Evidence map›Paper›PMID 40847657›Full record

ArticleCancer medicine2025

Thematic Analysis of Clinician Documentation Surrounding Treatment Discussions and Decision-Making in Patients With Desmoid Tumors.

Victoria Wytiaz, Tianyi Wang, Scott Schuetze, Nina J Francis-Levin, Rashmi Chugh

Abstract read
In one paragraph

Article in Cancer medicine, 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

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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. Review
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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

5 authors.

Victoria WytiazDivision of Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-3052-7455
Tianyi WangSchool of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Scott SchuetzeDivision of Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Nina J Francis-LevinDivision of Metabolism, Endocrinology and Diabetes, Department of Anthropology, University of Michigan, Ann Arbor, Michigan, USA.
Rashmi ChughDivision of Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-4633-6971

Funding

NCI NIH HHS T32-CA-23662NIH HHS T32-DK-007245
6 · The paper itself

Abstract

backgroundDesmoid tumors are benign tumors without metastatic potential. While progression is rarely life-threatening, it is often life-affecting with significant morbidity. The rarity of desmoid tumors and the inability to accurately predict their natural history lead to challenges in developing treatment algorithms or formulaic discussions to address treatment options with patients.

aimsTo better understand this process, we performed a qualitative study of clinician documentation for patients with desmoid tumors to identify themes and areas for improvement.

methodsAn institutional database search was used to identify patients with desmoid tumors seen from 2018 to 2023. Documentation entries in the electronic health record (EHR) were reviewed, and passages pertaining to treatment were abstracted and explored using inductive thematic analysis.

resultsNinety-five patients were identified. Generated themes included (1) balancing uncertainty and ambiguity with hope, (2) empowerment through patient-initiated treatment discussions, (3) maintaining an active lifestyle and mitigating psychosocial distress, and (4) fostering longitudinal clinician-patient relationships and building trust.

conclusionsThe current analysis of documentation pertaining to treatment for patients with desmoid tumors provides insight into clinician-patient discussions and decisions in a real-world clinical setting. The emergent themes provide novel guidance and support for optimizing treatment discussions and decisions. More robust community peer support groups specific to patients with desmoid tumors and clinician "support groups" may provide a way for both patients and clinicians practicing in a disease state with uncertainty to share experiences and improve resilience. Developing treatment educational materials for patients and families and improving access to supportive psychosocial services may further enhance high-quality decision-making.

Indexed as

Decision MakingDesmoid TumorsDocumentationPhysician-Patient RelationsAdolescentAdultAgedClinical Decision-MakingElectronic Health RecordsFemaleHumansMaleMiddle AgedQualitative ResearchYoung Adultaggressive fibromatosismental healthneoplasmspsychosocial distresstherapeutics

Identifiers

PMID40847657
PMCPMC12374131

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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.