Evidence map›Paper›PMID 35695986›Full record

ArticleOncology and therapy2022

Patient, Family Member and Physician Perspectives and Experiences with AML Treatment Decision-Making.

Thomas W LeBlanc, Nigel H Russell, Loriana Hernandez-Aldama, Charlotte Panter, Timothy J Bell, Verna Welch, Diana Merino Vega, Louise O'Hara, Julia Stein, Melissa Barclay and 9 more

Open access · goldAbstract read
In one paragraph

Article in Oncology and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

19 authors at 9 institutions in 3 countries.

Thomas W LeBlancDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, USA.
Nigel H RussellDepartment of Haematology, Guy's Hospital, London, UK.
Loriana Hernandez-AldamaArmorUp for LIFE, Philadelphia, USA.
Charlotte PanterAdelphi Values Patient-Centered Outcomes, Cheshire, UK. charlotte.panter@adelphivalues.com.
Timothy J BellPfizer Inc., New York, USA.
Verna WelchPfizer Inc., New York, USA.
Diana Merino VegaFriends of Cancer Research, Washington, DC, USA.
Louise O'HaraAdelphi Values Patient-Centered Outcomes, Cheshire, UK.
Julia SteinAdelphi Values Patient-Centered Outcomes, Cheshire, UK.
Melissa BarclayAdelphi Values Patient-Centered Outcomes, Cheshire, UK.
Francois PeloquinPfizer Canada ULC, Kirkland, Canada.
Andrew BrownPfizer Ltd, Tadworth, UK.
Jasmine HealyPfizer Canada ULC, Kirkland, Canada.
Lucy MorganAdelphi Values Patient-Centered Outcomes, Cheshire, UK.
Adam GaterAdelphi Values Patient-Centered Outcomes, Cheshire, UK.
Ryan HohmanFriends of Cancer Research, Washington, DC, USA.
Karim AmerPfizer Ltd, Tadworth, UK.
Dawn MazeDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Roland B WalterFred Hutchinson Cancer Research Center, Seattle, USA.
Adelphi Group (United Kingdom) · GBFriends of Cancer Research · USPfizer (Canada) · CAPfizer (United Kingdom) · GBPfizer (United States) · USDuke University · USFred Hutch Cancer Center · USGuy's Hospital · GBUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreatment decisions in older adults with acute myeloid leukemia (AML) are challenging, particularly for those who are not candidates for intensive chemotherapy (IC), and the trade-offs patients, their families and physicians consider when choosing a treatment option are not well understood. This qualitative research explored the value of extending survival and the treatment decision-making process from a multi-stakeholder perspective.

methodsOverall, 28 patients with AML (≥ 65 years old, unsuitable for IC), 25 of their relatives and 10 independent physicians from the US, UK and Canada took part in one-on-one, 60-minute qualitative interviews.

resultsAcross all stakeholders, improved health-related quality of life (HRQoL), extended survival and relief of AML symptoms were recognized as most important in AML treatment decision-making. However, extending survival in 'good health' was more important than extending survival alone, particularly because of the extra time it gives patients and their relatives together, and allows patients to achieve important goals. Patients' limited understanding of available treatment options, paired with incorrect perceptions of treatment side effects, impacted their involvement in the treatment decision-making process. Patients and physicians perceived physicians to have the most influence in the decision-making process despite their priorities not always aligning.

conclusionThese findings illustrate the importance of having structured discussions which explicitly assess patients' goals and their understanding and expectations of treatments and also the need for patient friendly resources about the lived experience of AML and available treatment options. These measures will help to ensure that patients are fully involved in the shared decision-making process.

Indexed as

Acute myeloid leukemiaAMLDecision-makingQualitative interviewsTreatment

Identifiers

PMID35695986
PMCPMC9189260
OpenAlexW4282542898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.