Evidence map›Paper›PMID 40660710›Full record

ReviewPsycho-oncology2025

From Burden to Empowerment. Patient-Reported Influencing Factors on Participation in Shared Decision Making in Oncology, a Meta-Study.

L Mertens, H Wildiers, H Van Veenendaal, R Oueslati, T Kasmi, G Bekkering, K Hannes, N Delvaux, M Vermandere, P Van Bostraeten and 2 more

Abstract readReview
In one paragraph

Review in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

12 authors.

L MertensDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.ORCID 0000-0003-0638-8248
H WildiersDepartment of Oncology, KU Leuven, Leuven, Belgium.
H Van VeenendaalErasmus School of Health Policy & Management, Rotterdam, Netherlands.ORCID 0000-0001-7423-5564
R OueslatiDepartment of Ethics and Law of Health Care, Leiden University Medical Centre, Leiden (LUMC), Netherlands. Research groups Relational and Oncological Care, The Hague University of Applied Sciences, The Hague, Netherlands.ORCID 0000-0003-1617-4526
T KasmiDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
G BekkeringDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
K HannesBelgian Centre for Evidence-Based medicine, Leuven Belgium, JBI Belgium: A JBI Affiliated Group, Leuven, Belgium.ORCID 0000-0002-5011-3615
N DelvauxDepartment of Public Health and Primary Care, Campus Kortrijk (KULAK) - KU Leuven, Leuven, Belgium.
M VermandereDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
P Van BostraetenDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
J JaekenDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
B AertgeertsDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.ORCID 0000-0003-1142-5402

Funding

Constant Van de Wiel - Joanna Mathues Fund
6 · The paper itself

Abstract

objectiveWe aim to provide a literature overview on patient-reported barriers and facilitators to participation in Shared Decision Making (SDM) within the setting of oncology. METHODOLOGY: Within the set of selected studies for a larger qualitative meta-summary, using five databases, we selected the studies that had surveyed patients with oncologic illness for further analysis in this paper. Search terms were based on the concepts: 'decision making', 'patient participation', 'patient perceptions' and 'study design' aimed at eliciting patients' perspective, including patient surveys, interviews and focus groups.

resultsOut of the 90 studies that had been selected for the larger review, we selected 22 articles concerning oncologic illness for more detailed analysis in this review. In total, we identified 33 different barriers and facilitators. Based on the most frequently reported barriers and facilitators, we defined six broad analytical themes, reflecting patients' most frequently recurring challenges (Themes 1 and 2) and needs (Themes 3-6) in this setting: (1) 'High burdens', (2) 'Low self-efficacy to participate', (3) 'Clear information provision', (4) 'Social support', (5) 'Physicians' support', (6) 'Education, preparation and assertiveness'.

conclusionThe high decisional and emotional burdens oncologic patients experience appear to be specific challenges to SDM in oncology, which often undermine patients' self-efficacy to participate and complicate patients' engagement in SDM. However, when offered the right support, patients may overcome the existing burdens and become more empowered to engage in SDM. PRACTICE IMPLICATIONS: These insights need to be integrated in SDM strategies so that they may serve the ethical imperative of greater equality and the inclusion of diverse patient groups in different SDM settings.

Indexed as

Decision Making, SharedEmpowermentNeoplasmsPatient ParticipationHumansPhysician-Patient RelationsSelf EfficacySocial Support

Identifiers

PMID40660710
PMCPMC12260273

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.