Evidence map›Paper›PMID 34708487›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2022

Development of a patient decision aid for patients with breast cancer who consider immediate breast reconstruction after mastectomy.

Jacqueline A Ter Stege, Daniela B Raphael, Hester S A Oldenburg, Martine A van Huizum, Frederieke H van Duijnhoven, Daniela E E Hahn, Regina The, Klemens Karssen, Eveline M L Corten, Irene S Krabbe-Timmerman and 8 more

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Development of a patient decision aid (PDA)for patients undergoing breast reconstructive surgery: towards shared decision-making.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Development of a patient decision aid for patients with breast cancer who consider immediate breast reconstruction after mastectomy.Health expectations : an international journal of public participation in health care and health policy · 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

18 authors at 10 institutions in 2 countries.

Jacqueline A Ter StegePsychosocial Research and Epidemiology, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.ORCID 0000-0002-1076-0690
Daniela B RaphaelRadiation Oncology (Maastro), GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0002-1561-3526
Hester S A OldenburgSurgical Oncology, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.ORCID 0000-0001-8626-1401
Martine A van HuizumPlastic and Reconstructive Surgery, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
Frederieke H van DuijnhovenSurgical Oncology, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
Daniela E E HahnPsychosocial Counseling, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
Regina TheZorgKeuzeLab, Delft, The Netherlands.
Klemens KarssenZorgKeuzeLab, Delft, The Netherlands.
Eveline M L CortenPlastic and Reconstructive Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Irene S Krabbe-TimmermanPlastic and Reconstructive Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.ORCID 0000-0002-9321-2859
Menno HuikeshovenPlastic and Reconstructive Surgery, Spaarne Gasthuis, Haarlem, The Netherlands.
Quinten P Q RuhéPlastic and Reconstructive Surgery, Meander Medical Center, Amersfoort, The Netherlands.ORCID 0000-0001-9675-2669
Nikola A N KimmingsSurgery, Slotervaart Medical Center, Amsterdam, The Netherlands.
Wies MaarsePlastic and Reconstructive Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Kerry A ShermanDepartment of Psychology, Centre for Emotional Health, Macquarie University, Sydney, Australia.ORCID 0000-0001-7780-6668
Arjen J WitkampSurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Leonie A E WoerdemanPlastic and Reconstructive Surgery, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
Eveline M A BleikerPsychosocial Research and Epidemiology, Netherlands Cancer Institute, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.ORCID 0000-0003-4357-949X
The Netherlands Cancer Institute · NLUtrecht University · NLZorgKeuzeLab · NLErasmus MC · NLLeiden University Medical Center · NLMacquarie University · AUMeander Medisch Centrum · NLMedisch Centrum Leeuwarden · NLSlotervaartziekenhuis · NLSpaarne Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to develop a patient decision aid (pDA) that could support patients with breast cancer (BC) in making an informed decision about breast reconstruction (BR) after mastectomy.

methodsThe development included four stages: (i) Establishment of a multidisciplinary team; (ii) Needs assessment consisting of semi-structured interviews in patients and a survey among healthcare professionals (HCPs); (iii) Creation of content, design and technical system; and (iv) Acceptability and usability testing using a think-aloud approach in patients and interviews among HCPs and representatives of the Dutch Breast Cancer Patient Organization.

resultsFrom the needs assessment, three themes were identified: Challenging period to make a decision, Diverse motivations for a personal decision and Information needed to make a decision about BR. HCPs valued the development of a pDA, especially to prepare patients for consultation. The pDA that was developed contained three parts: first, a consultation sheet for oncological breast surgeons to introduce the choice; second, an online tool including an overview of reconstructive options, the pros and cons of each option, information on the consequences of each option for daily life, exercises to clarify personal values and patient stories; and third, a summary sheet with patients' values, preferences and questions to help inform and guide the discussion between the patient and her plastic surgeon. The pDA was perceived to be informative, helpful and easy to use by patients and HCPs.

conclusionConsistent with information needs, a pDA was developed to support patients with BC who consider immediate BR in making an informed decision together with their plastic surgeon. PATIENT OR PUBLIC CONTRIBUTION: Patients participated in the needs assessment and in acceptability and usability testing.

Indexed as

Breast NeoplasmsDecision Support TechniquesMammaplastyDecision MakingFemaleHumansMastectomyMotivationbreast cancerimmediate breast reconstructioninformation needspatient decision aid

Identifiers

PMID34708487
PMCPMC8849254
OpenAlexW3209507139

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.