Evidence map›Paper›PMID 39155288›Full record

ArticleScientific reports2024

Clinical decision making in prostate cancer care-evaluation of EAU-guidelines use and novel decision support software.

C Engesser, M Henkel, V Alargkof, S Fassbind, J Studer, J Engesser, M Walter, A Elyan, S Dugas, P Trotsenko and 8 more

Abstract read
In one paragraph

Article in Scientific reports, 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. Article
  2. 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

18 authors.

C Engesser *Department of Urology, University Hospital Basel, Basel, Switzerland. christian.engesser@usb.ch.
M Henkel *Research and Analytic Services University Hospital Basel, Basel, Switzerland.
V AlargkofDepartment of Urology, University Hospital Basel, Basel, Switzerland.
S FassbindDepartment of Urology, University Hospital Basel, Basel, Switzerland.
J StuderDepartment of Urology, Kantonsspital Baselland, Liestal, Switzerland.
J EngesserDepartment of Urology, Kantonsspital Baselland, Liestal, Switzerland.
M WalterDepartment of Urology, University Hospital Basel, Basel, Switzerland.
A ElyanDepartment of Urology, University Hospital Basel, Basel, Switzerland.
S DugasDepartment of Urology, Kantonsspital Baselland, Liestal, Switzerland.
P TrotsenkoDepartment of Medicine, Faculty of Medicine and Dentistry, Danube Private University, Krems, Austria.
S SutterDepartment of Urology, University Hospital Basel, Basel, Switzerland.
C EckertDepartment of Urology, University Hospital Basel, Basel, Switzerland.
S HofmannDepartment of Urology, University Hospital Basel, Basel, Switzerland.
A StalderSiemens Healthineers, Erlangen, Germany.
H SeifertDepartment of Urology, University Hospital Basel, Basel, Switzerland.
P CornfordDepartment of Urology, Liverpool University Hospitals NHS Trust, Liverpool, UK.
B StieltjesResearch and Analytic Services University Hospital Basel, Basel, Switzerland.
C WetterauerDepartment of Urology, University Hospital Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Keeping up to date with the latest clinical advances in prostate cancer can be challenging. We investigated the impact of guideline use on quality of treatment decisions as well as the impact of a novel, CE-certified clinical decision support tool (Siemens AIPC software) on the amount of time clinicians spend on decision-making in a multicenter setting. Ten urologists assessed ten clinical cases (screening and localized prostate cancer) in three settings: without support, using a digital version of the EAU guidelines, and with the AIPC tool, resulting in 300 clinical decisions. Comparison involved time spent, decision correct- and completeness. Using AIPC compared to digital guidelines led to a significant reduction of expenditure of time at a per case level (3.57 min and 0:14 min, p < 0.01) and for overall time per urologist (39.45 min and 02:20 min, p < 0.01). Decision options without guidelines support, online guideline usage and usage of AIPC were complete in 61%, 80% and 100%, respectively (p < 0.01). Decision making without guidelines support, online guideline usage and usage of AIPC was correct including all options in 28%, 66% and 100%, respectively (p < 0.01).Clinical decision support systems have the potential to reduces decision-making time and to enhance decision quality.

Indexed as

Clinical Decision-MakingDecision Support Systems, ClinicalPractice Guidelines as TopicProstatic NeoplasmsSoftwareAgedGuideline AdherenceHumansMaleMiddle Aged

Identifiers

PMID39155288
PMCPMC11330959

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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.