Evidence map›Paper›PMID 21539700›Full record

ArticlePain medicine (Malden, Mass.)2011

The relationships among pain, nonpain symptoms, and quality of life measures in older adults with cancer receiving hospice care.

Brianne Black, Keela Herr, Perry Fine, Sara Sanders, Xiongwen Tang, Kimberly Bergen-Jackson, Marita Titler, Chris Forcucci

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.5field-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

25 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Observational
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  4. Article
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Decreasing Trends in Opioid Prescribing on Discharge to Hospice Care.Journal of pain and symptom management · 2021
    Article
  12. Review
  13. Racial differences in symptom management experiences during breast cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  14. Pain, Sleep Disturbance, and Quality of Life Among Palestinian Patients Diagnosed with Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2016
    Article
  15. Article
  16. Breakthrough cancer pain: a comparison of surveys with European and Canadian patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Article
  17. Article
  18. Article
  19. Review
  20. 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

8 authors at 4 institutions in 2 countries.

Brianne BlackCollege of Nursing, University of Iowa, Iowa City, Iowa 52242, USA.
Keela Herr
Perry Fine
Sara Sanders
Xiongwen Tang
Kimberly Bergen-Jackson
Marita Titler
Chris Forcucci
Okinawa Prefectural College of Nursing · JPUniversity of Iowa · USUniversity of Michigan–Ann Arbor · USUniversity of Utah · US

Funding

Cancer Pain in Elders: Promoting EBPs in HospicesR01CA115363 · NCI · UNIVERSITY OF IOWA · PI HERR, KEELA A · 2005 to 2010
$2.7M
NCI NIH HHS R01 CA115363NCI NIH HHS R01CA115363
6 · The paper itself

Abstract

objectiveGathering firsthand or reported information about patients in the final stages of terminal cancer is difficult due to patient frailty, cognitive impairment, excessive fatigue, and severity of illness, as well as gatekeeping by hospice providers and caregivers, and highly variable documentation practices. We sought to further understand and elucidate end-of-life experiences in older cancer patients through the application of validated tools employed in the hospice setting. This article summarizes data collected about pain, non-pain symptoms, and other aspects of quality of life (QOL) as reported by older hospice patients or by their caregivers during the 2 weeks of hospice care.

designData was collected from an ongoing Institutional Human Subjects Review Board-approved research project with 94 older adults with cancer or their caregivers receiving service in a home setting from 14 Midwestern hospices. Participants completed one or two telephone interviews. Instruments used to gather information include the Brief Pain Inventory and the Brief Hospice Inventory.

resultsData analysis showed mean "worst pain" ratings significantly decreased from Interview 1 to Interview 2, and pain reports were significantly correlated with fatigue, anxiety, appetite, comfort, symptom control, and overall QOL.

conclusionsOur findings reinforce previously held views that older patients with cancer experience pain and non-pain symptoms. And both pain and non-pain symptoms can impact and confound the treatment of other symptoms and interfere with the patient's overall QOL. The results of this study support the assertion that hospice care can have a positive impact on pain severity and related suffering, as well as patient QOL as death approaches.

Indexed as

Quality of LifeAdultAgedAged, 80 and overCaregiversFemaleHospice CareHumansMaleMiddle AgedNeoplasmsPainPain MeasurementSurveys and Questionnaires

Identifiers

PMID21539700
PMCPMC3117028
OpenAlexW1580669466

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.