Evidence map›Paper›PMID 40205536›Full record

ArticleBMC geriatrics2025

Effect of different questionnaire formats on item nonresponse in older patients with cancer.

Yuichi Ichinose, Ryoko Rikitake, Tomone Watanabe, Yoko Yamamoto, Tamaki Kakuwa, Tsutomu Toida, Takafumi Wakita, Takahiro Higashi

Abstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 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. Evaluating Japan's cancer control activities: Findings from the third cancer patient experience survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

8 authors.

Yuichi IchinoseDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan. yichinose@g.ecc.u-tokyo.ac.jp.ORCID http://orcid.org/0000-0002-2474-785X
Ryoko RikitakeDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan.
Tomone WatanabeDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan.
Yoko YamamotoDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan.
Tamaki KakuwaDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan.
Tsutomu ToidaFaculty of Economics, Dokkyo University, Gakuen-cho 1-1 Soka-shi, Saitama, 340-0042, Japan.
Takafumi WakitaFaculty of Sociology, Kansai University, Yamate-cho 3-3-35, Suita-shi, Osaka, 564-8680, Japan.
Takahiro HigashiDivision of Health Services Research, Institute for Cancer Control, National Cancer Center, Tsukiji 5-1-1 Chuo-ku, Tokyo, 104-0045, Japan.

Funding

the Ministry of Health, Labour and Welfare, Japan 20EA1019
6 · The paper itself

Abstract

backgroundSelf-administered questionnaire surveys are instrumental in revealing patient experiences. However, concerns about the quality of data and validity of results arise from nonresponses, either to the entire survey or to specific items therein. The format of the survey can affect the ease of answering and subsequent responses. Older patients who are more likely to have some cognitive decline may be especially sensitive to questionnaire comprehensibility and response methods.

methodsWe surveyed the experiences of patients aged 65 years and older with cancer in four hospitals. Randomly selected patients from the hospital-based cancer registries received questionnaires with either the grid or text-choice response formats. We compared item nonresponse rates for each question between the two types of questionnaires.

resultsOut of invited 1500 patients, 51.3% responded. We included data from 675 patients (331 and 326 in the grid and text-choice formats, respectively) in the final analysis. The non-response rate of items considering participant demographics, including age, gender, and cancer sites, did not differ between groups (mean age: 76.3 and 75.8 years in the grid and text-choice formats, respectively). Most items with the grid format had higher proportions of item nonresponse than those with the text-choice format. The difference was more pronounced in patients aged 75 years and above, compared to those aged 65-74 years.

conclusionsIn older patients, text-choice format survey questions elicited fewer item nonresponses compared to grid format questions. The text-choice format should preferably be used consistently throughout surveys targeting older persons.

Indexed as

NeoplasmsAgedAged, 80 and overFemaleHumansMaleSurveys and QuestionnairesHealth services researchNeoplasmPatient reported outcomesSelf-administered questionnaire

Identifiers

PMID40205536
PMCPMC11983805

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.