Evidence map›Paper›PMID 41653710›Full record

ArticleUrologic oncology2026

Adapting patient priorities care for older adults with non-muscle-invasive bladder cancer: A qualitative inquiry.

Tullika Garg, Steven Negron-Candelario, Halle Miller, Seyma Demirsoy, Kirstin West, William Calo, Mary Tinetti, Lauren J Van Scoy

Abstract read
In one paragraph

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

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tullika GargDepartments of Urology and Population Health Sciences, Geisinger Health System, Danville, PA. Electronic address: tgarg1@geisinger.edu.
Steven Negron-CandelarioDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Halle MillerLancaster General Health Research Institute, Penn Medicine, Lancaster, PA.
Seyma DemirsoyDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
Kirstin WestDepartment of Global Health, University of Washington, Seattle, WA.
William CaloDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Mary TinettiSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Lauren J Van ScoyDepartment of Medicine, Penn State College of Medicine, Hershey, PA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
A novel use of web-based software to efficiently triage pre-surgical patients basR44TR000045 · NCATS · MEDSLEUTH, INC. · PI KALAMAS, ALICIA GRUBER · 2012 to 2012
$546k
NCATS NIH HHS R44 TR000045NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

introductionShared decision-making involves understanding a person's goals and healthcare preferences, especially for older adults with cancer. When making treatment decisions, older adults with non-muscle-invasive bladder cancer (NMIBC) face tradeoffs due to aging and multimorbidity. Our objective was to obtain initial feedback from older adults with NMIBC and their urologists to begin adapting an existing written goal-elicitation tool, Patient Priorities Care (PPC), for shared decision-making in NMIBC.

methodsWe recruited 5 dyads of older adults with NMIBC (age ≥65) paired with their urologists to use PPC and collected demographics. Patients also completed a frailty assessment. Qualitative interviews with participants were conducted to assess modifications needed (n = 10). We calculated descriptive statistics of quantitative data and used Braun and Clarke's six-phase framework and Interpretative Phenomenological Analysis to analyze interview transcripts.

resultsMean patient age was 76.4 years, and all were males and frail. Urologists had been in practice for an average of 14.8 years. Four themes emerged from the interviews: 1) PPC should be administered periprocedurally and at multiple time points, 2) PPC was appropriate but modifications were needed to the format and to make it specific to NMIBC, 3) PPC helped urologists learn about their patients, and 4) age, multimorbidity, and urinary symptoms contributed to NMIBC treatment decisions.

conclusionsIn this pilot qualitative study, participants found PPC easy to use with appropriate content, but it required modifications for format and specificity for NMIBC. Next steps include focus groups to further adapt PPC followed by feasibility testing in the clinic.

Indexed as

Decision Making, SharedNon-Muscle Invasive Bladder NeoplasmsPatient PreferenceAgedAged, 80 and overAgingFemaleFrailtyHumansMaleMultimorbidityPilot ProjectsQualitative ResearchUrologistsAge-friendly health servicesGeriatric oncologyNon-muscle-invasive bladder neoplasmsShared decision-making

Identifiers

PMID41653710
PMCPMC12885224

What Socratic holds

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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 Socratic graph.