Evidence map›Paper›PMID 40873665›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Characterizing clinician communication with patients about lecanemab: A qualitative study of clinicians across seven academic medical centers.

Anna L Parks, Ayush Thacker, Daniel Dohan, Liliana A Ramirez Gomez, Seth A Gale, Kim G Johnson, Christine S Ritchie, Sachin J Shah, Joanna Paladino

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). 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
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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

9 authors.

Anna L ParksDivision of Hematology and Hematologic Malignancies University of Utah Salt Lake City Utah USA.
Ayush ThackerMongan Institute Center for Aging and Serious Illness Massachusetts General Hospital Boston Massachusetts USA.
Daniel DohanInstitute for Health Policy Studies University of California San Francisco San Francisco California USA.
Liliana A Ramirez GomezMemory Disorders Division Department of Neurology Massachusetts General Hospital Boston Massachusetts USA.
Seth A GaleMemory Disorders Division Department of Neurology Brigham and Women's Hospital Boston Massachusetts USA.
Kim G JohnsonDepartment of Psychiatry and Neurology Duke University Durham North Carolina USA.
Christine S RitchieMongan Institute Center for Aging and Serious Illness Massachusetts General Hospital Boston Massachusetts USA.
Sachin J ShahMongan Institute Center for Aging and Serious Illness Massachusetts General Hospital Boston Massachusetts USA.
Joanna PaladinoMongan Institute Center for Aging and Serious Illness Massachusetts General Hospital Boston Massachusetts USA.

Funding

Next-Gen ethnography to understand decision-making among diverse populations impacted by Alzheimer'sdisease and related dementias (ADRD)DP1AG069809 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOHAN, DANIEL P. · 2020 to 2025
$4.0M
Individualizing Anticoagulant use in Older Adults with Atrial FibrillationK76AG074919 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHAH, SACHIN J · 2021 to 2025
$1.2M
Advancing patient-centered decision making in older adults with venous thromboembolismK76AG083304 · NIA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Anna L Parks · 2024 to 2026
$729k
NIA NIH HHS DP1 AG069809NIA NIH HHS K76 AG074919NIA NIH HHS K76 AG083304
6 · The paper itself

Abstract

introductionAnti-amyloid monoclonal antibodies (mAbs) slow cognitive decline in Alzheimer's disease but may cause amyloid-related imaging abnormalities (ARIA), which can rarely be disabling or fatal. This qualitative study investigates how clinicians communicate the benefits and risks of mAbs to patients and caregivers.

methodsSemi-structured interviews with clinicians who prescribe mAbs at seven academic medical centers. Hybrid inductive-deductive thematic analysis by interdisciplinary researchers.

resultsIn 27 clinician interviews (women [ DISCUSSION: Preliminary insights about how clinicians communicate tradeoffs can guide future shared decision-making interventions for mAbs. Highlights: This qualitative study among 27 clinicians across seven academic medical centers examined how clinicians communicate with people with Alzheimer's disease about risks and benefits of anti-amyloid therapy, which can influence treatment decisions.Clinicians varied in what techniques they employed and how they portrayed risks and benefits, and whether they incorporated patients' values.They cited comorbidities, eligibility criteria fit, and degree of social support or family involvement in decisions as factors used in framing discussions, while fewer used patients' goals to guide discussion.The professional training, individual practice style, and personal sense of ambivalence of clinicians shaped conversations.These findings can guide future interventions to improve communication and shared decision-making.

Indexed as

Alzheimer's diseaseanti‐amyloid monoclonal antibodiesdementia care and practicemild cognitive impairmentqualitative methodsshared decision‐making

Identifiers

PMID40873665
PMCPMC12378430

What OpenQuestion holds

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Registered trials

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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.