Med Decis Making - A demonstration of ''less can be more'' in risk graphics.

Tópicos

{ cancer(2502) breast(956) screen(824) }
{ risk(3053) factor(974) diseas(938) }
{ visual(1396) interact(850) tool(830) }
{ intervent(3218) particip(2042) group(1664) }
{ survey(1388) particip(1329) question(1065) }
{ structur(1116) can(940) graph(676) }
{ error(1145) method(1030) estim(1020) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ health(1844) social(1437) communiti(874) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ system(1050) medic(1026) inform(1018) }
{ activ(1138) subject(705) human(624) }
{ can(774) often(719) complex(702) }
{ imag(2830) propos(1344) filter(1198) }
{ studi(2440) review(1878) systemat(933) }
{ data(1714) softwar(1251) tool(1186) }
{ perform(999) metric(946) measur(919) }
{ data(2317) use(1299) case(1017) }
{ analysi(2126) use(1163) compon(1037) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ featur(3375) classif(2383) classifi(1994) }
{ patient(2315) diseas(1263) diabet(1191) }
{ assess(1506) score(1403) qualiti(1306) }
{ search(2224) databas(1162) retriev(909) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ studi(1119) effect(1106) posit(819) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ data(3008) multipl(1320) sourc(1022) }
{ can(981) present(881) function(850) }
{ use(976) code(926) identifi(902) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Online tools such as Adjuvant! provide tailored estimates of the possible outcomes of adjuvant therapy options available to breast cancer patients. The graphical format typically displays 4 outcomes simultaneously: survival, mortality due to cancer, other-cause mortality, and incremental survival due to adjuvant treatment.OBJECTIVE: To test whether simpler formats that present only baseline and incremental survival would improve comprehension of the relevant risk statistics and/or affect treatment intentions.DESIGN: . Randomized experimental manipulation of risk graphics shown included in Internet-administered survey vignettes about adjuvant therapy decisions for breast cancer patients with ER + tumors.PARTICIPANTS: Demographically diverse, stratified random samples of women ages 40 to 74 y recruited from an Internet research panel.INTERVENTION: Participants were randomized to view either pictographs (icon arrays) that displayed all 4 possible outcomes or pictographs that showed only survival outcomes.MEASUREMENTS: Comprehension of key statistics, task completion times, graph evaluation ratings, and perceived interest in adjuvant chemotherapy.RESULTS: In the primary study (N = 832), participants who viewed survival-only pictographs had better accuracy when reporting the total chance of survival with both chemotherapy and hormonal therapy (63% v. 50%, P < 0.001), higher graph evaluation ratings (x = 7.98 v. 7.67, P = 0.04), and less interest in adding chemotherapy to hormonal therapy (43% v. 50%, P = 0.04; adjusted odds ratio [OR] = 0.68, P = 0.008). A replication study (N = 714) confirmed that participants who viewed survival-only graphs had higher graph evaluation ratings (x = 8.06 v. 7.72, P = 0.04) and reduced interest in chemotherapy (OR=0.67,P=0.03).LIMITATIONS: Studies used general public samples; actual patients may process risk information differently.CONCLUSIONS: Taking a ''less is more'' approach by omitting redundant mortality outcome statistics can be an effective method of risk communication and may be preferable when using visual formats such as pictographs.

Resumo Limpo

ckground onlin tool adjuv provid tailor estim possibl outcom adjuv therapi option avail breast cancer patient graphic format typic display outcom simultan surviv mortal due cancer othercaus mortal increment surviv due adjuv treatmentobject test whether simpler format present baselin increment surviv improv comprehens relev risk statist andor affect treatment intentionsdesign random experiment manipul risk graphic shown includ internetadminist survey vignett adjuv therapi decis breast cancer patient er tumorsparticip demograph divers stratifi random sampl women age y recruit internet research panelintervent particip random view either pictograph icon array display possibl outcom pictograph show surviv outcomesmeasur comprehens key statist task complet time graph evalu rate perceiv interest adjuv chemotherapyresult primari studi n particip view survivalon pictograph better accuraci report total chanc surviv chemotherapi hormon therapi v p higher graph evalu rate x v p less interest ad chemotherapi hormon therapi v p adjust odd ratio p replic studi n confirm particip view survivalon graph higher graph evalu rate x v p reduc interest chemotherapi orplimit studi use general public sampl actual patient may process risk inform differentlyconclus take less approach omit redund mortal outcom statist can effect method risk communic may prefer use visual format pictograph

Resumos Similares

BMC Med Inform Decis Mak - The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial. ( 0,799352610940112 )
J Med Syst - Breast alert: an on-line tool for predicting the lifetime risk of women breast cancer. ( 0,738026073610862 )
J Med Syst - A telematic tool to predict the risk of colorectal cancer in white men and women: ColoRectal Cancer Alert (CRCA). ( 0,725138547196299 )
Med Decis Making - Development of a microsimulation of melanoma mortality for evaluating the effectiveness of population-based skin cancer screening. ( 0,681341780278051 )
Int J Health Geogr - Estrogen receptor positive breast cancers and their association with environmental factors. ( 0,67542575815088 )
Lifetime Data Anal - Evaluating subject-level incremental values of new markers for risk classification rule. ( 0,667190509165215 )
Med Decis Making - The impact of numeracy on verbatim knowledge of the longitudinal risk for prostate cancer recurrence following radiation therapy. ( 0,661153339095941 )
Spat Spatiotemporal Epidemiol - Efficient mapping and geographic disparities in breast cancer mortality at the county-level by race and age in the U.S. ( 0,659904577004648 )
BMC Med Inform Decis Mak - Accuracy validation of adjuvant! online in Taiwanese breast cancer patients--a 10-year analysis. ( 0,654631404712334 )
Comput Methods Programs Biomed - Critical laboratory result reporting system in cancer patients. ( 0,652623309640361 )
Med Decis Making - Confusing Relative Risk with Absolute Risk Is Associated with More Enthusiastic Beliefs about the Value of Cancer Screening. ( 0,651892805224529 )
Med Decis Making - Deceiving numbers: survival rates and their impact on doctors' risk communication. ( 0,647625490340665 )
Med Decis Making - Influence of graphic format on comprehension of risk information among American Indians. ( 0,627709339212274 )
J Med Syst - Prediction of breast cancer using artificial neural networks. ( 0,627108635710818 )
Med Decis Making - Effects of game-like interactive graphics on risk perceptions and decisions. ( 0,625766317052267 )
J. Med. Internet Res. - Do cancer patients tweet? Examining the twitter use of cancer patients in Japan. ( 0,62440704573568 )
J. Med. Internet Res. - Risk estimates from an online risk calculator are more believable and recalled better when expressed as integers. ( 0,621169657871376 )
Int J Health Geogr - Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities. ( 0,617628327338327 )
Med Decis Making - Comparison of surveillance strategies for low-risk bladder cancer patients. ( 0,615674372379471 )
Med Decis Making - Risk preferences: consequences for test and treatment thresholds and optimal cutoffs. ( 0,610689234565706 )
Med Decis Making - Communication of uncertainty regarding individualized cancer risk estimates: effects and influential factors. ( 0,608269656036581 )
Int J Health Geogr - Correlations between meteorological parameters and prostate cancer. ( 0,606008185824411 )
Med Decis Making - Patients' preferences and priorities regarding colorectal cancer screening. ( 0,604634747695832 )
J. Med. Internet Res. - The influence of two different invitation letters on Chlamydia testing participation: randomized controlled trial. ( 0,601217219442295 )
J Med Syst - Thermography based breast cancer detection using texture features and Support Vector Machine. ( 0,601077044368673 )
J. Med. Internet Res. - Animated randomness, avatars, movement, and personalization in risk graphics. ( 0,60044103337373 )
J Am Med Inform Assoc - Depression screening via a smartphone app: cross-country user characteristics and feasibility. ( 0,598764627613359 )
J. Med. Internet Res. - Mobile phone text messaging intervention for cervical cancer screening: changes in knowledge and behavior pre-post intervention. ( 0,59595656900503 )
Comput. Biol. Med. - Segmentation of histopathology HER2/neu images with fuzzy decision tree and Takagi-Sugeno reasoning. ( 0,595451076278891 )
Med Decis Making - Derivation of background mortality by smoking and obesity in cancer simulation models. ( 0,592828903188515 )
Med Decis Making - Serious health events and discontinuation of routine cancer screening. ( 0,592099756307711 )
Comput Math Methods Med - Assessing the effects of estrogen on the dynamics of breast cancer. ( 0,591606417389151 )
Int J Health Geogr - Spatial association of racial/ethnic disparities between late-stage diagnosis and mortality for female breast cancer: where to intervene? ( 0,590893114925388 )
Lifetime Data Anal - Modeling potential time to event data with competing risks. ( 0,590086671970627 )
Inform Health Soc Care - Spontaneously published illness stories on a website for young women with breast cancer: do writers and themes reflect the wider population? ( 0,587309536575112 )
J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial. ( 0,585988662193506 )
BMC Med Inform Decis Mak - Impact of unlinked deaths and coding changes on mortality trends in the Swiss National Cohort. ( 0,585311181791594 )
Int J Health Geogr - Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study. ( 0,584680342152799 )
Comput Math Methods Med - Screening for cervical cancer using automated analysis of PAP-smears. ( 0,582905645062801 )
Comput Methods Programs Biomed - A Windows application for computing standardized mortality ratios and standardized incidence ratios in cohort studies based on calculation of exact person-years at risk. ( 0,580826795529794 )
J Am Med Inform Assoc - Validating drug repurposing signals using electronic health records: a case study of metformin associated with reduced cancer mortality. ( 0,580806308896081 )
BMC Med Inform Decis Mak - Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey. ( 0,580267944240952 )
J. Med. Internet Res. - Cancer survivorship in the age of YouTube and social media: a narrative analysis. ( 0,576740252542734 )
Comput Math Methods Med - An estrogen model: the relationship between body mass index, menopausal status, estrogen replacement therapy, and breast cancer risk. ( 0,575556925118114 )
BMC Med Inform Decis Mak - Quantification of population benefit in evaluation of biomarkers: practical implications for disease detection and prevention. ( 0,573307776070994 )
Med Decis Making - Estimating the unknown parameters of the natural history of metachronous colorectal cancer using discrete-event simulation. ( 0,571681789021573 )
AMIA Annu Symp Proc - Evaluation of the use of electronic health data to classify four-year mortality risk for older adults undergoing screening colonoscopies. ( 0,571369789539593 )
Med Decis Making - Optimization of PSA screening policies: a comparison of the patient and societal perspectives. ( 0,571295579034228 )
J. Med. Internet Res. - An online resource of digital stories about cancer genetics: qualitative study of patient preferences and information needs. ( 0,571112286430076 )
Int J Health Geogr - Gravity models to classify commuting vs. resident workers. An application to the analysis of residential risk in a contaminated area. ( 0,570973629703264 )
BMC Med Inform Decis Mak - Evaluating risk factor assumptions: a simulation-based approach. ( 0,568954723068436 )
BMC Med Inform Decis Mak - Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials. ( 0,567973927204941 )
Med Decis Making - Decision-making Processes among Prostate Cancer Survivors with Rising PSA Levels: Results from a Qualitative Analysis. ( 0,56788657815944 )
Comput Methods Programs Biomed - Automated estimation of disease recurrence in head and neck cancer using routine healthcare data. ( 0,565700558283514 )
Wiley Interdiscip Rev Syst Biol Med - Gut stem cells in tissue renewal and disease: methods, markers, and myths. ( 0,565592681420933 )
Med Decis Making - Effectiveness of personalized and interactive health risk calculators: a randomized trial. ( 0,561617087605755 )
Med Decis Making - Tables or bar graphs? Presenting test results in electronic medical records. ( 0,558447527882745 )
Comput Methods Programs Biomed - Infection risk in patients with rheumatoid arthritis treated with etanercept or adalimumab. ( 0,557413057609012 )
Int J Med Inform - Evaluation of different features of an eHealth application for personalized illness management support: cancer patients' use and appraisal of usefulness. ( 0,557091549649375 )
BMC Med Inform Decis Mak - Factors influencing the surgery intentions and choices of women with early breast cancer: the predictive utility of an extended theory of planned behaviour. ( 0,554593081300033 )
Med Decis Making - The influence of disease risk on the optimal time interval between screens for the early detection of cancer: a mathematical approach. ( 0,554306068600639 )
J. Med. Internet Res. - Can an Internet-based health risk assessment highlight problems of heart disease risk factor awareness? A cross-sectional analysis. ( 0,553713830629658 )
J Med Syst - Automated detection of breast cancer in thermal infrared images, based on independent component analysis. ( 0,55296331613772 )
Telemed J E Health - Soldiers' preferences for follow-up communications with behavioral health providers. ( 0,552477610911769 )
Comput Math Methods Med - The value of private patient information in the physician-patient relationship: a game-theoretic account. ( 0,552442262300978 )
BMC Med Inform Decis Mak - Protocol for population testing of an Internet-based Personalised Decision Support system for colorectal cancer screening. ( 0,550881438046084 )
Comput Math Methods Med - Computer aided detection of breast density and mass, and visualization of other breast anatomical regions on mammograms using graph cuts. ( 0,549557291404671 )
Comput Math Methods Med - Conflicts of interest during contact investigations: a game-theoretic analysis. ( 0,549290390276188 )
Telemed J E Health - Development and evaluation of a Web-based tool to estimate type 2 diabetes risk: Diab_Alert. ( 0,548998168670673 )
Telemed J E Health - Feasibility and promise of a remote-delivered preconception motivational interviewing intervention to reduce risk for alcohol-exposed pregnancy. ( 0,54774378054362 )
BMC Med Inform Decis Mak - Development of a personalized decision aid for breast cancer risk reduction and management. ( 0,546682340138455 )
Med Biol Eng Comput - Measurement of bioelectric and acoustic profile of breast tissue using hybrid magnetoacoustic method for cancer detection. ( 0,546004974753826 )
IEEE J Biomed Health Inform - A MDP model for breast and ovarian cancer intervention strategies for BRCA1/2 mutation carriers. ( 0,545322722550702 )
Telemed J E Health - Mobile health is worth it! Economic benefit and impact on health of a population-based mobile screening program in new Mexico. ( 0,5451988223042 )
Artif Intell Med - Analysis of nasopharyngeal carcinoma risk factors with Bayesian networks. ( 0,545054690765618 )
J. Med. Internet Res. - Web-based risk communication and planning in an obese population: exploratory study. ( 0,543914658434875 )
J Med Syst - The effect of artificial neural network model combined with six tumor markers in auxiliary diagnosis of lung cancer. ( 0,542766048994639 )
BMC Med Inform Decis Mak - Influence of patient characteristics on perceived risks and willingness to take a proposed anti-rheumatic drug. ( 0,542757652482062 )
BMC Med Inform Decis Mak - Detecting the start of an influenza outbreak using exponentially weighted moving average charts. ( 0,541997458986369 )
J. Med. Internet Res. - Benefits of peer support in online Japanese breast cancer communities: differences between lurkers and posters. ( 0,541951119310719 )
Med Decis Making - The Impact of Uncertainty in Barrett's Esophagus Progression Rates on Hypothetical Screening and Treatment Decisions. ( 0,54111820736656 )
Spat Spatiotemporal Epidemiol - The effect of presence of infected neighbouring farms for the Campylobacter infection status in Danish broiler farms. ( 0,540071600017804 )
Med Biol Eng Comput - In vitro electroretinogram for the study of the functionality of differentiated retinal pigment epithelium cells. ( 0,539805558968946 )
AMIA Annu Symp Proc - Alignment and clustering of breast cancer patients by longitudinal treatment history. ( 0,537864304845229 )
J. Med. Internet Res. - The management of acute adverse effects of breast cancer treatment in general practice: a video-vignette study. ( 0,537612435562707 )
J. Med. Internet Res. - Internet based computer tailored feedback on sunscreen use. ( 0,537117860593256 )
Med Decis Making - Longitudinal changes in patient distress following interactive decision aid use among BRCA1/2 carriers: a randomized trial. ( 0,536285182985427 )
Med Decis Making - Expressing death risk as condensed life experience and death intensity. ( 0,535561323048534 )
Telemed J E Health - Prevalence of red flags among the internet user with low back pain seeking information on spinal health-a web survey. ( 0,535487019176309 )
AMIA Annu Symp Proc - Using multidimensional mutual information to prioritize mammographic features for breast cancer diagnosis. ( 0,533532655932214 )
Med Decis Making - A review and meta-analysis of utility values for lung cancer. ( 0,532655457047578 )
AMIA Annu Symp Proc - Spatial analysis in support of community health intervention strategies. ( 0,532601115238051 )
Comput Methods Programs Biomed - A coarse-to-fine approach for segmenting melanocytic skin lesions in standard camera images. ( 0,532419820606548 )
Telemed J E Health - Developing screening services for colorectal cancer on Android smartphones. ( 0,531230297574697 )
Med Decis Making - Communicating Relative Risk Changes with Baseline Risk: Presentation Format and Numeracy Matter. ( 0,531071880258447 )
Med Decis Making - How does early detection by screening affect disease progression? Modeling estimated benefits in prostate cancer screening. ( 0,53090628281717 )
Int J Med Inform - Evaluating the use of mobile phone technology to enhance cardiovascular disease screening by community health workers. ( 0,530380048597901 )
Comput Math Methods Med - Computer implementation of a new therapeutic model for GBM tumor. ( 0,529611985923094 )
J. Med. Internet Res. - How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer. ( 0,528739374922074 )
Lifetime Data Anal - Population-based absolute risk estimation with survey data. ( 0,528423440045292 )