Evidence map›Paper›PMID 23972474›Full record

ReviewBreast (Edinburgh, Scotland)2013

Supportive and palliative care for metastatic breast cancer: resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.

James Cleary, Henry Ddungu, Sandra R Distelhorst, Carla Ripamonti, Gary M Rodin, Mohammad A Bushnaq, Joe N Clegg-Lamptey, Stephen R Connor, Msemo B Diwani, Alexandru Eniu and 6 more

Open access · greenAbstract readConsensus StatementReview
In one paragraph

Review in Breast (Edinburgh, Scotland), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Role of supportive care in improving the quality of life and reducing unscheduled hospital care in patients with metastatic breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The relationship between economic characteristics and health-related quality of life in newly diagnosed cancer patients in Southeast Asia: results from an observational study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015
    Observational
  18. Review
  19. Biomaterial scaffolds for treating osteoporotic bone.Current osteoporosis reports · 2014
    Review
  20. 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

16 authors at 10 institutions in 8 countries.

James ClearyUniversity of Wisconsin Comprehensive Cancer Center, Madison, WI, USA.
Henry Ddungu
Sandra R Distelhorst
Carla Ripamonti
Gary M Rodin
Mohammad A Bushnaq
Joe N Clegg-Lamptey
Stephen R Connor
Msemo B Diwani
Alexandru Eniu
Joe B Harford
Suresh Kumar
M R Rajagopal
Beti Thompson
Julie R Gralow
Benjamin O Anderson
Fred Hutch Cancer Center · USPallium India · INFondazione IRCCS Istituto Nazionale dei Tumori · ITInstitute of Oncology Prof. Dr. Ion Chiricuta · RONational Cancer Institute · USOcean Road Cancer Institute · TZOpen Society Foundations · USPrincess Margaret Cancer Centre · CAUniversity of Ghana · GHUniversity of Washington · US

Funding

Northern/Pacific Universities Global Health Research Training ConsortiumR25TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI KOLARS, JOSEPH C., NERURKAR, VIVEK RAMCHANDRA · 2012 to 2016
$5.9M
FIC NIH HHS R25 TW009345NICHD NIH HHS HHSN275200900087U
6 · The paper itself

Abstract

Many women diagnosed with breast cancer in low- and middle-income countries (LMICs) present with advanced-stage disease. While cure is not a realistic outcome, site-specific interventions, supportive care, and palliative care can achieve meaningful outcomes and improve quality of life. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert international panel identified thirteen key resource recommendations for supportive and palliative care for metastatic breast cancer. The recommendations are presented in three resource-stratified tables: health system resource allocations, resource allocations for organ-based metastatic breast cancer, and resource allocations for palliative care. These tables illustrate how health systems can provide supportive and palliative care services for patients at a basic level of available resources, and incrementally add services as more resources become available. The health systems table includes health professional education, patient and family education, palliative care models, and diagnostic testing. The metastatic disease management table provides recommendations for supportive care for bone, brain, liver, lung, and skin metastases as well as bowel obstruction. The third table includes the palliative care recommendations: pain management, and psychosocial and spiritual aspects of care. The panel considered pain management a priority at a basic level of resource allocation and emphasized the need for morphine to be easily available in LMICs. Regular pain assessments and the proper use of pharmacologic and non-pharmacologic interventions are recommended. Basic-level resources for psychosocial and spiritual aspects of care include health professional and patient and family education, as well as patient support, including community-based peer support.

Indexed as

Developing CountriesPalliative CareResource AllocationBone NeoplasmsBrain NeoplasmsBreast NeoplasmsFemaleHealth PersonnelHumansIntestinal ObstructionLiver NeoplasmsLung NeoplasmsNeoplasm MetastasisPain ManagementPatient Education as TopicSkin NeoplasmsLow- and middle-income countriesMetastatic breast cancerPalliative careResource allocationsSite-specific metastasisSupportive care

Identifiers

PMID23972474
PMCPMC7442958
OpenAlexW2040018931

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.