Evidence map›Paper›PMID 40344355›Full record

ArticlePsycho-oncology2025

Co-Creating and Refining a Values Assessment Tool (VAsT) for Women With Metastatic Breast Cancer.

Lorinda A Coombs, Victoria Crowder, Madison Black, Kelly Tan, Emily M Ray, Renée M Ferrari, Erin E Kent, Daniel S Reuland, Ashley Leak Bryant

Abstract read
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Lorinda A CoombsUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1096-8974
Victoria CrowderUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina, USA.ORCID 0000-0001-7956-7517
Madison BlackUniversity of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania, USA.
Kelly TanUniversity of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania, USA.
Emily M RayDivision of Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Renée M FerrariLineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA.
Erin E KentLineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2503-2191
Daniel S ReulandDivision of General Medicine and Clinical Epidemiology & Lineberger Comprehensive Cancer Cente, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Ashley Leak BryantUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina, USA.

Funding

INTERVENTIONS FOR PREVENTING &MANAGING CHRONIC ILLNESST32NR007091 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Cheryl L Giscombe, Cathi Barbra Propper · 1996 to 2026
$11.8M
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel HillNINR NIH HHS T32 NR007091
6 · The paper itself

Abstract

BACKGROUND AND

aimsPatients with metastatic breast cancer (mBC) and their families often have differing perspectives on treatment goals. This highlights the need for systematically eliciting patients' and care partners' values to ensure values-aligned treatment decisions. This study aimed to inform the development of a values assessment tool to facilitate communication of priorities and preferences with oncology clinicians.

methodsTwo rounds of semi-structured interviews were conducted with women with mBC from the Southeastern and Northeastern U.S. Recruitment included at least 50% of participants identifying as African American/Black, Latinx, Asian, American Indian, or Native American.

resultsThe initial round of 13 interviews yielded eight candidate domains. After confirmatory interviews with additional participants, the researchers identified nine final domains relevant to treatment decisions for mBC: desire not to appear sick; desire to help other women with breast cancer by participating in clinical research; financial concerns; living to care for a loved one; maintaining sexuality; maintaining quality of life; maximizing time away from medical appointments; minimizing and managing side effects; and slowing disease progression with an effective treatment.

conclusionEliciting treatment decision values across multiple domains and effectively communicating them with clinicians is a crucial aspect of patient-centered care to align values with care goals. To help patients identify and express their values to clinicians, we are developing a values assessment tool specifically for mBC. Future research will pilot this tool to assess its impact on communication between clinicians and patients and health outcomes for women with mBC.

Indexed as

Breast NeoplasmsDecision MakingPatient PreferenceAdultAgedCommunicationFemaleHumansInterviews as TopicMiddle AgedNeoplasm MetastasisPatient-Centered CarePhysician-Patient RelationsQualitative ResearchQuality of Lifecancercommunity advisory boardmetastatic breast canceroncologyqualitativequality of lifeshared decision‐makingvalues assessment

Identifiers

PMID40344355
PMCPMC12061624

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.