Evidence map›Paper›PMID 19838742›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2010

Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?

Kathryn I Pollak, Robert Arnold, Stewart C Alexander, Amy S Jeffreys, Maren K Olsen, Amy P Abernethy, Keri L Rodriguez, James A Tulsky

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 89% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Oncologists' responses to patient and caregiver negative emotions and patient perception of quality of communication: results from a multi-ethnic Asian setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  8. In search of compassion: a new taxonomy of compassionate physician behaviours.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  9. Review
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

8 authors at 5 institutions in 1 country.

Kathryn I PollakDuke Comprehensive Cancer Center, Cancer Prevention, Detection and Control Research Program, Duke University School of Medicine, Durham, USA. kathryn.pollak@duke.edu
Robert Arnold
Stewart C Alexander
Amy S Jeffreys
Maren K Olsen
Amy P Abernethy
Keri L Rodriguez
James A Tulsky
Duke University · USDuke University Hospital · USUniversity of Pittsburgh · USDuke Medical Center · USDurham VA Medical Center · US

Funding

Enhancing Patient-Oncologist CommunicationR01CA100387 · NCI · DUKE UNIVERSITY · PI POLLAK, KATHRYN I · 2003 to 2013
$6.1M
NCI NIH HHS R01 CA100387NCI NIH HHS R01CA100387
6 · The paper itself

Abstract

purposeMost patients with advanced cancer experience negative emotion. When patients express emotions, oncologists rarely respond empathically. Oncologists may respond more empathically to some patients, and patients may perceive different levels of empathy and trust given past documentation of disparities in cancer care.

methodsWe audio-recorded 264 outpatient encounters between oncologists and patients with advanced cancer at three sites. We examined whether patient gender, age, race, marital status, education, economic security, and length of relationship with oncologist were related to oncologist empathic responses to patient's negative emotion and patient's perceptions of oncologist empathy and trust.

resultsHalf (51%) of the patients expressed a negative emotion. Oncologists sometimes responded with empathy (29%). Oncologists were equally empathic with all patients, except they were more empathic with patients with low economic security compared with those reporting high economic security (p = .002). Patients with low economic security viewed oncologists as more empathic (p = .06) compared with those with moderate security. Married patients also viewed oncologists as more empathic (p = .04). Patients who knew their oncologist for more than a year had more trust than patients who knew their oncologists for less time (p = .02).

conclusionsOncologists, in general, did not respond empathically to patient's negative emotion, and did this equally for most patients. Oncologists responded more empathically to patients who were less economically advantaged. In turn, patients with lower economic security perceived more empathy. Although oncologists need more education in responding empathically, they may not need to correct many biases in care.

Indexed as

Attitude of Health PersonnelEmpathyPhysician-Patient RelationsAdultAgedEmotionsFemaleHumansMaleMarital StatusMedical OncologyMiddle AgedNeoplasmsPerceptionSocioeconomic FactorsTape Recording

Identifiers

PMID19838742
PMCPMC3371388
OpenAlexW2009575381

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.