Evidence map›Paper›PMID 29454337›Full record

ArticleBMC palliative care2018

The second patient? Family members of cancer patients and their role in end-of-life decision making.

Katsiaryna Laryionava, Timo A Pfeil, Mareike Dietrich, Stella Reiter-Theil, Wolfgang Hiddemann, Eva C Winkler

Abstract read
In one paragraph

Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

  1. Structuring healthcare advance directives: Evidence from Chinese end-of-life cancer patients' treatment preferences.Health expectations : an international journal of public participation in health care and health policy · 2023
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  15. "The communication I had with him back then is still stuck in my mind." Bereaved families of cancer patients' experiences for end-of-life communication.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  16. The Functioning of Hospice in the Perception of Family Members of Cancer Surgery and Hospice Patients.International journal of environmental research and public health · 2023
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  19. When Patients Make Unexpected Medical Choices.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 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

6 authors.

Katsiaryna LaryionavaNational Center for Tumor Diseases, Department of Medical Oncology, Programme for Ethics and Patient-Oriented Care in Oncology, Heidelberg University Hospital, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany.
Timo A PfeilDepartment of Internal Medicine III (Haematology and Oncology), University Hospital Grosshadern, Munich, Germany.
Mareike DietrichNational Center for Tumor Diseases, Department of Medical Oncology, Programme for Ethics and Patient-Oriented Care in Oncology, Heidelberg University Hospital, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany.
Stella Reiter-TheilDepartment Clinical Ethics, Psychiatric Hospitals of the University Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Wolfgang HiddemannDepartment of Internal Medicine III (Haematology and Oncology), University Hospital Grosshadern, Munich, Germany.
Eva C WinklerNational Center for Tumor Diseases, Department of Medical Oncology, Programme for Ethics and Patient-Oriented Care in Oncology, Heidelberg University Hospital, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany. Eva.Winkler@med.uni-heidelberg.de.

Funding

Deutsche Forschungsgemeinschaft HI 701/6-1, HI 701/6-2, RE 701/4-1, RE 701/4-2, and RE701/4-3
6 · The paper itself

Abstract

backgroundFamily members are important companions of severely ill patients with cancer. However, studies about the desirability and difficulties of integrating relatives in the decision-making process are rare in oncology. This qualitative study explores the family role in decisions to limit treatment near the end of life from the professionals' point of view.

methodsQualitative in-depth interviews were conducted with oncologists (n = 12) and nurses (n = 6) working at the Department of Hematology/Oncology at the University Hospital in Munich, Germany. The data were analyzed using a descriptive qualitative methodology and discussed from a medical ethics perspective.

resultsFour major themes played a central role in the perception of the medical staff in regard to family members. (1) Family impact on patients' treatment preferences. (2) Strong family wish for further treatment. (3) Emotional distress of the family related to the involvement in end-of-life decision-making. (4) Importance of knowing family structures.

conclusionsThe important role of the family members in patients' disease process is recognized by oncologists and oncology nurses. However, this does not seem to lead to an early involvement of the family members. Developing and establishing a systematic assessment of family members' needs and wishes in order to provide a specific-tailored support should become a priority for interdisciplinary clinical research in the near future.

Indexed as

Decision MakingAdaptation, PsychologicalAdultAgedCaregiversFemaleGermanyHealth PersonnelHumansInterviews as TopicMiddle AgedNeoplasmsNursesPalliative CarePerceptionPhysiciansCommunicationEnd-of-life decisionsFamily membersMedical ethicsMedical oncologyPalliative careQualitative research

Identifiers

PMID29454337
PMCPMC5816525

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Registered trials

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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.