›PMID 34590734›Full record

Observational studyClinical endocrinology2022

Development and pilot testing of a conversation aid to support the evaluation of patients with thyroid nodules.

Naykky M Singh Ospina, Diliara Bagautdinova, Ian Hargraves, Diana Barb, Sreevidya Subbarayan, Ashok Srihari, Shu Wang, Spyridoula Maraka, Carma L Bylund, Debbie Treise and 2 more

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Clinical endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Article
  9. Shared Decision-Making During Surgical Consultations for Indeterminate Thyroid Nodules.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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 4 institutions in 1 country.

Naykky M Singh OspinaDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida, USA.ORCID 0000-0003-4240-6239
Diliara BagautdinovaDepartment of Public Relations, College of Journalism and Communications, University of Florida, Gainesville, Florida, USA.
Ian HargravesKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
Diana BarbDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida, USA.
Sreevidya SubbarayanDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida, USA.
Ashok SrihariDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida, USA.
Shu WangDepartment of Biostatistics, University of Florida Health Cancer Center, University of Florida, Gainesville, Florida, USA.
Spyridoula MarakaDivision of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Carma L BylundDepartment of Public Relations, College of Journalism and Communications, University of Florida, Gainesville, Florida, USA.
Debbie TreiseDepartment of Public Relations, College of Journalism and Communications, University of Florida, Gainesville, Florida, USA.
Victor MontoriKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, Minnesota, USA.
Juan P BritoKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, Minnesota, USA.
University of Florida · USMayo Clinic in Florida · USCentral Arkansas Veterans Healthcare System · USUniversity of Florida Health · US

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aidK08CA248972 · NCI · UNIVERSITY OF FLORIDA · PI SINGH OSPINA, NAYKKY · 2020 to 2024
$1.1M
NCATS NIH HHS UL1 TR000064NCI NIH HHS K08 CA248972
6 · The paper itself

Abstract

objectiveTo support patient-centred care and the collaboration of patients and clinicians, we developed and pilot tested a conversation aid for patients with thyroid nodules. DESIGN, PATIENT AND MEASUREMENTS: We developed a web-based Thyroid NOdule Conversation aid (TNOC) following a human-centred design. A proof of concept observational pre-post study was conducted (TNOC vs. usual care [UC]) to assess the impact of TNOC on the quality of conversations. Data sources included recordings of clinical visits, post-encounter surveys and review of electronic health records. Summary statistics and group comparisons are reported.

resultsSixty-five patients were analysed (32 in the UC and 33 in the TNOC cohort). Most patients were women (89%) with a median age of 57 years and were incidentally found to have a thyroid nodule (62%). Most thyroid nodules were at low risk for thyroid cancer (71%) and the median size was 1.4 cm. At baseline, the groups were similar except for higher numeracy in the TNOC cohort. The use of TNOC was associated with increased involvement of patients in the decision-making process, clinician satisfaction and discussion of relevant topics for decision making. In addition, decreased decisional conflict and fewer thyroid biopsies as the next management step were noted in the TNOC cohort. No differences in terms of knowledge transfer, length of consultation, thyroid cancer risk perception or concern for thyroid cancer diagnosis were found.

conclusionIn this pilot observational study, using TNOC in clinical practice was feasible and seemed to help the collaboration of patients and clinicians.

Indexed as

Thyroid NeoplasmsThyroid NoduleDecision MakingDecision Support TechniquesFemaleHumansMaleMiddle AgedPatient Participationconversation aidsshared decision makingthyroid cancerthyroid nodules

Identifiers

PMID34590734
PMCPMC8897203
OpenAlexW3203609492

What OpenQuestion holds

Textmetadata
LicenceTDM
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.