Evidence map›Paper›PMID 26476627›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

"Undressing" distress among cancer patients living in urban, regional, and remote locations in Western Australia.

Kaaren J Watts, Louise H Good, Sandy McKiernan, Lisa Miller, Moira O'Connor, Robert Kane, Deborah J Kruger, Bree R Adams, Toni Musiello

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 31% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Survivorship care plans and information for rural cancer survivors.Journal of cancer survivorship : research and practice · 2023
    Article
  7. Observational
  8. Article
  9. Article
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  11. The health professionals' perspectives of support needs of adult head and neck cancer survivors and their families: a Delphi study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  12. 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

9 authors at 4 institutions in 1 country.

Kaaren J WattsCancer Council Western Australia, 420 Bagot Road, Subiaco, WA, 6008, Australia. kwatts@cancerwa.asn.au.
Louise H GoodCancer Council Western Australia, 420 Bagot Road, Subiaco, WA, 6008, Australia.
Sandy McKiernanCancer Council Western Australia, 420 Bagot Road, Subiaco, WA, 6008, Australia.
Lisa MillerDepartment of Consultation Liaison Psychiatry, Sir Charles Gairdner Hospital, Nedlands, WA, 6009, Australia.
Moira O'ConnorSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
Robert KaneSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
Deborah J KrugerCancer Council Western Australia, 420 Bagot Road, Subiaco, WA, 6008, Australia.
Bree R AdamsCancer Council Western Australia, 420 Bagot Road, Subiaco, WA, 6008, Australia.
Toni MusielloSchool of Surgery, University of Western Australia, Crawley, WA, 6009, Australia.
Cancer Council Western Australia · AUCurtin University · AUSir Charles Gairdner Hospital · AUUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePeople diagnosed with cancer from rural and remote locations may experience heightened distress because of distance from cancer treatment and support services. We examined whether remoteness and other factors are associated with psychosocial distress and explored commonly reported problems among cancer patients in Western Australia (WA).

methodsIn a cross-sectional study, cancer patients newly referred to a Cancer Council WA Cancer Support Coordinator (CSC) were screened and assessed using the Distress Thermometer (DT) and Problem List (PL) and a standardized form, respectively. The index of remoteness was the Australian Standard Geographical Classification. The association between remoteness, demographic variables, and the frequency of problems endorsed on the PL was analyzed using bivariate analyses and a generalized linear mixed model (GLMM) regression.

resultsOf 1032 patients referred to a CSC, 466 were screened (45.2 %) with complete data available for 441 patients. Patients from remote areas reported fewer problems than patients from urban and regional locations. Increasing remoteness was not associated with higher distress (r = -0.04, p = 0.43). Concerns reported differed by remoteness category and included worry, sadness, fears, finances, transportation, and physical symptoms. More emotional problems were independently associated with higher distress (β = 0.47, p < 0.001), explaining 17.31 % of the variance.

conclusionsThere is no evidence that increasing remoteness is associated with higher distress. Emotional concerns and physical problems appear to be prevalent among cancer patients irrespective of urban or rural location. Specific concerns detected by distress screening, particularly emotional concerns, may warrant further assessment and targeted referrals.

Indexed as

Stress, PsychologicalAgedCross-Sectional StudiesFearFemaleHealth Services AccessibilityHumansMaleMiddle AgedNeoplasmsPrevalenceRural PopulationSocial SupportStatistics as TopicUrban PopulationWestern AustraliaCancerDistress screeningOncologyPatientsPsychosocial needs

Identifiers

PMID26476627
OpenAlexW1787313642

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Registered trials

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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.