Evidence map›Paper›PMID 20194254›Full record

ArticleArchives of pediatrics & adolescent medicine2010

Palliative care of children with brain tumors: a parental perspective.

Shayna Zelcer, Danielle Cataudella, A Elizabeth L Cairney, Susan L Bannister

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Article in Archives of pediatrics & adolescent medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  5. Pooled it
  6. Hope in Pediatric Palliative Care: A Systematic Review.Children (Basel, Switzerland) · 2026
    Review
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  13. Palliative care for children with central nervous system tumors: results of a Spanish multicenter study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Shayna ZelcerPediatric Hematology Oncology, Children's Hospital, London Health Sciences Center, 800 Commissioners Road E, London, Ontario, Canada. shayna.zelcer@lhsc.on.ca
Danielle Cataudella
A Elizabeth L Cairney
Susan L Bannister

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the end-of-life experience of children with brain tumors and their families.

designQualitative analysis of focus group interviews.

settingChildren's Hospital, London Health Sciences Center.

participantsTwenty-five parents of 17 children who had died of brain tumors.

interventionParents participated in 3 semistructured focus group interviews.

main outcome measuresThemes identified through thematic analysis of interview transcripts.

resultsQualitative analysis identified 3 primary themes. (1) Parents described the dying trajectory of their child as characterized by progressive neurologic deterioration, with the loss of the ability to communicate as a turning point. Parental coping mechanisms included striving to maintain normality and finding spiritual strength through maintaining hope and in the resilience of their child. (2) Parental struggles during this phase included balancing competing responsibilities and speaking with their child about death. (3) Barriers to achieving a home death included suboptimal symptom management, financial and practical hardships, and inadequate community support. A fourth, secondary theme concerned the therapeutic benefits of the interview.

conclusionThe neurologic deterioration that characterizes the dying trajectory of children with brain tumors may create significant challenges for health care professionals and the children's parents, supporting the need for increased awareness of the distinct issues in the palliative care of children with brain tumors and for early anticipatory guidance provided for families.

Indexed as

Attitude to DeathPalliative CareParentsActivities of Daily LivingAdaptation, PsychologicalAdolescentAdultBrain NeoplasmsChildChild, PreschoolFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHome Care ServicesHumansInfant

Identifiers

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.