Evidence map›Paper›PMID 25872938›Full record

ArticleBMJ open2015

Inner conflict in patients receiving oral anticancer agents: a qualitative study.

Kaori Yagasaki, Hiroko Komatsu, Tsunehiro Takahashi

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Self-care behaviors in patients with cancer treated with oral anticancer agents: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Pooled it
  5. Article
  6. The relationship between medication beliefs, patient activation, and self-rated health in patients taking oral anticancer agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  7. Article
  8. Article
  9. User acceptance of an app-based adherence intervention: Perspectives from patients taking oral anticancer medications.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2019
    Article
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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

3 authors at 1 institution in 1 country.

Kaori YagasakiFaculty of Nursing and Medical Care, Keio University, Tokyo, Japan.ORCID 0000-0002-6814-9894
Hiroko KomatsuFaculty of Nursing and Medical Care, Keio University, Tokyo, Japan.
Tsunehiro TakahashiDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the experiences of patients receiving oral anticancer agents.

designA qualitative study using semistructured interviews with a grounded theory approach.

settingA university hospital in Japan.

participants14 patients with gastric cancer who managed their cancer with oral anticancer agents.

resultsPatients with cancer experienced inner conflict between rational belief and emotional resistance to taking medication due to confrontation with cancer, doubt regarding efficacy and concerns over potential harm attached to use of the agent. Although they perceived themselves as being adherent to medication, they reported partial non-adherent behaviours. The patients reassessed their lives through the experience of inner conflict and, ultimately, they recognised their role in medication therapy.

conclusionsPatients with cancer experienced inner conflict, in which considerable emotional resistance to taking their medication affected their occasional non-adherent behaviours. In patient-centred care, it is imperative that healthcare providers understand patients' inner conflict and inconsistency between their subjective view and behaviour to support patient adherence.

Indexed as

Conflict, PsychologicalAdministration, OralAdultAgedAged, 80 and overAntineoplastic AgentsFemaleGrounded TheoryHumansJapanMaleMedication AdherenceMiddle AgedQualitative ResearchStomach NeoplasmsAntineoplastic AgentsCHEMOTHERAPYORAL MEDICINEQUALITATIVE RESEARCH

Identifiers

PMID25872938
PMCPMC4401846
OpenAlexW2322544914

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.