Evidence map›Paper›PMID 28262086›Full record

Trial reportPalliative & supportive care2018

Interconnection: A qualitative analysis of adjusting to living with renal cell carcinoma.

Isabel Leal, Kathrin Milbury, Joan Engebretson, Surena Matin, Eric Jonasch, Nizar Tannir, Christopher G Wood, Lorenzo Cohen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative & supportive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

8 authors.

Isabel LealDepartment of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Kathrin MilburyDepartment of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Joan EngebretsonSchool of Nursing at the University of Texas Health Science Center,Houston,Texas.
Surena MatinDepartment of Urology, Division of Surgery,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Eric JonaschDepartment of Genitourinary Medical Oncology, Division of Cancer Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Nizar TannirDepartment of Genitourinary Medical Oncology, Division of Cancer Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Christopher G WoodDepartment of Urology, Division of Surgery,The University of Texas MD Anderson Cancer Center,Houston,Texas.
Lorenzo CohenDepartment of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.

Funding

Biobehavioral Effects of Emotional Expression in CancerR01CA090966 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI COHEN, LORENZO · 2002 to 2006
$2.5M
Couple-Based Mind-Body Program for Lung Cancer Patients and their PartnersK01AT007559 · NCCIH · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MILBURY, KATHRIN · 2013 to 2017
$652k
NCCIH NIH HHS K01 AT007559NCI NIH HHS R01 CA090966
6 · The paper itself

Abstract

ABSTRACTObjective:Adjusting to cancer is an ongoing process, yet few studies explore this adjustment from a qualitative perspective. The aim of our qualitative study was to understand how patients construct their experience of adjusting to living with cancer.

methodQualitative analysis was conducted of written narratives collected from four separate writing sessions as part of a larger expressive writing clinical trial with renal cell carcinoma patients. Thematic analysis and constant comparison were employed to code the primary patterns in the data into themes until thematic saturation was reached at 37 participants. A social constructivist perspective informed data interpretation.

resultsInterconnection described the overarching theme underlying the process of adjusting to cancer and involved four interrelated themes: (1) discontinuity-feelings of disconnection and loss following diagnosis; (2) reorientation-to the reality of cancer psychologically and physically; (3) rebuilding-struggling through existential distress to reconnect; and (4) expansion-finding meaning in interconnections with others. Participants related a dialectical movement in which disruption and loss catalyzed an ongoing process of finding meaning. SIGNIFICANCE OF

resultsOur findings suggest that adjusting to living with cancer is an ongoing, iterative, nonlinear process. The dynamic interactions between the different themes in this process describe the transformation of meaning as participants move through and revisit prior themes in response to fluctuating symptoms and medical news. It is important that clinicians recognize the dynamic and ongoing process of adjusting to cancer to support patients in addressing their unmet psychosocial needs throughout the changing illness trajectory.

Indexed as

Adaptation, PsychologicalAdultAgedCarcinoma, Renal CellFemaleHumansMaleMiddle AgedQualitative ResearchQuality of LifeStress, PsychologicalWritingAdjustmentExpressive writingKidney cancerMeaning-makingQualitative

Identifiers

PMID28262086
PMCPMC5587362

What OpenQuestion holds

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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.