Evidence map›Paper›PMID 36528981›Full record

ArticlePatient education and counseling2023

Patient impressions of the impact of comorbidities on lung cancer screening benefits and harms: A qualitative analysis.

Minal S Kale, Michael Diefenbach, Sybil Masse, Dustin Kee, Julie Schnur

Abstract read
In one paragraph

Article in Patient education and counseling, 2023. 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  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

5 authors.

Minal S KaleDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, NY, USA. Electronic address: minal.kale@mountsinai.org.
Michael DiefenbachInstitute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, USA.
Sybil MasseDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.
Dustin KeeIcahn School of Medicine at Mount Sinai, NY, USA.
Julie SchnurDepartment of Population Health Science and Policy, Center for Behavioral Oncology, Icahn School of Medicine at Mount Sinai, NY, USA.

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
Investigating the Roles of Patient Beliefs, Stigma, and Physician Implicit Bias on Disparities in Lung Cancer ScreeningR01MD014890 · NIMHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KALE, MINAL S, SMITH, CARDINALE B · 2021 to 2025
$4.1M
Training Cancer Care Providers to Implement Sensitive Practice Guidelines When Treating Adult Survivors of Sexual Violence: A Blended Learning ApproachR25CA236636 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Julie B. Schnur · 2019 to 2026
$1.4M
NCATS NIH HHS UL1 TR004419NCI NIH HHS R25 CA236636NIMHD NIH HHS R01 MD014890
6 · The paper itself

Abstract

objectiveTo learn about the beliefs and preferences of lung cancer screening (LCS) among patients undergoing LCS decision making. Specifically, we investigated how their comorbidity influences their interest in screening. The goal was to inform shared-decision making discussions around the role of comorbidities and LCS.

methodsWe recruited English-speaking LCS-eligible individuals with comorbidities from general medicine outpatient clinics at an academic medical center in New York City. The interviewers followed a semi-structured interview guide and all interviews were professionally transcribed. Study investigators independently conducted thematic analysis of de-identified transcripts; after coding, investigators discussed and agreed upon identified themes (Jacobs et al., 1999 [3]). This study was IRB-approved.

resultsWe achieved thematic saturation after 15 interviews. We identified the following themes: 1) Comorbidities were perceived as unrelated to LCS decision-making, 2) Lung cancer knowledge is valuable and worth any risks, 3) No matter what the guidelines or my providers say, the LCS decision is up to me. CONCLUSION/PRACTICE IMPLICATIONS: Implications of these findings are that conversations where providers recommend against LCS may likely require time, patient education, and appreciation of the patient perspective.

Indexed as

Lung NeoplasmsComorbidityDecision MakingDecision Making, SharedEarly Detection of CancerHumansComorbiditiesLung cancer screeningQualitative

Identifiers

PMID36528981
PMCPMC9877186

What OpenQuestion holds

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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.