Evidence map›Paper›PMID 34722797›Full record

ArticleJournal of patient-centered research and reviews2021

Patient Perceptions of Using Clinical Decision Support for Cancer Screening and Prevention: "I wouldn't have thought about getting screened without it."

Daniel M Saman, Melissa L Harry, Laura A Freitag, Clayton I Allen, Patrick J O'Connor, JoAnn M Sperl-Hillen, Joseph A Bianco, Anjali R Truitt, Heidi L Ekstrom, Thomas E Elliott

Registry-linked trialAbstract read
In one paragraph

Article in Journal of patient-centered research and reviews, 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
–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.

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.

  1. Trial
  2. Clinical Decision Support with or without Shared Decision Making to Improve Preventive Cancer Care: A Cluster-Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Trial
  3. Trial
  4. Emergency department referral and short-term death after outpatient hyperkalemia: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  5. Article
  6. Refining a Postpandemic Approach to Cancer Screening.Journal of patient-centered research and reviews · 2021
    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

10 authors.

Daniel M SamanNicklaus Children's Health System, Miami, FL.
Melissa L HarryEssentia Institute of Rural Health, Essentia Health, Duluth, MN.
Laura A FreitagEssentia Institute of Rural Health, Essentia Health, Duluth, MN.
Clayton I AllenEssentia Institute of Rural Health, Essentia Health, Duluth, MN.
Patrick J O'ConnorHealthPartners Institute, HealthPartners, Bloomington, MN.
JoAnn M Sperl-HillenHealthPartners Institute, HealthPartners, Bloomington, MN.
Joseph A BiancoEssentia Health-Ely Clinic, Ely, MN.
Anjali R TruittHealthPartners Institute, HealthPartners, Bloomington, MN.
Heidi L EkstromHealthPartners Institute, HealthPartners, Bloomington, MN.
Thomas E ElliottHealthPartners Institute, HealthPartners, Bloomington, MN.

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

purposeWe sought to gain an understanding of cancer prevention and screening perspectives among patients exposed to a clinical decision support (CDS) tool because they were due or overdue for certain cancer screenings or prevention.

methodsSemi-structured qualitative interviews were conducted with 37 adult patients due or overdue for cancer prevention services in 10 primary care clinics within the same health system. Data were thematically segmented and coded using qualitative content analysis.

resultsWe identified three themes: 1) The CDS tool had more strengths than weaknesses, with areas for improvement; 2) Many facilitators and barriers to cancer prevention and screening exist; and 3) Discussions and decision-making varied by type of cancer prevention and screening. Almost all participants made positive comments regarding the CDS. Some participants learned new information, reporting the CDS helped them make a decision they otherwise would not have made. Participants who used the tool with their provider had higher self-reported rates of deciding to be screened than those who did not.

conclusionsLearning about patients' perceptions of a CDS tool may increase understanding of how patient-tailored CDS impacts cancer screening and prevention rates. Participants found a personalized CDS tool for cancer screening and prevention in primary care useful and a welcome addition to their visit. However, many providers were not using the tool with eligible patients.

Indexed as

cancer preventioncancer screeningclinical decision supportdecision-makingprimary carequalitative research

Identifiers

PMID34722797
PMCPMC8530236

What OpenQuestion holds

Textmetadata
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.