Evidence map›Paper›PMID 35534628›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Exploring the value of using patient-oriented MRI reports in clinical practice - a pilot study.

Nathan Perlis, Antonio Finelli, Mike Lovas, Alexis Lund, Amelia Di Meo, Katherine Lajkosz, Alejandro Berlin, Janet Papadakos, Sangeet Ghai, Dominik Deniffel and 8 more

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Nathan PerlisUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada. Nathan.perlis@uhn.ca.ORCID http://orcid.org/0000-0003-1258-9847
Antonio FinelliUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada.
Mike LovasUniversity Health Network - Toronto General Hospital, Healthcare Human Factors, Toronto, Canada.
Alexis LundUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada.
Amelia Di MeoUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada.
Katherine LajkoszUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada.
Alejandro BerlinUniversity Health Network - Princess Margaret Cancer Centre, Smart Cancer Care, Toronto, Canada.
Janet PapadakosUniversity Health Network - Princess Margaret Cancer Centre: Cancer Education, Toronto, Canada.
Sangeet GhaiUniversity Health Network and Sinai Health System - Joint Department of Medical Imaging (JDMI), University of Toronto, Toronto, Canada.
Dominik DeniffelUniversity Health Network and Sinai Health System - Joint Department of Medical Imaging (JDMI), University of Toronto, Toronto, Canada.
Eric MengUniversity Health Network: Princess Margaret Cancer Centre - Department of Surgical Oncology, Toronto General Hospital - Sprott Department of Surgery, Division of Urology, University of Toronto, Toronto, Canada.
David WiljerUniversity Health Network - Toronto General Hospital, Education Technology Innovation at UHN Digital, Toronto, Canada.
Shabbir AlibhaiUniversity Health Network - Princess Margaret Cancer Centre, Department of Medicine, University of Toronto, Toronto, Canada.
Vasiliki BakasUniversity Health Network - myUHN Patient Portal, Patient Experience, Toronto, Canada.
Adam BadzynskiUniversity Health Network - Centre for Global eHealth Innovation, University of Toronto, Toronto, Canada.
Odelia LeeUniversity Health Network - Centre for Global eHealth Innovation, University of Toronto, Toronto, Canada.
Joseph CafazzoUniversity Health Network - Princess Margaret Cancer Centre, Smart Cancer Care, Toronto, Canada.
Masoom A HaiderUniversity Health Network and Sinai Health System - Joint Department of Medical Imaging (JDMI), University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStandard radiology reports (SRR) are designed to communicate information between doctors. With many patients having instantaneous access to SRRs on patient portals, interpretation without guidance from doctors can cause anxiety and panic. In this pilot study, we designed a patient-centred prostate MRI template report (PACERR) to address some of these challenges and tested whether PACERRs improve patient knowledge and experience. MATERIALS AND

methodsPatients booked for clinical prostate MRI were randomly assigned to SRR or SRR + PACERR. Questionnaires included multiple-choice that targeted 4 domains (understanding, usefulness, next steps, emotional experience) hypothesized to improve with patient-centred reports and short answer questions, testing knowledge regarding MRI results. Clinical encounters were observed and recorded to explore whether adding PACERR improved communication. Likert scaled-responses and short-answer questions were compared using Mann-Whitney U test and Kruskal-Wallis test.

resultsOf the 40 participants, the majority were MRI naïve (70%). Patients receiving a PACERR had higher scores in the categories of patient understanding (mean: 4.17 vs. 3.39, p=0.006), usefulness (mean: 4.58 vs. 3.07, p<0.001), and identifying next steps (mean: 1.89 vs. 3.03, p=0.003) but not emotional experience (mean: 4.18 vs. 3.79, p=0.22). PACERR participants found the layout and design more patient friendly (mean: 4.47 vs. 2.61, p<0.001) and easier to understand (mean: 4.37 vs. 2.38, p<0.001). In the knowledge section, overall, the PACERR arm scored better (87% vs. 56%, p=0.004).

conclusionWith the addition of prostate MRI PACERR, participants had better understanding of their results and felt more prepared to involve themselves in discussions with their doctor.

Indexed as

Magnetic Resonance ImagingProstateEmotionsHumansMalePilot ProjectsSurveys and QuestionnairesCommunicationExpertMRIPatientProstateRadiologyReportUrology

Identifiers

What OpenQuestion holds

Textmetadata
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.