Evidence map›Paper›PMID 41491641›Full record

ArticlePediatric blood & cancer2026

Advice From Adolescents With Cancer, Their Caregivers, and Clinicians on Utilizing and Improving Patient Portals in Adolescent Oncology Care.

Mary Claire McGlynn, Karan K Mirpuri, Christine Bereitschaft, Lindsay J Blazin, Maya Ilowite, Jennifer W Mack, James M DuBois, Bryan A Sisk

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mary Claire McGlynnDivision of Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-2600-6641
Karan K MirpuriWashington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-9117-9725
Christine BereitschaftDivision of Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Lindsay J BlazinDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Maya IlowiteDepartment of Pediatric Oncology, Center for Outcomes and Policy Research, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.
Jennifer W MackDepartment of Pediatric Oncology, Center for Outcomes and Policy Research, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5791-4178
James M DuBoisBioethics Research Center, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Bryan A SiskDivision of Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-2456-2476

Funding

Washington University Institute of Clinical and Translational Sciences (TL1)TL1TR002344 · NCATS · WASHINGTON UNIVERSITY · PI Jay F. Piccirillo · 2017 to 2026
$8.5M
Conquer Cancer FoundationNCATS NIH HHSNCATS NIH HHS TL1 TR002344
6 · The paper itself

Abstract

backgroundAdolescents with cancer have unique communication needs from other patients with cancer and adolescents without cancer. Electronic health record (EHR) patient portals offer opportunities for communication and health management, but pose challenges in balancing transparency, privacy, and health management. The 21st Century Cures Act amplified these challenges by increasing the availability of health records in patient portals. To inform portal use and policies, we analyzed advice from adolescents with cancer, their parents, and oncology clinicians regarding portal access and use.

methodsWe purposefully sampled adolescents aged 12-17 with cancer and their parents from large academic pediatric oncology centers and used convenience and snowball sampling to recruit clinicians from a national professional group. We conducted semi-structured interviews, descriptively coded transcripts to generate preliminary codes, categorized themes, and applied them across transcripts.

resultsWe interviewed 38 adolescent-parent dyads and 53 clinicians. Interviews revealed agreement and tensions among stakeholders. Participants recommended a standard introduction of the portal, portal modifications to improve users' experiences, and encouraging portal use for health management and communication while maintaining patient access to clinicians. Adolescents and parents suggested clinicians modify notes to have a more hopeful tone. Clinicians favored delayed release of results, while parents preferred immediate release. Adolescents and clinicians encouraged adolescent control over parental proxy access, while parents favored default parental access.

conclusionThis qualitative study provides actionable recommendations for improving portal use, policy, and design for adolescents with cancer. Implementation of these findings and future research can optimize adolescent and caregiver engagement with the portal and portal usability.

Indexed as

CaregiversElectronic Health RecordsMedical OncologyNeoplasmsParentsPatient PortalsAdolescentChildCommunicationFemaleFollow-Up StudiesHumansMaleadolescentelectronic health record (EHR)oncologyportalprivacyqualitative

Identifiers

PMID41491641
PMCPMC12817588

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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.