Evidence map›Paper›PMID 39753257›Full record

ArticleBMJ open2025

Preferred labels and language to improve communication about lesions at low risk of progressing to cancer: qualitative interviews with patients and physicians.

Mavis S Lyons, Clara Baker, Genevieve Chaput, Antonio Finelli, Rachel Kupets, Nicole J Look Hong, Frances C Wright, Anna R Gagliardi

Abstract read
In one paragraph

Article in BMJ open, 2025. 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
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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

8 authors.

Mavis S LyonsToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Clara BakerToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Genevieve ChaputMcGill University Health Centre, McGill University, Montreal, Quebec, Canada.
Antonio FinelliPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Rachel KupetsDivision of Gynecologic Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Nicole J Look HongOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Frances C WrightOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Anna R GagliardiToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada anna.gagliardi@uhnresearch.ca.ORCID http://orcid.org/0000-0002-5721-809X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe explored how to improve communication about low-risk lesions including labels, language and other strategies.

designQualitative description and thematic analysis to examine the transcripts of telephone interviews with patients who had low-risk lesions and physicians; and mapping to Communication Accommodation Theory to interpret themes.

settingCanada

participants15 patients: 6 (40%) bladder, 5 (33%) prostate and 4 (27%) cervix lesions; and 13 physicians: 7 (54%) cervix, 3 (23%) bladder and 3 (23%) prostate lesions.

main outcome measuresPatient and physician views of labels, language and other strategies to improve communication about low-risk lesions.

resultsPatients and clinicians held discordant views about low-risk lesion label impact, preferences and rationale. All labels prompted confusion and anxiety among patients. In contrast, physicians perceived that patients understood that labels they used across all label categories (abnormal, precursor-to-cancer and cancer) implied low risk for cancer progression. Patients preferred abnormal cells, particularly when first learning of their diagnosis, and desired additional information to distinguish their diagnosis from cancer and justify treatment. In contrast, physicians favoured precursor-to-cancer and cancer labels out of habit, to match labels that patients saw elsewhere (online, charts) and to convince patients to attend follow-up and treatment visits. However, patients and physicians largely agreed on the need for 16 strategies that could improve communication about low-risk lesions including language (eg, plain language, situate low-risk lesions on cancer spectrum) and complementary communication strategies (eg, longer appointments, visual aids, connect patients with support services or groups).

conclusionsThe findings build on prior research by revealing that modifying labels is not the only or best strategy needed to improve communication about low-risk lesions. Ongoing research should examine how best to implement the strategies recommended by patients and physicians.

Indexed as

CommunicationPhysician-Patient RelationsProstatic NeoplasmsQualitative ResearchAdultAgedCanadaDisease ProgressionFemaleHumansInterviews as TopicLanguageMaleMiddle AgedPatient PreferenceUrinary Bladder NeoplasmsHealth ServicesOncologyPatient-Centered CareQualitative Research

Identifiers

PMID39753257
PMCPMC11749691

What OpenQuestion holds

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LicenceCC BY-NC
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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.