Evidence map›Paper›PMID 28120113›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Assessment of the integration between oncology and palliative care in advanced stage cancer patients.

Caroline S Dos-Anjos, Priscila B M Candido, Victor D L Rosa, Rodrigo E Costa, Fernanda R C B Neves, André F Junqueira-Santos, Marysia M R P De-Carlo, Fernanda M Peria, Nereida K C Lima

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Performance Status as an Indicator for Palliative Care Referral.Clinical journal of oncology nursing · 2025
    Article
  2. Factors associated with palliative care referral among patients with advanced cancers: a retrospective analysis of a large Brazilian cohort.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    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 2 institutions in 1 country.

Caroline S Dos-AnjosDivision of Clinical Oncology, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Priscila B M CandidoDivision of Clinical Oncology, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Victor D L RosaDivision of Clinical Oncology, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Rodrigo E CostaGroup of Palliative Care, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Rua Mariano Casadio, 275, Jardim Canadá, Ribeirão Preto, SP, 14024-360, Brazil.
Fernanda R C B NevesGroup of Palliative Care, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Rua Mariano Casadio, 275, Jardim Canadá, Ribeirão Preto, SP, 14024-360, Brazil.
André F Junqueira-SantosGroup of Palliative Care, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Rua Mariano Casadio, 275, Jardim Canadá, Ribeirão Preto, SP, 14024-360, Brazil.
Marysia M R P De-CarloOccupational Therapy Course, Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Fernanda M PeriaDivision of Clinical Oncology, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Nereida K C LimaGroup of Palliative Care, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Rua Mariano Casadio, 275, Jardim Canadá, Ribeirão Preto, SP, 14024-360, Brazil. nereida@fmrp.usp.br.
Universidade de São Paulo · BRClinics Hospital of Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChemotherapy is indicated for patients with metastatic malignancy in order to improve quality of life and in some cases to increase survival. However, the greatest difficulty regarding the choice of treatment is to evaluate the clinical benefit and intrinsic toxicity of each procedure. The best strategy is the integration between oncology and palliative care, which is still mostly insufficient. The main objective of this study was to assess time to palliative care referral for cancer patients with advanced local or metastatic disease and to investigate the impact of covariates on this relationship.

methodsA retrospective, cross-sectional, observational pilot study was conducted on 286 patients divided into two groups, one consisting of metastatic patients and the other of non-metastatic patients at diagnosis. Karnofsky Performance Scale (KPS), setting, and survival time were evaluated.

resultsOne hundred eighteen patients (41.25%) were metastatic and 168 (58.74%) had locally advanced malignant disease. The median time of metastatic patient referral to the group of palliative care (GPC) was 5.3 months, with 39.8% referred earlier and 60.2% referred late (≥3 months). 60.2% of metastatic patients were referred to the GPC with a KPS <70% and 56% of non-metastatic patients were referred earlier and 44% after 3 months. There was improved survival only in metastatic patients referred to the GPC with a KPS ≥70% (p = 0.02).

conclusionsMany oncology patients were referred late to the GPC. A higher KPS was a risk factor for late referral because only severe patients were referred earlier. Metastatic patients referred with a KPS ≥70% had a longer survival.

Indexed as

Cross-Sectional StudiesFemaleHumansMaleMedical OncologyMiddle AgedNeoplasmsPalliative CarePilot ProjectsQuality of LifeRetrospective StudiesRisk FactorsSurvival RateMetastatic diseaseOncologyPalliative careSurvival

Identifiers

PMID28120113
OpenAlexW2581230776

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.