Evidence map›Paper›PMID 36242683›Full record

ArticleJournal of patient-reported outcomes2022

Making shared decisions with older men selecting treatment for lower urinary tract symptoms secondary to benign prostatic hyperplasia (LUTS/BPH): a pilot randomized trial.

Haidee Ngu, Shu Hui Neo, Eileen Yi Leng Koh, Henry Ho, Ngiap Chuan Tan

Open access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Review
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 3 institutions in 1 country.

Haidee Nguc/o SingHealth Polyclinics, 167, Jalan Bukit Merah, Connection One, Tower 5, #15-10, 150167, Singapore, Singapore. haidee.ngu@singhealth.com.sg.ORCID http://orcid.org/0000-0001-7209-9263
Shu Hui NeoSingapore General Hospital, Singapore, Singapore.
Eileen Yi Leng Kohc/o SingHealth Polyclinics, 167, Jalan Bukit Merah, Connection One, Tower 5, #15-10, 150167, Singapore, Singapore.
Henry HoSingapore General Hospital, Singapore, Singapore.
Ngiap Chuan Tanc/o SingHealth Polyclinics, 167, Jalan Bukit Merah, Connection One, Tower 5, #15-10, 150167, Singapore, Singapore.
Singapore General Hospital · SGSingHealth · SGSingHealth Polyclinics · SG

Funding

Mitsui Sumitomo Insurance Welfare Foundation Mitsui Sumitomo Insurance Welfare FoundationSingHealth-Duke NUS Family Medicine Academic Clinical Programme Seed Grant PRACPR175804
6 · The paper itself

Abstract

backgroundMaking high-quality decisions when selecting treatment for lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH) requires a shared decision-making approach. However, older people with lower health literacy face barriers. The pilot study aimed to evaluate the feasibility of recruiting participants and evaluate the effectiveness of a multi-level intervention on decision quality for the treatment of LUTS/BPH.

methodIn this 2-arm, randomized controlled trial, multi-ethnic Asian men aged ≥ 50 years with moderate or severe symptoms (IPSS ≥ 8 and/or QOL ≥ 3) and physicians were recruited at a Singapore public primary care clinic. Men were randomized to either physicians trained in shared decision-making and used a pictorial patient-reported symptom score (Visual Analogue Uroflowmetry Score) during the consultation or to physicians untrained in shared decision-making who did not use the score. Decision quality was measured using SDMQ-9 scores from men and their physicians after the consultation.

results60 men (intervention [n = 30], control [n = 30]) receiving care from 22 physicians were recruited. Men's mean age was 70 ± 9 years: 87% were Chinese, 40% had no formal education, and 32% were of lower socioeconomic status. No difference in decision quality from the men's nor their physicians' perspectives was noted [for men: mean score = 70.8 (SD 20.3) vs. 59.5 (SD 22.4); adjusted p = 0.352] [for physicians: mean score = 78.1 (SD 14.1) vs. 73.2 (SD 19.8); adjusted p > 0.999].

conclusionIt was feasible to recruit the intended participants. There was no difference in decision quality between men who used shared decision-making and usual care for the treatment of LUTS/BPH.

Indexed as

Benign prostatic hyperplasiaOlder menPhysician trainingShared decision-makingSymptom score

Identifiers

PMID36242683
PMCPMC9569273
OpenAlexW4306292115

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.