Evidence map›Paper›PMID 39288559›Full record

ArticlePatient education and counseling2025

Impact of personalized risk scores on shared decision making in left ventricular assist device implantation: Findings from a qualitative study.

Holland Kaplan, Kristin Kostick-Quenet, Benjamin Lang, Robert J Volk, Jennifer Blumenthal-Barby

Abstract read
In one paragraph

Article in Patient education and counseling, 2025. 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
–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

1 citing paper in PubMed.

  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

5 authors.

Holland KaplanCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA; Section of General Internal Medicine, Baylor College of Medicine, Houston, TX, USA. Electronic address: hmkaplan@bcm.edu.
Kristin Kostick-QuenetCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Benjamin LangCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Robert J VolkMD Anderson Cancer Center, Houston TX, USA.
Jennifer Blumenthal-BarbyCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
AHRQ HHS R01 HS027784NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

objectiveTo assess stakeholders' perspectives on integrating personalized risk scores (PRS) into left ventricular assist device (LVAD) implantation decisions and how these perspectives might impact shared decision making (SDM).

methodsWe conducted 40 in-depth interviews with physicians, nurse coordinators, patients, and caregivers about integrating PRS into LVAD implantation decisions. A codebook was developed to identify thematic patterns, and quotations were consolidated for analysis. We used Thematic Content Analysis in MAXQDA software to identify themes by abstracting relevant quotes.

resultsClinicians had varying preferences regarding PRS integration into LVAD decision making, while patients and caregivers preferred real-time discussions about PRS with their physicians. Physicians voiced concerns about time constraints and suggested delegating PRS discussions to advanced practice providers or nurse coordinators.

conclusionsIntegrating PRS information into LVAD decision aids presents both opportunities and challenges for SDM. Given variable preferences among clinicians and patients, clinicians should elicit patients' desired role in the decision-making process. Addressing time constraints and ensuring patient-centered care will be crucial for optimizing SDM. Practice implications Clinicians should elicit patient preferences for PRS information disclosure and address challenges, such as time constraints and delegation of PRS discussions to other team members.

Indexed as

Decision Making, SharedDecision Support TechniquesHeart-Assist DevicesPhysician-Patient RelationsRisk AssessmentAdultAttitude of Health PersonnelAttitude to HealthCaregiversHeart FailureHeart VentriclesHumansPatient-Centered CareQualitative ResearchLeft ventricular assist devicePersonalized risk scoresShared decision making

Identifiers

PMID39288559
PMCPMC12047844

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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.