Evidence map›Paper›PMID 36254840›Full record

SynthesisEuropean journal of cancer care2022

Systematic review of shared decision-making in guidelines about colorectal cancer screening.

Marta Maes-Carballo, Manuel García-García, Yolanda Gómez-Fandiño, Carlos Roberto Estrada-López, Andrés Iglesias-Álvarez, Aurora Bueno-Cavanillas, Khalid Saeed Khan

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Shared Decision-Making and Cardiovascular Complications of Androgen Deprivation Therapy: an Educational Initiative for Oncology Team Members in Colorado, USA.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    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

7 authors.

Marta Maes-CarballoDepartment of General Surgery, Breast Cancer Unit, Complexo Hospitalario de Ourense, Ourense, Spain.ORCID https://orcid.org/0000-0002-4852-5100
Manuel García-GarcíaDepartment of General Surgery, Breast Cancer Unit, Complexo Hospitalario de Ourense, Ourense, Spain.
Yolanda Gómez-FandiñoDepartment of General Surgery, Breast Cancer Unit, Complexo Hospitalario de Ourense, Ourense, Spain.
Carlos Roberto Estrada-LópezDepartment of General Surgery, Breast Cancer Unit, Complexo Hospitalario de Ourense, Ourense, Spain.
Andrés Iglesias-ÁlvarezDepartment of General Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain.
Aurora Bueno-CavanillasDepartment of Preventive Medicine and Public Health, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0002-0649-3016
Khalid Saeed KhanDepartment of Preventive Medicine and Public Health, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0001-5084-7312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to systematically evaluate quality of shared decision-making (SDM) in colorectal cancer (CRC) screening clinical practice guidelines (CPGs) and consensus statements (CSs).

methodsSearch for CRC screening guidances was from 2010 to November 2021 in EMBASE, Web of Science, MEDLINE, Scopus and CDSR, and the World Wide Web. Three independent reviewers and an arbitrator rated the quality of each guidance using a SDM quality assessment tool (maximum score: 31). Reviewer agreement was 0.88.

resultsSDM appeared in 41/83 (49.4%) CPGs and 9/19 (47.4%) CSs. None met all the quality criteria, and 51.0% (52/102) failed to meet any quality items. Overall compliance was low (mean 1.63, IQR 0-2). Quality was better in guidances published after 2015 (mean 1, IQR 0-3 vs. mean 0.5, IQR 0-1.5; p = 0.048) and when the term SDM was specifically reported (mean 4.5, IQR 2.5-4.5 vs. mean 0.5, IQR 0-1.5; p < 0.001). CPGs underpinned by systematic reviews showed better SDM quality than consensus (mean 1, IQR 0-3 vs. mean 0, IQR 0-2, p = 0.040).

conclusionSDM quality was suboptimal and mentioned in less than half of the guidances, and recommendations were scarce. Guideline developers should incorporate evidence-based SDM recommendations in guidances to underpin the translation of evidence into practice.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerDecision MakingDecision Making, SharedHumansPatient Participation‘clinical practice guidelines’‘colorectal cancer screening’‘consensus’‘quality of guidelines’‘shared decision-making’

Identifiers

PMID36254840
PMCPMC9786598

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.