Evidence map›Paper›PMID 41094442›Full record

ArticleBMC cancer2025

Shared decision-making in urinary reconstruction among radical cystectomy patients: a thematic analysis of patient and provider perspectives in China.

Wang Li, Yiqin Shi, Liping Pu, Junyong Zhang, Mingyan He, Jianxia Chen, Xiaoqin Huang

Abstract read
In one paragraph

Article in BMC cancer, 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. Article
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4 · The record

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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

7 authors.

Wang LiDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Yiqin ShiDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Liping PuDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Junyong ZhangDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Mingyan HeDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Jianxia ChenDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Xiaoqin HuangDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China. 300473@hospital.cqmu.edu.cn.

Funding

the 2021 Nursing Backbone Research Funding Program of the Second Affiliated Hospital of Chongqing Medical University 2021-12
6 · The paper itself

Abstract

backgroundShared decision-making (SDM) improves outcomes in urinary reconstruction after radical cystectomy, but its implementation in China remains understudied. This qualitative study explores SDM barriers and facilitators from patient and provider perspectives.

methodsThis study employed purposive sampling to recruit healthcare professionals and patients undergoing radical cystectomy from a single tertiary hospital. A qualitative approach involving semi-structured interviews was used to capture participants' perspectives. Thematic analysis was applied to identify key themes and subthemes.

resultsA total of 11 healthcare professionals and 15 patients with bladder cancer participated. Thematic analysis identified 4 main themes and 15 subthemes. (1) Decision autonomy and experience: encompassing patients' participation levels, confidence, and anxiety, and providers' attention to patient trust and preferences. (2) Information acquisition and understanding: including patients' information sources and comprehension abilities; and methods used by healthcare professionals to communicate medical information. (3) Professional expertise and occupational burden: exploring patients' perceptions of doctors' authority and skills; with role strain and emotional challenges faced by providers. (4) Social security and education: addressing gaps in health literacy; protection of patient rights; and inadequacies in SDM-related education.

conclusionsSDM in China is limited by systemic challenges, including health literacy deficits, clinician workload, and policy gaps. Targeted interventions such as patient education, communication training, and policy reforms are needed to enhance collaborative decision-making.

Indexed as

CystectomyDecision Making, SharedPatient ParticipationPlastic Surgery ProceduresUrinary Bladder NeoplasmsAdultAgedChinaFemaleHealth PersonnelHumansMaleMiddle AgedPhysician-Patient RelationsQualitative ResearchChinese healthcare systemDoctor-patient relationshipQualitative researchRadical cystectomyShared decision-makingUrinary reconstruction

Identifiers

PMID41094442
PMCPMC12522664

What OpenQuestion holds

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LicenceCC BY
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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.