Evidence map›Paper›PMID 34608770›Full record

ArticleCancer medicine2021

Trust and shared decision-making among individuals with multiple myeloma: A qualitative study.

Robin L Whitney, Anne Elizabeth Clark White, Aaron S Rosenberg, Richard L Kravitz, Katherine K Kim

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
12.5field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Interventions for Indigenous Peoples making health decisions: a systematic review.Archives of public health = Archives belges de sante publique · 2023
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  15. Patient and caregiver perspectives on treatment decision-making for stem cell transplantation in multiple myeloma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

5 authors at 4 institutions in 1 country.

Robin L WhitneyThe Valley Foundation School of Nursing, San Jose State University, San Jose, California, USA.ORCID 0000-0002-3883-8082
Anne Elizabeth Clark WhiteDepartment of Family Medicine, University of California San Diego, La Jallo, California, USA.ORCID 0000-0001-6574-2812
Aaron S RosenbergUC Davis Comprehensive Cancer Center, Sacramento, California, USA.ORCID 0000-0003-0714-734X
Richard L KravitzDepartment of Internal Medicine, University of California, Davis, Davis, California, USA.ORCID 0000-0001-5575-529X
Katherine K KimDepartment of Public Health Sciences, School of Medicine, University of California, Davis, California, USA.ORCID 0000-0001-5766-3938
University of California, Davis · USSilicon Valley University · USUC Davis Comprehensive Cancer CenterUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient-clinician relationships are essential to promote effective shared decision-making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians.

methodsNineteen individual semi-structured interviews were conducted with MM patients within 2 years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically.

resultsWe identified three main themes: (1) externally validated trust describes patients' predisposition to trust or distrust clinicians based on factors outside of patient-clinician interactions; (2) internally validated trust describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) trust in relation to shared decision-making describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision-making.

conclusionMany factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians' control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision-making tools that emphasize relational communication. Given the important role trust plays in shared decision-making, clinicians working with MM patients should prioritize establishing positive, trusting relationships.

Indexed as

AgedDecision MakingFemaleHumansMaleMiddle AgedMultiple MyelomaQualitative ResearchTrustmultiple myelomaprofessional-patient relationsshared decision-makingtrust

Identifiers

PMID34608770
PMCPMC8607252
OpenAlexW3203740854

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.