Evidence map›Paper›PMID 39191449›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Testing of a risk-stratified patient decision aid to facilitate shared decision-making for extended postoperative thromboprophylaxis after major abdominal surgery for cancer.

Victoria Ivankovic, Megan Delisle, Dawn Stacey, Jad Abou-Khalil, Fady Balaa, Kimberly A Bertens, Brittany Dingley, Guillaume Martel, Kristen McAlpine, Carolyn Nessim and 3 more

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In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. 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

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

2 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

13 authors.

Victoria IvankovicFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Megan DelisleFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Dawn StaceyFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Jad Abou-KhalilFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Fady BalaaFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Kimberly A BertensFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Brittany DingleyFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Guillaume MartelFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Kristen McAlpineFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Carolyn NessimFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Shaheer TadrosFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Marc CarrierFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).
Rebecca C AuerFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier) rauer@toh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of extended pharmacologic thromboprophylaxis after major abdominopelvic cancer surgery should depend on best-available scientific evidence and patients' informed preferences. We developed a risk-stratified patient decision aid to facilitate shared decision-making and sought to evaluate its effect on decision-making quality regarding use of extended thromboprophylaxis.

methodsWe enrolled patients undergoing major abdominopelvic cancer surgery at an academic tertiary care centre in this pre-post study. We evaluated change in decisional conflict, readiness to decide, decision-making confidence, and change in patient knowledge. Participants were provided the appropriate risk-stratified decision aid (according to their Caprini score) in either the preoperative or postoperative setting. A sample size calculation determined that we required 17 patients to demonstrate whether the decision aid meaningfully reduced decisional conflict. We used the Wilcoxon matched-pairs signed ranks test for interval scaled measures.

resultsWe included 17 participants. The decision aid significantly reduced decisional conflict (median decisional conflict score 2.37 [range 1.00-3.81] v. 1.3 [range 1.00-3.25],

conclusionOur risk-stratified, evidence-based decision aid on extended thromboprophylaxis after major abdominopelvic surgery significantly improved decision-making quality. Further research is needed to evaluate the usability and feasibility of this decision aid in the perioperative setting.

Indexed as

Decision Making, SharedDecision Support TechniquesAbdominal NeoplasmsAdultAgedAnticoagulantsFemaleHumansMaleMiddle AgedPostoperative ComplicationsRisk AssessmentVenous ThromboembolismAnticoagulants

Identifiers

PMID39191449
PMCPMC11349336

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.