Evidence map›Paper›PMID 36533397›Full record

ArticleCancer medicine2023

Patient-centered communication tool for older patients with acute myeloid leukemia, their caregivers, and oncologists: A single-arm pilot study.

Marissa LoCastro, Chandrika Sanapala, Ying Wang, Marielle Jensen-Battaglia, Marsha Wittink, Sally Norton, Heidi D Klepin, Daniel R Richardson, Jason H Mendler, Jane Liesveld and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06697600 (A Decisional Intervention for Older Adults With Acute Myeloid Leukemia and Their Caregivers), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT06697600 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Decisional Intervention for Older Adults With Acute Myeloid Leukemia and Their Caregivers

TypeinterventionalSponsorUniversity of RochesterRan2025 to 2030Enrolled1,020ConditionsOncology, Myeloid Leukemia, Acute, CancerArmsUR-GOAL
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Challenges in hospice and end-of-life care in the transfusion-dependent patient.Hematology. American Society of Hematology. Education Program · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Experiences of treatment decision-making among older newly diagnosed adults with acute myeloid leukemia: a qualitative descriptive study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. 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

16 authors.

Marissa LoCastroSchool of Medicine and Dentistry, University of Rochester, Rochester, New York, USA.ORCID 0000-0002-1075-8443
Chandrika SanapalaBurrell College of Osteopathic Medicine, Las Cruces, New Mexico, United States.
Ying WangDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA.
Marielle Jensen-BattagliaDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA.
Marsha WittinkDepartment of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Sally NortonSchool of Nursing, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0001-7686-6327
Heidi D KlepinSection on Hematology and Oncology, Wake Forest Baptist Comprehensive Cancer Center, Medical Center Blvd, Winston-Salem, North Carolina, USA.ORCID 0000-0002-6262-1123
Daniel R RichardsonDivision of Hematology, Department of Medicine, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Jason H MendlerDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
Jane LiesveldDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
Eric HuseltonDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
Kristen O'DwyerDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
Ashley-Marie CortesSchool of Medicine and Dentistry, University of Rochester, Rochester, New York, USA.
Chrystina RodriguezDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.
William DaleDepartment of Supportive Care, City of Hope National Medical Center, Duarte, California, USA.
Kah Poh LohDivision of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0002-6978-0418

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Geriatric Oncology Research Infrastructure to Improve Clinical CareR33AG059206 · NIA · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI WILLIAM DALE, Heidi Diana Klepin · 2020 to 2026
$5.1M
Tailoring Depression Treatment Services to Older AdultsK23MH073658 · NIMH · UNIVERSITY OF ROCHESTER · PI WITTINK, MARSHA NICOLE · 2006 to 2010
$903k
A novel mobile health exercise intervention for older patients with myeloid neoplasmsR00CA237744 · NCI · UNIVERSITY OF ROCHESTER · PI LOH, KAH POH · 2021 to 2023
$747k
Developing Methods to Tailor Depression Treatment to Older AdultsR34MH085906 · NIMH · UNIVERSITY OF ROCHESTER · PI WITTINK, MARSHA NICOLE · 2009 to 2011
$738k
Developing Customized Primary Care to Improve Mental Health in MultimorbidityR34MH101236 · NIMH · UNIVERSITY OF ROCHESTER · PI WITTINK, MARSHA NICOLE · 2014 to 2016
$689k
A Novel Mobile Health Exercise Intervention for Older Patients with Myeloid NeoplasmsK99CA237744 · NCI · UNIVERSITY OF ROCHESTER · PI LOH, KAH POH · 2019 to 2020
$385k
Epigenetic markers, functional status, and exercise in older adults with myeloid neoplasmsR03AG073985 · NIA · UNIVERSITY OF ROCHESTER · PI LOH, KAH POH · 2022 to 2023
$308k
NCI NIH HHS K99 CA237744NCI NIH HHS R00 CA237744NCI NIH HHS UG1 CA189961NIA NIH HHS R03 AG073985NIA NIH HHS R33 AG059206NIMH NIH HHS K23 MH073658NIMH NIH HHS R34 MH085906NIMH NIH HHS R34 MH101236
6 · The paper itself

Abstract

backgroundIn a single-arm pilot study, we assessed the feasibility and usefulness of an innovative patient-centered communication tool (UR-GOAL tool) that addresses aging-related vulnerabilities, patient values, and prognostic awareness for use in treatment decision making between older adults with newly diagnosed acute myeloid leukemia (AML), their caregivers, and oncologists.

methodsPrimary feasibility metric was retention rate; >50% was considered feasible. We collected recruitment rate, usefulness, and outcomes including AML knowledge (range 0-14) and perceived efficacy in communicating with oncologists (range 5-25). Due to the pilot nature and small sample size, hypothesis testing was performed at α = 0.10.

resultsWe included 15 patients (mean age 76 years, range 64-88), 12 caregivers, and 5 oncologists; enrollment and retention rates for patients were 84% and 73%, respectively. Patients agreed that the UR-GOAL tool helped them understand their AML diagnosis and treatment options, communicate with their oncologist, and make more informed decisions. From baseline to post-intervention, patients and caregivers scored numerically higher on AML knowledge (patients: +0.6, p = 0.22; caregivers: +1.1, p = 0.05) and perceived greater efficacy in communicating with their oncologists (patients: +1.5, p = 0.22; caregivers: +1.2, p = 0.06).

conclusionWe demonstrated that it is feasible to incorporate the UR-GOAL tool into treatment decision making for older patients with AML, their caregivers, and oncologists.

Indexed as

Leukemia, Myeloid, AcuteOncologistsAgedAged, 80 and overCaregiversCommunicationHumansMiddle AgedPatient-Centered CarePilot Projectsacute myeloid leukemiacommunication tooldecision aidshared decision making

Identifiers

PMID36533397
PMCPMC10134384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.