Evidence map›Paper›PMID 38800961›Full record

Observational studyCancer medicine2024

Treatment confidence and patient participation in multidisciplinary tumor conferences: A structural equation modeling approach.

Marie Degenhardt, Nicole Ernstmann, Barbara Schellenberger, Lena Ansmann, Christian Heuser

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Observational
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

5 authors.

Marie DegenhardtDepartment for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Center for Health Communication and Health Services Research, University Hospital Bonn, Bonn, Germany.ORCID 0009-0008-6326-2899
Nicole ErnstmannDepartment for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Center for Health Communication and Health Services Research, University Hospital Bonn, Bonn, Germany.
Barbara SchellenbergerDepartment for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Center for Health Communication and Health Services Research, University Hospital Bonn, Bonn, Germany.
Lena AnsmannUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Medical Sociology, Cologne, Germany.
Christian HeuserDepartment for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Center for Health Communication and Health Services Research, University Hospital Bonn, Bonn, Germany.ORCID 0000-0001-9050-5800

Funding

Deutsche Krebshilfe 70112286
6 · The paper itself

Abstract

objectiveMultidisciplinary tumor conference (MTC) is a key instrument in multidisciplinary cancer care. In recent years, if and how patient participation in MTC can contribute to a more patient-centered care have been scientifically discussed. This study aimed to identify determinants of treatment confidence in the context of patient participation in MTC. Therefore, the association among health literacy-sensitive communication, trust in health-care providers (HCP), and treatment confidence is examined.

methodsThis study used data from the multicenter, observational study "PINTU" on patient participation in MTC. Data were collected from November 2018 to February 2020. Validated scales for treatment confidence, health literacy-sensitive communication, and trust in providers were included in the structural equation modeling (SEM) analysis.

resultsA total of 95 patients participated in MTC. The sample compromised n = 80 completed datasets. The SEM fit measures indicated good fit of the proposed model. The analysis showed a positive association between health literacy-sensitive communication and treatment confidence when adding the mediating effect of trust in providers.

conclusionPatient-centered communication during MTC in combination with a trustful relationship between participating patients and health-care providers is positively associated with treatment confidence. The results indicated the relevance of a trustful doctor-patient communication and relationship. Trainings for physicians targeting patient-centered communication could be a promising approach to strengthen patient participation.

Indexed as

Health LiteracyNeoplasmsPatient-Centered CarePatient ParticipationPhysician-Patient RelationsTrustAdultAgedCommunicationFemaleHumansLatent Class AnalysisMaleMiddle Agedbreast cancerdecision‐makingintegrative model of patient‐centerednessmultidisciplinary tumor conferencespatient‐centered carepatient participationpsycho–oncologystructural equation modeling analysis

Identifiers

PMID38800961
PMCPMC11129163

What OpenQuestion holds

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Registered trials

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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.