Evidence map›Paper›PMID 17329313›Full record

ArticleBMJ (Clinical research ed.)2007

Key challenges and ways forward in researching the "good death": qualitative in-depth interview and focus group study.

Marilyn Kendall, Fiona Harris, Kirsty Boyd, Aziz Sheikh, Scott A Murray, Duncan Brown, Ian Mallinson, Nora Kearney, Allison Worth

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. What do palliative care patients and their relatives think about research in palliative care?-a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2010
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  19. Engaging patients and caregivers in patient-centered outcomes research on advanced stage lung cancer: insights from patients, caregivers, and providers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2014
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Marilyn KendallPrimary Palliative Care Research Group, Division of Community Health Sciences: General Practice Section, University of Edinburgh, EH8 9DX. Marilyn.Kendall@ed.ac.uk
Fiona Harris
Kirsty Boyd
Aziz Sheikh
Scott A Murray
Duncan Brown
Ian Mallinson
Nora Kearney
Allison Worth

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand key challenges in researching end of life issues and identify ways of overcoming these.

designQualitative study involving in-depth interviews with researchers and focus groups with people affected by cancer.

participantsAn international sample of 32 researchers; seven patients with experience of cancer; and four carers in south east Scotland.

resultsResearchers highlighted the difficulty of defining the end of life, overprotective gatekeeping by ethics committees and clinical staff, the need to factor in high attrition rates associated with deterioration or death, and managing the emotions of participants and research staff. People affected by cancer and researchers suggested that many people nearing the end of life do want to be offered the chance to participate in research, provided it is conducted sensitively. Although such research can be demanding, most researchers believed it to be no more problematic than many other areas of research and that the challenges identified can be overcome.

conclusionsThe continuing taboos around death and dying act as barriers to the commissioning and conduct of end of life research. Some people facing death, however, may want to participate in research and should be allowed to do so. Ethics committees and clinical staff must balance understandable concern about non-maleficence with the right of people with advanced illness to participate in research. Despite the inherent difficulties, end of life research can be conducted with ethical and methodological rigour. Adequate psychological support must be provided for participants, researchers, and transcribers.

Indexed as

Attitude to DeathTerminally IllBiomedical ResearchEmotionsGatekeepingHumansInformed ConsentPatient ParticipationTerminal CareThanatology

Identifiers

PMID17329313
PMCPMC1819552

What OpenQuestion 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 OpenQuestion graph.