Evidence map›Paper›PMID 26549596›Full record

SynthesisJournal of pain and symptom management2016

Interpreting at the End of Life: A Systematic Review of the Impact of Interpreters on the Delivery of Palliative Care Services to Cancer Patients With Limited English Proficiency.

Milagros D Silva, Margaux Genoff, Alexandra Zaballa, Sarah Jewell, Stacy Stabler, Francesca M Gany, Lisa C Diamond

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of pain and symptom management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 5 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

91 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Strategies to promote the completion of patient-reported outcome measures by culturally and linguistically diverse and Indigenous Peoples in clinical care settings: A systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Systematic Review of Pain Research Among Limited English Proficiency Patient Populations in Health care.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024
    Pooled it
  3. Pooled it
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  5. Guideline
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  11. Review
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  14. Codesigning the iCanPlan Program to promote advance care planning among consumers from ethnic minority backgrounds in cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  15. Review
  16. Article
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  20. "Interpreters don't tell you everything": experiences with medical interpretation among Latino cancer patients and caregivers with limited English proficiency.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article

31 more citing papers are in PubMed but not listed here.

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

7 authors.

Milagros D SilvaDepartment of Geriatrics and Palliative Medicine, Weill Cornell Medical Center, New York, New York, USA. Electronic address: mis9202@med.cornell.edu.
Margaux GenoffImmigrant Health and Cancer Disparities Service, Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Alexandra ZaballaUniversity of Washington School of Medicine, Seattle, Washington, USA.
Sarah JewellMedical Library, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Stacy StablerDepartment of Palliative Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Francesca M GanyDepartment of Healthcare Policy and Research, Weill Cornell Medical Center, New York, New York, USA; Immigrant Health and Cancer Disparities Service, Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Lisa C DiamondDepartment of Healthcare Policy and Research, Weill Cornell Medical Center, New York, New York, USA; Immigrant Health and Cancer Disparities Service, Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA; Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

contextLanguage barriers can influence the health quality and outcomes of limited English proficiency (LEP) patients at end of life, including symptom assessment and utilization of hospice services.

objectivesTo determine how professional medical interpreters influence the delivery of palliative care services to LEP patients.

methodsWe conducted a systematic review of the literature in all available languages of six databases from 1960 to 2014. Studies evaluated use of language services for LEP patients who received palliative care services. Data were abstracted from 10 articles and collected on study design, size, comparison groups, outcomes, and interpreter characteristics.

resultsSix qualitative and four quantitative studies assessed the use of interpreters in palliative care. All studies found that the quality of care provided to LEP patients receiving palliative services is influenced by the type of interpreter used. When professional interpreters were not used, LEP patients and families had inadequate understanding about diagnosis and prognosis during goals of care conversations, and patients had worse symptom management at the end of life, including pain and anxiety. Half of the studies concluded that professional interpreters were not used adequately, and several studies suggested that premeetings between clinicians and interpreters were important to discuss topics and terminology to be used during goals of care discussions.

conclusionLEP patients had worse quality of end-of-life care and goals of care discussions when professional interpreters were not used. More intervention studies are needed to improve the quality of care provided to LEP patients and families receiving palliative services.

Indexed as

Communication BarriersTranslatingHealth PersonnelHumansNeoplasmsPalliative CarePatient Care TeamTerminal CareCancerend of lifehospiceinterpreter uselimited English proficiencynon-English-speaking patientspalliative care

Identifiers

PMID26549596
PMCPMC4955824

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.