Evidence map›Paper›PMID 36534326›Full record

Observational studyEndocrine2023

Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation-an observational study.

Chandani Patel Patel Chavez, Eddison Godinez Leiva, Diliara Bagautdinova, Jessica Hidalgo, Sandra Hartasanchez, Diana Barb, Deepa Danan, Peter Dziegielewski, Catherine Edwards, Brian Hughley and 14 more

Abstract readObservational Study
In one paragraph

Observational study in Endocrine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Trial
  2. Thyroid nodules: diagnosis and management.Nature reviews. Endocrinology · 2024
    Review
  3. Observational
  4. Shared Decision-Making During Surgical Consultations for Indeterminate Thyroid Nodules.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

24 authors.

Chandani Patel Patel ChavezDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Eddison Godinez LeivaDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Diliara BagautdinovaCollege of Journalism and Communications, University of Florida, Gainesville, FL, USA.
Jessica HidalgoKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Sandra HartasanchezKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Diana BarbDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Deepa DananDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Peter DziegielewskiDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Catherine EdwardsDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Brian HughleyDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Ashok SrihariDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Sreevidya SubbarayanDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
M Regina CastroDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Diana DeanDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
John MorrisDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Mabel RyderDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Marius N StanDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Ian HargravesKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Kathryn ShepelKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Juan P BritoKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Carma L BylundDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Debbie TreiseCollege of Journalism and Communications, University of Florida, Gainesville, FL, USA.
Victor MontoriKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Naykky Singh OspinaDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA. Naykky.SinghOspina@medicine.ufl.edu.

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aidK08CA248972 · NCI · UNIVERSITY OF FLORIDA · PI SINGH OSPINA, NAYKKY · 2020 to 2024
$1.1M
NCATS NIH HHS UL1 TR000064NCI NIH HHS K08 CA248972NCI NIH HHS K08CA248972
6 · The paper itself

Abstract

purposeTo characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).

methodsInvestigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients' expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.

resultsIn total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).

conclusionUser centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.

Indexed as

Decision Making, SharedThyroid NoduleAdultFeedbackFemaleHumansMaleMiddle AgedPatient ParticipationReferral and ConsultationShared decision makingThyroid cancerThyroid nodules

Identifiers

PMID36534326
PMCPMC10292116

What OpenQuestion holds

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LicenceTDM
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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.