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Patient and Physician Preferences for Nonoperative Management for Low Rectal Cancer

Overview of attention for article published in Diseases of the Colon & Rectum, November 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#47 of 3,046)
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

Mentioned by

twitter
60 tweeters

Citations

dimensions_citation
4 Dimensions

Readers on

mendeley
7 Mendeley
Title
Patient and Physician Preferences for Nonoperative Management for Low Rectal Cancer
Published in
Diseases of the Colon & Rectum, November 2018
DOI 10.1097/dcr.0000000000001166
Pubmed ID
Authors

Erin D. Kennedy, Anna M. Borowiec, Selina Schmocker, Charles Cho, James Brierley, Shirley Li, J. Charles Victor, Nancy N. Baxter

Abstract

Although the body of evidence supporting nonoperative management for rectal cancer has been accumulating, there has been little systematic investigation to explore how physicians and patients value the tradeoffs between oncologic and functional outcomes after abdominal perineal resection and nonoperative management. The purpose of this study was to elicit patient and physician preferences for nonoperative management relative to abdominal perineal resection in the setting of low rectal cancer. We conducted a standardized interviews of patients and a cross-sectional survey of physicians. Patients from 1 tertiary care center and physicians from across Canada were included. The study involved 50 patients who were previously treated for rectal cancer and 363 physicians who treat rectal cancer. Interventions included standardized interviews using the threshold technique with patients and surveys mailed to physicians. We measured absolute increase risk in local regrowth and absolute decrease in overall survival that patients and physicians would accept with nonoperative management relative to abdominal perineal resection. Patients were willing to accept a 20% absolute increase for local regrowth (ie, from 0% to 20%) and a 20% absolute decrease in overall survival (ie, from 80% to 60%) with nonoperative management relative to abdominal perineal resection, whereas physicians were willing to accept a 5% absolute increase for local regrowth (ie, from 0% to 5%) and a 5% absolute decrease in overall survival (ie, from 80% to 75%) with nonoperative management relative to abdominal perineal resection. Data were subject to response bias and generalizable to only a select group of patients with low rectal cancer. Offering nonoperative management as an option to patients, even if oncologic outcomes are not equivalent, may be more consistent with the values of patients in this setting. See Video Abstract at http://links.lww.com/DCR/A688.

Twitter Demographics

The data shown below were collected from the profiles of 60 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 7 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 7 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 2 29%
Student > Bachelor 1 14%
Lecturer > Senior Lecturer 1 14%
Student > Master 1 14%
Researcher 1 14%
Other 1 14%
Readers by discipline Count As %
Medicine and Dentistry 4 57%
Unspecified 2 29%
Sports and Recreations 1 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 August 2019.
All research outputs
#501,913
of 13,756,564 outputs
Outputs from Diseases of the Colon & Rectum
#47
of 3,046 outputs
Outputs of similar age
#18,264
of 266,082 outputs
Outputs of similar age from Diseases of the Colon & Rectum
#3
of 55 outputs
Altmetric has tracked 13,756,564 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,046 research outputs from this source. They receive a mean Attention Score of 4.8. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,082 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 55 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.