Evidence map›Paper›PMID 27169701›Full record

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

Exceptional patients and communication in cancer care-are we missing another survival factor?

Moshe Frenkel, Joan C Engebretson, Sky Gross, Noemi E Peterson, Ariela Popper Giveon, Kenneth Sapire, Doron Hermoni

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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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Exceptional Survival Among Kentucky Stage IV Non-small Cell Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
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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

7 authors at 5 institutions in 2 countries.

Moshe FrenkelThe Integrative Medicine Program, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. frenkelm@netvision.net.il.
Joan C EngebretsonSchool of Nursing, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Sky GrossThe Minerva Center for End-of-Life Studies, Tel Aviv University, Tel Aviv, Israel.
Noemi E PetersonSchool of Nursing, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Ariela Popper GiveonDavid Yellin Academic College, Jerusalem, Israel.
Kenneth SapireDepartment of Anesthesiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Doron HermoniDepartment of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University and Sharon-Shomron District, Clalit Health Services, Tel Aviv, Israel.
The University of Texas Health Science Center at Houston · USThe University of Texas MD Anderson Cancer Center · USClalit Health Services · ILDavid Yellin College of Education · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is increased awareness of the issue of exceptional survival beyond expectations among cancer patients with poor prognosis, and researchers are starting to look closely at this phenomenon. In this study, we explored the perceptions of these "exceptional patients" as to their understanding and insight into their unusual experience.

methodsWe used a qualitative approach consisting of in-depth, open-ended interviews with exceptional patients in two locations, Texas and Israel, from 2007 to 2014. The interviews were audio-recorded and qualitatively analyzed, and gave rise to illness narratives entailing detailed descriptions of patients experience over the course of their disease and treatment. A qualitative content analysis focusing on contextual meaning was utilized.

resultsTwenty-nine patients participated in our study. The mean years since diagnosis was 9.55 years (range, 4-23 years). All patients had received conventional treatment, including surgery, chemotherapy, and radiation therapy. One of the prevailing themes in these interviews was related to the patient-doctor relationship. Most participants mentioned that the support they received from one or more physicians was a crucial factor for their exceptional survival.

conclusionThe significance of patient-doctor relationship in cancer survival requires further research. This research is especially important as it adds to the current trend of patient centered care and points to the added value of relationship between health providers and patients. This relationship, as perceived by these exceptional patients, can be a factor that adds to improved survival in cancer care.

Indexed as

AdultAgedAged, 80 and overCommunicationFemaleHumansMaleMiddle AgedNeoplasmsPatient-Centered CarePhysician-Patient RelationsCancer careCancer prognosisCancer survivalExceptional patientExceptional physicianPatient-doctor communicationRemarkable recovery

Identifiers

PMID27169701
OpenAlexW2360369792

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.