Excerpt of analysis from one patient's ROAM/EORTC‐1308 consultation, applying argumentation theory
| Coded argument . | For or against trial . | Argument initiated by . | Example quote . |
|---|---|---|---|
| Radiotherapy might reduce risk of meningioma recurrence | For | Health professional | “Sometimes we have used radiotherapy in the thought that that would help.” |
| Radiotherapy has side effects | Against | Health professional | “Radiotherapy is a treatment that has side effects… it can make you feel a bit headache‐y… you would lose a bit more hair in the areas that we treat.” |
| We don't have evidence to say radiotherapy will work | Both | Health professional | “But we've not got definite evidence that radiotherapy works to keep it away.” |
| You'll receive excellent support in the trial | For | Health professional | “So either way you're going to be closely monitored and either way you're gonna get regular scans.” |
| You will help us to inform future treatment | For | Health professional | “It's just trying to help us answer the question about how much benefit radiotherapy gives now versus having it at a later date.” |
| I would prefer to have radiotherapy now | For | Patient | “So to just be monitored and see if does comes back, then six months down the line to have to… that's not what I really want.” |
| It would be unethical to offer radiotherapy outside the trial | Both | Health professional | “We don't tend to offer radiotherapy up front if they're not in the trial because we don't think there's a proven benefit. So for me to offer it outside the trial would be, I think, not ethical.” |
| If you're interested in radiotherapy, you should consider the trial | For | Health professional | “I think if you were interested in exploring, having radiotherapy at all, then I think you should have a think about the trial and whether you want to go into it.” |
| The trial might be too much for you | Against | Health professional | “If you think that with everything you've had going on… that the trial is a bit too much for you… then we would say, we could draw a line…” |
| Active monitoring is your best option outside of the trial | Against | Health professional | “[The tumor is] all out and the risk of recurrence is less than half, so we would feel that your best bet is to have a very close observation…” |
| You need time to think before you decide | Against or unclear | Health professional | “You don't have to make a decision today… if you're even just wanting to consider it and go away and have a think…” |
| Coded argument . | For or against trial . | Argument initiated by . | Example quote . |
|---|---|---|---|
| Radiotherapy might reduce risk of meningioma recurrence | For | Health professional | “Sometimes we have used radiotherapy in the thought that that would help.” |
| Radiotherapy has side effects | Against | Health professional | “Radiotherapy is a treatment that has side effects… it can make you feel a bit headache‐y… you would lose a bit more hair in the areas that we treat.” |
| We don't have evidence to say radiotherapy will work | Both | Health professional | “But we've not got definite evidence that radiotherapy works to keep it away.” |
| You'll receive excellent support in the trial | For | Health professional | “So either way you're going to be closely monitored and either way you're gonna get regular scans.” |
| You will help us to inform future treatment | For | Health professional | “It's just trying to help us answer the question about how much benefit radiotherapy gives now versus having it at a later date.” |
| I would prefer to have radiotherapy now | For | Patient | “So to just be monitored and see if does comes back, then six months down the line to have to… that's not what I really want.” |
| It would be unethical to offer radiotherapy outside the trial | Both | Health professional | “We don't tend to offer radiotherapy up front if they're not in the trial because we don't think there's a proven benefit. So for me to offer it outside the trial would be, I think, not ethical.” |
| If you're interested in radiotherapy, you should consider the trial | For | Health professional | “I think if you were interested in exploring, having radiotherapy at all, then I think you should have a think about the trial and whether you want to go into it.” |
| The trial might be too much for you | Against | Health professional | “If you think that with everything you've had going on… that the trial is a bit too much for you… then we would say, we could draw a line…” |
| Active monitoring is your best option outside of the trial | Against | Health professional | “[The tumor is] all out and the risk of recurrence is less than half, so we would feel that your best bet is to have a very close observation…” |
| You need time to think before you decide | Against or unclear | Health professional | “You don't have to make a decision today… if you're even just wanting to consider it and go away and have a think…” |
Excerpt of analysis from one patient's ROAM/EORTC‐1308 consultation, applying argumentation theory
| Coded argument . | For or against trial . | Argument initiated by . | Example quote . |
|---|---|---|---|
| Radiotherapy might reduce risk of meningioma recurrence | For | Health professional | “Sometimes we have used radiotherapy in the thought that that would help.” |
| Radiotherapy has side effects | Against | Health professional | “Radiotherapy is a treatment that has side effects… it can make you feel a bit headache‐y… you would lose a bit more hair in the areas that we treat.” |
| We don't have evidence to say radiotherapy will work | Both | Health professional | “But we've not got definite evidence that radiotherapy works to keep it away.” |
| You'll receive excellent support in the trial | For | Health professional | “So either way you're going to be closely monitored and either way you're gonna get regular scans.” |
| You will help us to inform future treatment | For | Health professional | “It's just trying to help us answer the question about how much benefit radiotherapy gives now versus having it at a later date.” |
| I would prefer to have radiotherapy now | For | Patient | “So to just be monitored and see if does comes back, then six months down the line to have to… that's not what I really want.” |
| It would be unethical to offer radiotherapy outside the trial | Both | Health professional | “We don't tend to offer radiotherapy up front if they're not in the trial because we don't think there's a proven benefit. So for me to offer it outside the trial would be, I think, not ethical.” |
| If you're interested in radiotherapy, you should consider the trial | For | Health professional | “I think if you were interested in exploring, having radiotherapy at all, then I think you should have a think about the trial and whether you want to go into it.” |
| The trial might be too much for you | Against | Health professional | “If you think that with everything you've had going on… that the trial is a bit too much for you… then we would say, we could draw a line…” |
| Active monitoring is your best option outside of the trial | Against | Health professional | “[The tumor is] all out and the risk of recurrence is less than half, so we would feel that your best bet is to have a very close observation…” |
| You need time to think before you decide | Against or unclear | Health professional | “You don't have to make a decision today… if you're even just wanting to consider it and go away and have a think…” |
| Coded argument . | For or against trial . | Argument initiated by . | Example quote . |
|---|---|---|---|
| Radiotherapy might reduce risk of meningioma recurrence | For | Health professional | “Sometimes we have used radiotherapy in the thought that that would help.” |
| Radiotherapy has side effects | Against | Health professional | “Radiotherapy is a treatment that has side effects… it can make you feel a bit headache‐y… you would lose a bit more hair in the areas that we treat.” |
| We don't have evidence to say radiotherapy will work | Both | Health professional | “But we've not got definite evidence that radiotherapy works to keep it away.” |
| You'll receive excellent support in the trial | For | Health professional | “So either way you're going to be closely monitored and either way you're gonna get regular scans.” |
| You will help us to inform future treatment | For | Health professional | “It's just trying to help us answer the question about how much benefit radiotherapy gives now versus having it at a later date.” |
| I would prefer to have radiotherapy now | For | Patient | “So to just be monitored and see if does comes back, then six months down the line to have to… that's not what I really want.” |
| It would be unethical to offer radiotherapy outside the trial | Both | Health professional | “We don't tend to offer radiotherapy up front if they're not in the trial because we don't think there's a proven benefit. So for me to offer it outside the trial would be, I think, not ethical.” |
| If you're interested in radiotherapy, you should consider the trial | For | Health professional | “I think if you were interested in exploring, having radiotherapy at all, then I think you should have a think about the trial and whether you want to go into it.” |
| The trial might be too much for you | Against | Health professional | “If you think that with everything you've had going on… that the trial is a bit too much for you… then we would say, we could draw a line…” |
| Active monitoring is your best option outside of the trial | Against | Health professional | “[The tumor is] all out and the risk of recurrence is less than half, so we would feel that your best bet is to have a very close observation…” |
| You need time to think before you decide | Against or unclear | Health professional | “You don't have to make a decision today… if you're even just wanting to consider it and go away and have a think…” |
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