Evidence map›Paper›PMID 28783424›Full record

ArticleJournal of oncology practice2017

Practice Patterns, Attitudes, and Barriers to Palliative Care Consultation by Gynecologic Oncologists.

Alexandre Buckley de Meritens, Benjamin Margolis, Craig Blinderman, Holly G Prigerson, Paul K Maciejewski, Megan J Shen, June Y Hou, William M Burke, Jason D Wright, Ana I Tergas

Open access · bronzeAbstract read
In one paragraph

Article in Journal of oncology practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Association between the timing of palliative care consultation and end-of-life outcomes in patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  8. "It doesn't really apply to what I'm going through": a mixed-methods study of barriers to palliative care among patients with advanced ovarian cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

10 authors at 5 institutions in 1 country.

Alexandre Buckley de MeritensRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Benjamin MargolisRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Craig BlindermanRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Holly G PrigersonRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Paul K MaciejewskiRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Megan J ShenRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
June Y HouRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
William M BurkeRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Jason D WrightRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Ana I TergasRutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY.
Rutgers, The State University of New Jersey · USCornell University · USNew York Hospital Queens · USPresbyterian Hospital · USColumbia University · US

Funding

Psychosocial Approaches to Better Understanding & End-Stage Cancer Care (PROTECT)R35CA197730 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Holly Gwen Prigerson · 2015 to 2026
$11.2M
NCI NIH HHS R35 CA197730
6 · The paper itself

Abstract

purposeWe sought to describe practice patterns, attitudes, and barriers to the integration of palliative care services by gynecologic oncologists.

methodsMembers of the Society of Gynecologic Oncology were electronically surveyed regarding their practice of incorporating palliative care services and to identify barriers for consultation. Descriptive statistics were used, and two-sample z-tests of proportions were performed to compare responses to related questions.

resultsOf the 145 respondents, 71% were attending physicians and 58% worked at an academic medical center. The vast majority (92%) had palliative care services available for consultation at their hospital; 48% thought that palliative care services were appropriately used, 51% thought they were underused, and 1% thought they were overused. Thirty percent of respondents thought that palliative care services should be incorporated at first recurrence, whereas 42% thought palliative care should be incorporated when prognosis for life expectancy is ≤ 6 months. Most participants (75%) responded that palliative care consultation is reasonable for symptom control at any stage of disease. Respondents were most likely to consult palliative care services for pain control (53%) and other symptoms (63%). Eighty-three percent of respondents thought that communicating prognosis is the primary team's responsibility, whereas the responsibilities for pain and symptom control, resuscitation status, and goals of care discussions were split between the primary team only and both teams. The main barrier for consulting palliative care services was the concern that patients and families would feel abandoned by the primary oncologist (73%). Ninety-seven percent of respondents answered that palliative care services are useful to improve patient care.

conclusionThe majority of gynecologic oncologists perceived palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient and family members was identified as a significant barrier to palliative care consult.

Indexed as

Attitude of Health PersonnelPractice Patterns, Physicians'FamilyFemaleGenital Neoplasms, FemaleHumansMedical OncologyPalliative CareReferral and Consultation

Identifiers

PMID28783424
PMCPMC6366809
OpenAlexW2742968366

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.