Evidence map›Paper›PMID 37392175›Full record

ArticleCancer medicine2023

Esophageal cancer patients' need for information and support in making a treatment decision between standard surgery and active surveillance.

Merel Hermus, Berend J van der Wilk, Rebecca Chang, Jan Willem T Dekker, Peter-Paul L O Coene, Grard A P Nieuwenhuijzen, Camiel Rosman, Joos Heisterkamp, Henk H Hartgrink, Liesbeth Timmermans and 6 more

Abstract read
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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. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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.

Merel HermusDepartment of Psychiatry, Section of Medical Psychology and Psychotherapy, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-7962-2149
Berend J van der WilkDepartment of Surgery, Erasmus Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Rebecca ChangDepartment of Psychiatry, Section of Medical Psychology and Psychotherapy, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jan Willem T DekkerDepartment of Surgery, Reinier de Graaf Hospital, Delft, The Netherlands.
Peter-Paul L O CoeneDepartment of Surgery, Maasstad Hospital, Rotterdam, The Netherlands.
Grard A P NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Camiel RosmanDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Joos HeisterkampDepartment of Surgery, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands.
Henk H HartgrinkDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Liesbeth TimmermansDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Bas P L WijnhovenDepartment of Surgery, Erasmus Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Charlène J van der ZijdenDepartment of Surgery, Erasmus Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jan J B van LanschotDepartment of Surgery, Erasmus Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jan BusschbachDepartment of Psychiatry, Section of Medical Psychology and Psychotherapy, Erasmus University Medical Center, Rotterdam, The Netherlands.
Sjoerd M LagardeDepartment of Surgery, Erasmus Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Leonieke W KranenburgDepartment of Psychiatry, Section of Medical Psychology and Psychotherapy, Erasmus University Medical Center, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study explores patients' need for information and support in deciding on esophageal cancer treatment, when experimental active surveillance and standard surgery are both feasible.

methodsThis psychological companion study was conducted alongside the Dutch SANO-trial (Surgery As Needed for Oesophageal cancer). In-depth interviews and questionnaires were used to collect data from patients who declined participation in the trial because they had a strong preference for either active surveillance (n = 20) or standard surgery (n = 20). Data were analyzed using both qualitative and quantitative techniques.

resultsPatients prefer to receive information directly from their doctors and predominantly rely on this information to make a treatment decision. Other information resources are largely used to confirm their treatment decision. Patients highly value support from their loved ones and appreciate emphatic doctors to actively involve them in the decision-making process. Overall, patients' needs for information and support during decision-making were met.

conclusionsThe importance of shared decision-making and the role doctors have in this process is underlined. The role of doctors is essential at the initial phase of decision-making: Once patients seem to have formed their treatment preference for either active surveillance or surgery, the influence of external resources (including doctors) may be limited.

Indexed as

Esophageal NeoplasmsPhysiciansDecision MakingHumansQualitative ResearchWatchful Waitingactive surveillanceesophageal canceresophagectomyexperimental treatmentinformation needsshared decision-makingsupportive needs

Identifiers

PMID37392175
PMCPMC10501224

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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.