Evidence map›Paper›PMID 36898587›Full record

Trial reportUrology2023

The Impact of Within-Consultation and Preconsultation Decision Aids for Localized Prostate Cancer on Patient Knowledge: Results of a Patient-Level Randomized Trial.

Daniel D Joyce, Jon C Tilburt, Joel E Pacyna, Kristin Cina, Daniel G Petereit, Kathryn R Koller, Christie A Flanagan, Barbara Stillwater, Mariam Miller, Judith S Kaur and 7 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

17 authors at 9 institutions in 1 country.

Daniel D JoyceDepartment of Urology, Mayo Clinic, Rochester, MN.
Jon C TilburtDivision of General Internal Medicine, Mayo Clinic, Scottsdale, AZ; Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN; Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN. Electronic address: tilburt.jon@mayo.edu.
Joel E PacynaBiomedical Ethics Research Program, Mayo Clinic, Rochester, MN.
Kristin CinaWalking Forward Avera Health, Division of Research, Rapid City, SD.
Daniel G PetereitCancer Care Institute at Monument Health, Rapid City, SD; Walking Forward Avera Health, Division of Research, Rapid City, SD.
Kathryn R KollerAlaska Native Tribal Health Consortium Research Services, Anchorage, AK.
Christie A FlanaganAlaska Native Tribal Health Consortium Research Services, Anchorage, AK; Alaska Native Epidemiology Center, Alaska Native Tribal Health Consortium, Anchorage, AK.
Barbara StillwaterAlaska Native Tribal Health Consortium Research Services, Anchorage, AK.
Mariam MillerDepartment of Urology, Alaska Native Medical Center, Anchorage, AK.
Judith S KaurDepartment of Hematology and Oncology, Mayo Clinic, Jacksonville, FL.
Elizabeth PeilClinical Trials and Biostatistics, Mayo Clinic, Rochester, MN.
David ZahriehClinical Trials and Biostatistics, Mayo Clinic, Rochester, MN.
Amylou C DueckClinical Trials and Biostatistics, Mayo Clinic, Scottsdale, AZ.
Victor M MontoriKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN.
Dominick L FroschHealth Science Diligence Advisors, LLC, Redwood City, CA.
Robert J VolkDivision of Cancer Prevention and Population Sciences, Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX.
Simon P KimDivision of Urology, University of Colorado Anschutz Medical Center, University of Colorado, Aurora, CO.
Alaska Native Tribal Health Consortium · USMayo Clinic in Arizona · USMayo Clinic in Florida · USAvera Health · USMayo Clinic · USAlaska Native Medical Center · USHealthcentric Advisors · USThe University of Texas MD Anderson Cancer Center · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
Decision Aids to Address Prostate Cancer Disparities in Minority MenR01MD008934 · NIMHD · MAYO CLINIC ROCHESTER · PI KIM, SIMON P, TILBURT, JON C · 2014 to 2018
$1.9M
NCI NIH HHS P30 CA015083NIMHD NIH HHS R01 MD008934
6 · The paper itself

Abstract

objectiveTo evaluate the role of timing (either before or during initial consultation) on the effectiveness of decision aids (DAs) to support shared-decision-making in a minority-enriched sample of patients with localized prostate cancer using a patient-level randomized controlled trial design.

methodsWe conducted a 3-arm, patient-level-randomized trial in urology and radiation oncology practices in Ohio, South Dakota, and Alaska, testing the effect of preconsultation and within-consultation DAs on patient knowledge elements deemed essential to make treatment decisions about localized prostate cancer, all measured immediately following the initial urology consultation using a 12-item Prostate Cancer Treatment Questionnaire (score range 0 [no questions correct] to 1 [all questions correct]), compared to usual care (no DAs).

resultsBetween 2017 and 2018, 103 patients-including 16 Black/African American and 17 American Indian or Alaska Native men-were enrolled and randomly assigned to receive usual care (n = 33) or usual care and a DA before (n = 37) or during (n = 33) the consultation. After adjusting for baseline characteristics, there were no statistically significant proportional score differences in patient knowledge between the preconsultation DA arm (0.06 knowledge change, 95% CI -0.02 to 0.12, P = .1) or the within-consultation DA arm (0.04 knowledge change, 95% CI -0.03 to 0.11, P = .3) and usual care.

conclusionIn this trial oversampling minority men with localized prostate cancer, DAs presented at different times relative to the specialist consultation showed no improvement in patient knowledge above usual care.

Indexed as

Decision Support TechniquesProstatic NeoplasmsDecision MakingHumansMaleOhioPatient ParticipationReferral and Consultation

Identifiers

PMID36898587
PMCPMC10239323
OpenAlexW4323667790

What OpenQuestion holds

Textmetadata
LicenceTDM
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.