Evidence map›Paper›PMID 25645124›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2016

Valued life abilities among veteran cancer survivors.

Michele J Karel, Elizabeth A Mulligan, Annette Walder, Lindsey A Martin, Jennifer Moye, Aanand D Naik

Abstract readComparative Study
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Changes over Time in Patient Stated Values and Treatment Preferences Regarding Aggressive Therapies: Insights from the DECIDE-LVAD Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Trial
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  12. Integrated Model for Patient-Centered Advanced Liver Disease Care.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Review
  13. Observational
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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

6 authors.

Michele J KarelMental Health Service, VA Boston Healthcare System, Boston, MA, USA.
Elizabeth A MulliganMental Health Service, VA Boston Healthcare System, Boston, MA, USA.
Annette WalderHouston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Lindsey A MartinHouston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Jennifer MoyeMental Health Service, VA Boston Healthcare System, Boston, MA, USA.
Aanand D NaikHouston VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA.ORCID 0000-0001-6936-7984

Funding

Veterans? Cancer Rehabilitation StudyI01RX000104 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MOYE, JENNIFER A · 2009 to 2014
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Intramural VA VA999999RRD VA I01 RX000104
6 · The paper itself

Abstract

backgroundWhen patients have multiple chronic illnesses, it is not feasible to provide disease-based care when treatments for one condition adversely affect another. Instead, health-care delivery requires a broader person-centred treatment plan based on collaborative, patient-oriented values and goals.

objectiveWe examined the individual variability, thematic content, and sociodemographic correlates of valued life abilities and activities among multimorbid veterans diagnosed with life-altering cancer. SETTING AND

participantsParticipants were 144 veterans in the 'Vet-Cares' study who completed a health-care values and goals scale 12 months after diagnosis of head and neck, gastro-oesophageal, or colorectal cancer. They had mean age of 65 years and one quarter identified as Hispanic and/or African American.

designAt twelve months post-diagnosis, participants rated 16 life abilities/activities in their importance to quality of life on a 10-point Likert scale, during an in-person interview. Scale themes were validated via exploratory factor analysis and examining associations with sociodemographic variables.

resultsParticipants rated most life abilities/activities as extremely important. Variability in responses was sufficient to identify three underlying values themes in exploratory factor analysis: self-sufficiency, enjoyment/comfort, and connection to family, friends and spirituality. Veterans with a spouse/partner rated self-sufficiency as less important. African American veterans rated connection as more important than did White veterans.

conclusionsIt is feasible yet challenging to ask older, multimorbid patients to rate relative importance of values associated with life abilities/activities. Themes related to self-sufficiency, enjoyment/comfort in daily life and connection are salient and logically consistent with sociodemographic traits. Future studies should explore their role in goal-directed health care.

Indexed as

Quality of LifeActivities of Daily LivingAgedAged, 80 and overBlack or African AmericanCancer SurvivorsComorbidityFactor Analysis, StatisticalFemaleHispanic or LatinoHumansInterviews as TopicLongitudinal StudiesMaleMiddle AgedNeoplasmscancer survivorsgoal oriented careolder adultspatient centered carequality of lifevalues clarification

Identifiers

PMID25645124
PMCPMC4869069

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.