Evidence map›Paper›PMID 27757022›Full record

ArticlePatient preference and adherence2016

Individual difficulties and resources - a qualitative analysis in patients with advanced lung cancer and their relatives.

Anika Sparla, Sebastian Flach-Vorgang, Matthias Villalobos, Katja Krug, Martina Kamradt, Kadiatou Coulibaly, Joachim Szecsenyi, Michael Thomas, Sinikka Gusset-Bährer, Dominik Ose

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03518970 (Nursing Intervention to Manage Uncertainty in Illness in Palliative Care), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT03518970 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Nursing Intervention to Manage Uncertainty in Illness in Palliative Care: Feasibility and Acceptability Study in Family Caregivers

TypeinterventionalSponsorUniversidad Nacional de ColombiaRan2018 to 2019Enrolled60ConditionsUncertainty, Advanced Cancer, Family Members, Quality of LifeArmsNursing intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  9. Lung cancer and family-centered patient concerns.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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  11. 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

10 authors at 5 institutions in 2 countries.

Anika SparlaDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Sebastian Flach-VorgangDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Matthias VillalobosInternistische Onkologie der Thoraxtumoren, Thoraxklinik im Universitätsklinikum Heidelberg, Translational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research, Heidelberg, Germany.
Katja KrugDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Martina KamradtDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Kadiatou CoulibalyDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Joachim SzecsenyiDepartment of General Practice and Health Services Research, Heidelberg University Hospital.
Michael ThomasInternistische Onkologie der Thoraxtumoren, Thoraxklinik im Universitätsklinikum Heidelberg, Translational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research, Heidelberg, Germany.
Sinikka Gusset-BährerInternistische Onkologie der Thoraxtumoren, Thoraxklinik im Universitätsklinikum Heidelberg, Translational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research, Heidelberg, Germany.
Dominik OseDepartment of General Practice and Health Services Research, Heidelberg University Hospital; University of Utah, Department of Population Health Sciences, Health System Innovation and Research, Salt Lake City, UT, USA.
Heidelberg University · USUniversity Hospital Heidelberg · DEHeidelberg University · DEPraxis für Hämatologie und Onkologie · DEUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLung cancer is a disease with a high percentage of patients diagnosed in an advanced stage. In a situation of palliative treatment, both patients and their relatives experience diverse types of distress and burden. Little research has been done to identify the individual difficulties and resources for patients with advanced lung cancer and their relatives. Especially, standardized questionnaire-based exploration may not assess the specific distressing issues that pertain to each individual on a personal level. The purpose of this qualitative study is to explore and compare individual difficulties and resources for lung cancer patients and their relatives within the palliative care context.

methodsData were collected by qualitative interviews. A total of 18 participants, nine patients diagnosed with advanced lung cancer (International Classification of Diseases, tenth edition, diagnosis C-34, stage IV) starting or receiving palliative treatment and nine relatives, were interviewed. Data were interpreted through qualitative content analysis.

resultsWe identified four main categories of difficulties: communication and conflicts, home and everyday life, thinking about cancer, and treatment trajectory. In general, difficulties were related to interpersonal relationships as well as to impact of chemotherapy. Family, professional caregivers, and social life were significant resources and offered support to both patients and relatives.

conclusionResults suggest that patient and relative education could reduce difficulties in several areas. Patients seem to struggle with the fear of not having any perspective in therapy. Relatives seem to experience helplessness regarding their partner's deterioration and have to handle their own life and the care work simultaneously. The most important resource for both patients and relatives is their family. In addition, professional lung cancer nurses support relatives in an emotional and organizational way. Intense supportive care for relatives should be standardized.

Indexed as

difficultieshealth services researchinoperable lung cancerpalliative carequalitative researchresources

Identifiers

PMID27757022
PMCPMC5055045
OpenAlexW2529458408

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.