Evidence map›Paper›PMID 39915836›Full record

ArticleBMC medical informatics and decision making2025

Patients' and plastic surgeons' experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation.

Jacqueline A Ter Stege, Ellen G Engelhardt, Leonie A E Woerdeman, Hester S A Oldenburg, Jacobien M Kieffer, Daniela E E Hahn, Frederieke H van Duijnhoven, Martine A van Huizum, Regina The, Klemens Karssen and 10 more

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 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. Review
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

20 authors.

Jacqueline A Ter Stege *Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Ellen G Engelhardt *Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Leonie A E WoerdemanDepartment of Plastic and Reconstructive Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Hester S A OldenburgDepartment of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Jacobien M KiefferDivision of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Daniela E E HahnDepartment of Psychosocial Counseling, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Frederieke H van DuijnhovenDepartment of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Martine A van HuizumDepartment of Plastic and Reconstructive Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Regina TheZorgKeuzeLab, Delft, The Netherlands.
Klemens KarssenZorgKeuzeLab, Delft, The Netherlands.
Marianne KuenenDivision of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Miranda A GerritsmaDivision of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Quinten Pq RuheDepartment of Plastic and Reconstructive Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Irene S Krabbe-TimmermanDepartment of Plastic and Reconstructive Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Martijne Van't RietDepartment of Surgery, Reinier de Graaf Hospital, Delft, The Netherlands.
Nikola An KimmingsDepartment of Surgery, Slotervaart Medical Center, Amsterdam, The Netherlands.
Eveline M L CortenDepartment of Plastic and Reconstructive Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Kerry A ShermanCentre for Emotional Health, School of Psychological Sciences, Macquarie University Sydney, Sydney, Australia.
Arjen J WitkampDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Eveline M A BleikerDivision of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands. e.m.a.bleiker@lumc.nl.

Funding

KWF Kankerbestrijding A6C/NKI 2014-7031
6 · The paper itself

Abstract

backgroundWomen diagnosed with breast cancer undergoing a mastectomy often have the option to undergo breast reconstruction (BR). BR decisions are complex and have considerable impact. We developed a patient decision aid (pDA) to support patients' BR decision-making. Here, we assess patients' and physicians' use of the BR pDA and their views on the barriers and facilitators for widespread implementation.

methodsParticipants completed a questionnaire, and back-end data of the pDA was analyzed.

resultsOf 116 eligible patients, 113 patients accessed the BR pDA (median age: 50 years and 50% were highly educated. Most patients (72%) were satisfied with the pDA and 74% would recommend the BR pDA to other women facing the same choice. Patients' preferences regarding how much, what kind and how to present information varied. Plastic surgeons (N = 22; 71% response) were satisfied with the pDA. Their key factors for implementation included the perceived match between information and clinical practice, costs, impact on patients, and support from peers and management for the tool.

conclusionsAs the BR pDA was highly valued by its end users, the identified factors for implementation should be taken into account.

Indexed as

Breast NeoplasmsDecision Support TechniquesMammaplastyPatient ParticipationPatient SatisfactionSurgeonsAdultAgedFemaleHumansMiddle AgedBreast neoplasmsBreast reconstructioneHealthImplementationInformational needsPatient decision aidProcess evaluationShared decision making

Identifiers

PMID39915836
PMCPMC11800613

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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.