Evidence map›Paper›PMID 21779227›Full record

ArticleBreast care (Basel, Switzerland)

Integrating Palliative Medicine into Comprehensive Breast Cancer Therapy - a Pilot Project.

Jan Gaertner, Rachel Wuerstlein, Ursula Klein, Dennis Scheicht, Sebastian Frechen, Jürgen Wolf, Martin Hellmich, Peter Mallmann, Nadia Harbeck, Raymond Voltz

Abstract read
In one paragraph

Article in Breast care (Basel, Switzerland). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Impact of the implementation of an embedded palliative care model in the continuum of care for patients with metastatic breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  3. Review
  4. Article
  5. Recommending early integration of palliative care - does it work?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
    Article
  6. Article
  7. Standardizing integration of palliative care into comprehensive cancer therapy--a disease specific approach.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2011
    Article
  8. 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

10 authors.

Jan GaertnerDepartment of Palliative Medicine, University Hospital, Cologne, Cologne, Germany.
Rachel Wuerstlein
Ursula Klein
Dennis Scheicht
Sebastian Frechen
Jürgen Wolf
Martin Hellmich
Peter Mallmann
Nadia Harbeck
Raymond Voltz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo comply with the World Health Organization (WHO) recommendations, our institution's administrative directives were adopted to advocate the provision of palliative care (PC) early in the disease trajectory of breast cancer (BC). To assess the outcome of this recommendation, this study evaluated the effects of this approach.

methodsA retrospective systematic chart analysis of a 2-year period was performed. The first PC consultation of patients was analyzed according to (a) physical condition, (b) symptom burden of the patients, and (c) reasons for PC consultation.

resultsMany patients were already in a reduced physical state and experienced burdening symptoms when first counselled by PC. After a 1-year experience with PC consultations, the number of burdening symptoms identified at first PC consultation decreased and senologists increasingly requested PC support also for non-somatic issues.

conclusionsA development towards a better understanding of PC competencies after a 1-year initiation period could be demonstrated, but BC patients continued to be in late stages of the disease at the time of first PC contact. Disease-specific guidelines may facilitate and optimize the integration of PC into breast cancer therapy.

Identifiers

PMID21779227
PMCPMC3132969

What OpenQuestion holds

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Registered trials

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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.