Evidence map›Paper›PMID 26099747›Full record

ReviewThe oncologist2015

Confronting Therapeutic Failure: A Conversation Guide.

Alicia K Morgans, Lidia Schapira

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The oncologist, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Proceedings of the seventh annual Women in Melanoma Conference.Therapeutic advances in medical oncology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Oncologists' negative attitudes towards expressing emotion over patient death and burnout.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Alicia K MorgansVanderbilt University Medical Center, Nashville, Tennessee, USA; Massachusetts General Hospital, Boston, Massachusetts, USA alicia.morgans@vanderbilt.edu.
Lidia SchapiraVanderbilt University Medical Center, Nashville, Tennessee, USA; Massachusetts General Hospital, Boston, Massachusetts, USA alicia.morgans@vanderbilt.edu.

Funding

The Vanderbilt PCOR Career Knowledge, Education and Training ProgramK12HS022990 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PENSON, DAVID F. · 2014 to 2018
$3.3M
AHRQ HHS K12 HS022990
6 · The paper itself

Abstract

We reflect on the impact of bad news on both clinician and patient in the setting of cancer treatment failure. We review the classic six-step SPIKES (setting, perception, invitation for information, knowledge, empathy, summarize and strategize) protocol for giving bad news that has been widely adopted since it was first published in this journal in 2005. The goal of such a conversation guide is to describe both the process and the tasks that constitute vital steps for clinicians and to comment on the emotional impact of the conversation on the clinician. Confronting therapeutic failure is the hardest task for oncologists. We offer practical tips derived from a thorough review of the evidence and our clinical experience.

Indexed as

NeoplasmsCommunicationHumansPrognosisTruth DisclosureBad newsClinician self-awarenessCommunicationCopingTherapeutic failure

Identifiers

PMID26099747
PMCPMC4524768

What OpenQuestion holds

Textmetadata
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.