Evidence map›Paper›PMID 37566214›Full record

ArticleThe patient2023

Discrete-Choice Experiment to Understand the Preferences of Patients with Hormone-Sensitive Prostate Cancer in the USA, Canada, and the UK.

Juan Marcos Gonzalez, Arijit Ganguli, Alicia K Morgans, Bertrand F Tombal, Sebastien J Hotte, Hiroyoshi Suzuki, Hemant Bhadauria, Mok Oh, Charles D Scales, Matthew J Wallace and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The patient, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 6 institutions in 4 countries.

Juan Marcos GonzalezDepartment of Population Health Sciences, Duke University School of Medicine, 300 W. Morgan Street, 27701, Durham, NC, USA. jm.gonzalez@duke.edu.ORCID 0000-0002-5386-0907
Arijit GanguliMedical Affairs, Astellas Pharma Inc., Northbrook, IL, USA.
Alicia K MorgansDana-Farber Cancer Institute, Boston, MA, USA.
Bertrand F TombalCliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Sebastien J HotteDepartment of Oncology, McMaster University and Juravinski Cancer Centre, Hamilton, ON, Canada.
Hiroyoshi SuzukiDepartment of Urology, Toho University Sakura Medical Center, Sakura City, Chiba, Japan.
Hemant BhadauriaMedical Affairs, Astellas Pharma Inc., Northbrook, IL, USA.
Mok OhMedical Affairs, Astellas Pharma Inc., Northbrook, IL, USA.
Charles D ScalesDepartment of Population Health Sciences, Duke University School of Medicine, 300 W. Morgan Street, 27701, Durham, NC, USA.
Matthew J WallaceDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Jui-Chen YangDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Daniel J GeorgeDepartment of Population Health Sciences, Duke University School of Medicine, 300 W. Morgan Street, 27701, Durham, NC, USA.
Duke University · USAstellas Pharma (United States) · USCliniques Universitaires Saint-Luc · BEDana-Farber Cancer Institute · USJuravinski Cancer Centre · CAToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment options for patients with metastatic hormone-sensitive prostate cancer (mHSPC) have broadened, and treatment decisions can have a long-lasting impact on patients' quality of life. Data on patient preferences can improve therapeutic decision-making by helping physicians suggest treatments that align with patients' values and needs.

objectiveThis study aims to quantify patient preferences for attributes of chemohormonal therapies among patients with mHSPC in the USA, Canada, and the UK.

methodsA discrete-choice experiment survey instrument was developed and administered to patients with high- and very-high-risk localized prostate cancer and mHSPC. Patients chose between baseline androgen-deprivation therapy (ADT) alone and experimentally designed, hypothetical treatment alternatives representing chemohormonal therapies. Choices were analyzed using logit models to derive the relative importance of attributes for each country and to evaluate differences and similarities among patients across countries.

resultsA total of 550 respondents completed the survey (USA, 200; Canada, 200; UK, 150); the mean age of respondents was 64.3 years. Treatment choices revealed that patients were most concerned with treatment efficacy. However, treatment-related convenience factors, such as route of drug administration and frequency of monitoring visits, were as important as some treatment-related side effects, such as skin rash, nausea, and fatigue. Patient preferences across countries were similar, although patients in Canada appeared to be more affected by concomitant steroid use.

conclusionPatients with mHSPC believe the use of ADT alone is insufficient when more effective treatments are available. Efficacy is the most significant driver of patient choices. Treatment-related convenience factors can be as important as safety concerns for patients.

Indexed as

Androgen AntagonistsChoice BehaviorPatient PreferenceProstatic NeoplasmsAgedCanadaHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesUnited KingdomUnited StatesAndrogen Antagonists

Identifiers

PMID37566214
PMCPMC10570152
OpenAlexW4385752087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.