Evidence map›Paper›PMID 25194877›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015

Correlates of a good death and the impact of hospice involvement: findings from the national survey of households affected by cancer.

John G Cagle, Jolynn Pek, Maggie Clifford, Jack Guralnik, Sheryl Zimmerman

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.5field-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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Culture and Sanity at the End of Life.Journal of the American Geriatrics Society · 2019
    Article
  11. Priorities of a "good death" according to cancer patients, their family caregivers, physicians, and the general population: a nationwide survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  12. Observational
  13. Article
  14. Elements of healthy death: a thematic analysis.Medical journal of the Islamic Republic of Iran
    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 4 institutions in 3 countries.

John G CagleSchool of Social Work, University of Maryland, 525West Redwood Street, 3W13, Baltimore, MD, 21201, USA, jcagle@ssw.umaryland.edu.
Jolynn Pek
Maggie Clifford
Jack Guralnik
Sheryl Zimmerman
University of Maryland, Baltimore · USFlorida State University · USUniversity of North Carolina at Chapel Hill · USYork University · CA

Funding

PREDOCTORAL/POSTDOCTORAL TRAINING HLTH CARE AGING REST32AG000272 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DILWORTH-ANDERSON, PEGGYE · 2001 to 2013
$2.3M
NIA NIH HHS 2T32AG000272NIA NIH HHS T32 AG000272
6 · The paper itself

Abstract

purposeKnowing how to improve the dying experience for patients with end-stage cancer is essential for cancer professionals. However, there is little evidence on the relationship between clinically relevant factors and quality of death. Also, while hospice has been linked with improved outcomes, our understanding of factors that contribute to a "good death" when hospice is involved remains limited. This study (1) identified correlates of a good death and (2) provided evidence on the impact of hospice on quality of death.

methodsUsing data from a survey of US households affected by cancer (N = 930, response rate 51 %), we fit regression models with a subsample of 158 respondents who had experienced the death of a family member with cancer. Measures included quality of death (good/bad) and clinically relevant factors including: hospice involvement, symptoms during treatment, whether wishes were followed, provider knowledge/expertise, and compassion.

resultsRespondents were 60 % female, 89 % White, and averaged 57 years old. Decedents were most often a respondent's spouse (46 %). While 73 % of respondents reported a good death, Hispanics were less likely to experience good death (p = 0.007). Clinically relevant factors, including hospice, were associated with good death (p < 0.05)--an exception being whether the physician said the cancer was curable/fatal. With adjustments, perceptions of provider knowledge/expertise was the only clinical factor that remained associated with good death.

conclusionsEnhanced provider training/communication, referrals to hospice and greater attention to symptom management may facilitate improved quality of dying. Additionally, the cultural relevance of the concept of a "good death" warrants further research.

Indexed as

DeathFamilyAdultAgedAged, 80 and overAttitude to DeathCommunicationCultureData CollectionFemaleHospice CareHospicesHumansMaleMiddle AgedNeoplasms

Identifiers

PMID25194877
PMCPMC5484523
OpenAlexW2133675548

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.