Evidence map›Paper›PMID 15578235›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2005

Symptoms, treatment and "dying peacefully" in terminally ill cancer patients: a prospective study.

Jean-Jacques Georges, Bregje D Onwuteaka-Philipsen, Agnes van der Heide, Gerrit van der Wal, Paul J van der Maas

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Muslim physicians and palliative care: attitudes towards the use of palliative sedation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  9. Diagnosing dying: an integrative literature review.BMJ supportive & palliative care · 2014
    Review
  10. Article
  11. Prehospital emergency treatment of palliative care patients with cardiac arrest: a retrolective investigation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2010
    Article
  12. End-of-life experiences in adolescents dying with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2010
    Article
  13. Article
  14. Fluctuating awareness of treatment goals among patients and their caregivers: a longitudinal study of a dynamic process.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2007
    Article
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

5 authors at 3 institutions in 1 country.

Jean-Jacques GeorgesDepartment of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Centre, Amsterdam, The Netherlands. j.georges@vumc.nl
Bregje D Onwuteaka-Philipsen
Agnes van der Heide
Gerrit van der Wal
Paul J van der Maas
EMGO Institute for Health and Care Research · NLErasmus MC · NLAmsterdam UMC Location VUmc · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

goalsThe aims of this study were to describe the symptoms, their treatment during the final months of life of terminally ill cancer patients and to assess characteristics of the dying process. PATIENTS AND

methodsWe used a prospective study design. From a representative sample of physicians who participated in a study of end-of-life decision making, we asked whether they were treating a patient with cancer whose treatment was no longer aimed at cure, whose life expectancy was probably longer than 1 week but no longer than 3 months and who would probably continue to be treated by the same physician until their death; 85 physicians completed a monthly questionnaire until patients' deaths.

resultsPatients were confronted with an increasing amount of symptoms during the final months of their life. Fatigue, loss of appetite, dependency and feeling unwell were the most prevalent symptoms. Physical symptoms were more often treated than psychosocial symptoms. The number of medical disciplines involved in the patient's care decreased in the period before death, but the number of informal caregivers increased; 73% of patients died peacefully. A peaceful death was impeded by feelings of anxiety and loneliness but promoted by the involvement of children in their patients' care.

conclusionThe results give insight into the nature of suffering and factors related to the dying process of terminally ill cancer patients. Attention to psychosocial well-being and to the need to be with loved ones appears to be essential for patients' quality of life.

Indexed as

Attitude to DeathRight to DieAdultAgedAttitude of Health PersonnelFemaleHumansLogistic ModelsMaleMiddle AgedNeoplasmsNetherlandsPalliative CarePractice Patterns, Physicians'ProbabilityProspective Studies

Identifiers

PMID15578235
OpenAlexW2094840316

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.