Evidence map›Paper›PMID 19124223›Full record

Trial reportJournal of clinical epidemiology2009

Response analysis for multiple symptoms revealed differences between arms of a symptom management trial.

Alla Sikorskii, Charles W Given, Mei You, Sangchoon Jeon, Barbara A Given

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
0.7field-weighted citation impact, top 27% 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Telephone interventions for symptom management in adults with cancer.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. A literature synthesis of symptom prevalence and severity in persons receiving active cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Pooled it
  4. Pooled it
  5. Trial
  6. A sequential multiple assignment randomized trial of symptom management for cancer survivors during treatment and their informal caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  7. Trial
  8. Family caregivers of those with cancer: quality of life outcomes from a sequential multiple assignment randomized trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  9. Trial
  10. Symptom response analysis of a randomized controlled trial of reflexology for symptom management among women with advanced breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  16. Article
  17. Fatigue in family caregivers of adult intensive care unit survivors.Journal of pain and symptom management · 2014
    Article
  18. Article
  19. Article
  20. Technology and quality of life outcomes.Seminars in oncology nursing · 2010
    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 2 institutions in 1 country.

Alla SikorskiiMichigan State University, Department of Statistics and Probability, College of Natural Science, A423 Wells Halls, East Lansing, MI 48824, USA. sikorska@stt.msu.edu
Charles W Given
Mei You
Sangchoon Jeon
Barbara A Given
Michigan State University · USYale University · US

Funding

Family Home Care for Cancer-Community Based ModelR01CA079280 · NCI · MICHIGAN STATE UNIVERSITY · PI GIVEN, BARBARA ANN · 1998 to 2006
$3.8M
Automated Telephone Monitoring for Symptom ManagementR01CA030724 · NCI · MICHIGAN STATE UNIVERSITY · PI GIVEN, CHARLES W · 2003 to 2008
$3.8M
NCI NIH HHS CA79280NCI NIH HHS R01 CA030724NCI NIH HHS R01 CA079280
6 · The paper itself

Abstract

objectiveTo describe the methodology of evaluating the response of cancer patients to interventions directed at lowering severity of multiple symptoms, and to compare two arms of a symptom management trial to determine factors associated with response and time to response. STUDY DESIGN AND

settingRandomized trial comparing a nurse-assisted symptom management (NASM) cognitive-behavioral intervention with an automated telephone symptom management (ATSM). Patients in both arms received six intervention contacts over 8 weeks. Analyses of the intervention contact data for 190 patients in NASM arm and 164 patients in the ATSM arm were conducted. Severities of 15 cancer-related symptoms were assessed at each intervention contact, and an anchor-based definition of response was adopted. Analyses were carried out using generalized estimating equations and Cox marginal proportional hazard models.

resultsWhen compared with patients in the NASM, patients in the ATSM had better response to manage anxiety, depression, poor appetite, cough, and fatigue. NASM was more successful in managing cancer pain. Response and time to response were associated with several patient and disease characteristics.

conclusionThe approach described here presents an analytic and clinical improvement over methods that examine each symptom separately or use summed scores of severity.

Indexed as

AdultAgedAge DistributionCognitive Behavioral TherapyData Interpretation, StatisticalFemaleHumansMiddle AgedNeoplasmsSeverity of Illness IndexTelephoneTreatment Outcome

Identifiers

PMID19124223
PMCPMC2743381
OpenAlexW2142351678

What OpenQuestion holds

Textmetadata
LicenceTDM
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.