Evidence map›Paper›PMID 20122026›Full record

Trial reportJournal of the American Geriatrics Society2009

The role of primary care physicians in advanced cancer care: perspectives of older patients and their oncologists.

Elizabeth O'Toole, Mary M Step, Kathryn Engelhardt, Steven Lewis, Julia Hannum Rose

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.3field-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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Myths and Presumptions About Cancer Survivorship.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Depression and use of health care services in patients with advanced cancer.Canadian family physician Medecin de famille canadien · 2013
    Article
  10. Article
  11. Review
  12. Shared Care During Breast and Colorectal Cancer Treatment: Is It Associated With Patient-Reported Care Quality?Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    Article
  13. When Primary Care Providers (PCPs) Help Patients Choose Prostate Cancer Treatment.Journal of the American Board of Family Medicine : JABFM
    Article
  14. 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.

Elizabeth O'TooleCase Western Reserve University School of Medicine, Cleveland, Ohio, USA. exo5@cwru.edu
Mary M Step
Kathryn Engelhardt
Steven Lewis
Julia Hannum Rose
Case Western Reserve University · USMetroHealth Medical Center · US

Funding

SUPPRESSIVE ROLE OF ANDROGEN RESPONSE GENE CALRETICULINR25CA090355 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI ROSE, JULIA H · 2001 to 2010
$4.7M
Aging and Supportive Care in Advanced CancerR01CA102828 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI ROSE, JULIA H · 2003 to 2007
$3.2M
NCI NIH HHS R01-CA10282NCI NIH HHS R01 CA102828NCI NIH HHS R25 CA090355
6 · The paper itself

Abstract

objectivesTo examine data from advanced cancer patients and their oncologists regarding patient age-related differences in patient and oncologist perspectives on involvement of primary care physicians (PCPs) in aspects of cancer management.

designRandomized controlled trial of a support intervention for patients with late-stage cancer treated in two teaching hospital-based cancer clinics caring for underserved populations.

participantsThree hundred fifty-seven patients who had an oncologist and PCP enrolled 2 to 3 months after an advanced cancer diagnosis. MEASUREMENTS: Sociodemographic data and structured interviews were used to assess patients' perceptions of PCP involvement in care discussions and decision-making and satisfaction with that involvement, oncologists' beliefs about how involved PCPs should be in these discussions and decisions, and their shared care practices.

resultsOlder patients (>or=65) were more likely to have a PCP (P=.02). Patients reported a broad range of perceived PCP involvement and satisfaction with that involvement. Greater involvement was associated with greater satisfaction (P<.001). Half of oncologists reported themselves as PCP for more than 25% of their patients. Approximately half of oncologists reported that more older than younger patients had PCPs, yet only 20% reported differences in PCP involvement or in their communication with PCPs for older late-stage patients.

conclusionResults support involvement of PCPs in advanced cancer care and demonstrate variable perspectives on PCP involvement. Matching patient preferences and practices may improve satisfaction. Clarification of elements in the partnership between patients, PCPs, and oncologists will inform efforts to optimally care for older patients with advanced cancer.

Indexed as

Attitude of Health PersonnelMedical OncologyPatient PreferencePhysician's RolePrimary Health CareAdultAdvance Care PlanningAgedAged, 80 and overAge FactorsCommunicationFemaleHumansMaleMiddle AgedNeoplasms

Identifiers

PMID20122026
PMCPMC10081005
OpenAlexW1536602950

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.