Evidence map›Paper›PMID 41591601›Full record

ArticleJournal of patient-reported outcomes2026

From participatory design to clinical routine: new concepts for visualizing patient-reported outcomes in breast cancer care.

Lea Doppelbauer, Maria Margarete Karsten, Anna Tatzber, Laura Hatzler, Pimrapat Gebert, Jasper Brands, Rosanne Andriessen, Therese Pross

Abstract readMulticenter Study
In one paragraph

Article in Journal of patient-reported outcomes, 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.

Lea Doppelbauer *Department of Gynecology with Breast Center, Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, 10117, Germany.ORCID http://orcid.org/0000-0001-9539-6164
Maria Margarete Karsten *Department of Gynecology with Breast Center, Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, 10117, Germany.ORCID http://orcid.org/0000-0001-7587-7550
Anna TatzberDepartment of Gynecology with Breast Center, Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, 10117, Germany.
Laura HatzlerDepartment of Urology, Institute of Sexology and Sexual Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0001-8795-6205
Pimrapat GebertInstitute of Biometry and Clinical Epidemiology, Charité- Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0002-5946-7137
Jasper BrandsPanton bv, Muntengang 1, Deventer, 7411GD, Netherlands.
Rosanne AndriessenPanton bv, Muntengang 1, Deventer, 7411GD, Netherlands.
Therese ProssDepartment of Gynecology with Breast Center, Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, 10117, Germany. therese.pross@charite.de.ORCID http://orcid.org/0000-0002-9942-4182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcomes (PROs) improve cancer care by enabling structured self-assessment of disease-related symptoms, overall functioning, and health-related quality of life. Despite proven benefits, routine use is still limited, in part due to suboptimal data visualization. METHODOLOGY: In a sub-study of the multicenter PRO B trial (52 centers, 924 patients with metastatic breast cancer), an interdisciplinary team of clinicians, researchers, patient representatives, and service designers co-developed user-centered PRO visualizations. Drawing on a literature review, an analysis of existing tools, and iterative mock-up development, the team generated initial design concepts. These concepts were then evaluated in semi-structured interviews with eight patients and five providers to assess clarity, emotional impact, usability, and potential for implementation. The interview data were analyzed thematically using a mixed deductive-inductive approach.

resultsEight key themes emerged: axis labeling, color schemes, background lines, alert representation, reference data, missing data, format/additional information, and practical application. Preferences included clear labels, consistent directionality, and simple alert markers. Color views diverged: traffic-light schemes were intuitive to some, but evoked negative reactions; blue gradients were perceived as neutral. Reference data aided context for some but discouraged others, supporting optional display. Missing values required consistent marking. Patients preferred access via both paper and customizable digital tools.

conclusionsCo-designed, user-centered visualizations enhance PRO interpretability, emotional acceptability, and clinical utility. Implementing these recommendations can strengthen communication, support shared decision-making, and promote patient-centered cancer care.

Indexed as

Breast NeoplasmsPatient ParticipationPatient Reported Outcome MeasuresFemaleHumansMiddle AgedPatient-Centered CareQualitative ResearchQuality of LifeUser-Centered DesignBreast cancerData visualizationHealth communicationHealth literacyParticipatory designPatient-centered carePatient-reported outcomesQualitative data

Identifiers

PMID41591601
PMCPMC12917011

What OpenQuestion holds

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LicenceCC BY
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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.