Evidence map›Paper›PMID 36695825›Full record

ArticleCancer causes & control : CCC2023

Multi-pilot implementation experiences of patient-centered pathology reports: lessons learned for the advancement of patient-centered tools for cancer decision-making.

Elizabeth J Austin, Mark R Kilgore, Cynthia W Ko, Elizabeth U Parker, Rebeca Alvarez, Lisa K Koch, Amelia W Donlan, Janie M Lee, Meghan R Flanagan, Lauren M DeStefano and 2 more

Abstract read
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Article in Cancer causes & control : CCC, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Elizabeth J AustinDepartment of Health Systems and Population Health, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98105, USA. austie@uw.edu.ORCID http://orcid.org/0000-0002-4221-1362
Mark R KilgoreDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Cynthia W KoDepartment of Gastroenterology and Medicine, University of Washington, Seattle, WA, USA.
Elizabeth U ParkerDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Rebeca AlvarezDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Lisa K KochDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Amelia W DonlanDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Janie M LeeDepartment of Radiology, University of Washington, Seattle, WA, USA.
Meghan R FlanaganSeattle Cancer Care Alliance, Seattle, WA, USA.
Lauren M DeStefanoCedars-Sinai, Tarzana, CA, USA.
Sara H JavidSeattle Cancer Care Alliance, Seattle, WA, USA.
John L GoreSeattle Cancer Care Alliance, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-2847-5062

Funding

American Cancer Society RSG-16-162-01-CPHPS
6 · The paper itself

Abstract

purposeNew federal legislation in the United States grants patients expanded access to their medical records, making it critical that medical records information is understandable to patients. Provision of informational summaries significantly increase patient perceptions of patient-centered care and reduce feelings of uncertainty, yet their use for cancer pathology is limited.

methodsOur team developed and piloted patient-centered versions of pathology reports (PCPRs) for four cancer organ sites: prostate, bladder, breast, and colorectal polyp. The objective of this analysis was to identify common barriers and facilitators to support dissemination of PCPRs in care delivery settings. We analyzed quantitative and qualitative data from pilot PCPR implementations, guided by the RE-AIM framework to explore constructs of reach, effectiveness, adoption, implementation, and maintenance.

resultsWe present two case studies of PCPR implementation - breast cancer and colorectal polyps-that showcase diverse workflows for pathology reporting. Cross-pilot learnings emphasize the potential for PCPRs to improve patient satisfaction, knowledge, quality of shared decision-making activities, yet several barriers to dissemination exist.

conclusionWhile there is promise in expanding patient-centered cancer communication tools, more work is needed to expand the technological capacity for PCPRs and connect PCPRs to opportunities to reduce costs, improve quality, and reduce waste in care delivery systems.

Indexed as

Breast NeoplasmsHumansMalePatient-Centered CarePatient SatisfactionUnited StatesCancer pathologyCommunicationPatient-centered carePatient engagement

Identifiers

PMID36695825

What OpenQuestion holds

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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.