Evidence map›Paper›PMID 29654025›Full record

ArticleBMJ open2018

Cancer-related information needs and treatment decision-making experiences of people with dementia in England: a multiple perspective qualitative study.

Lorna McWilliams, Carole Farrell, John Keady, Caroline Swarbrick, Lorraine Burgess, Gunn Grande, Sarah Bellhouse, Janelle Yorke

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Factors affecting the decision to investigate older adults with potential cancer symptoms: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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  6. Nurse Practitioners' Experiences Navigating Treatment Decision-Making Affecting Older People with Neurocognitive Disorders and Cancer.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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  11. Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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  20. Navigating cancer treatment and care when living with comorbid dementia: an ethnographic study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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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

8 authors at 2 institutions in 1 country.

Lorna McWilliamsChristie Patient Centred Research, School of Oncology, The Christie NHS Foundation Trust, Manchester, UK.ORCID 0000-0002-6414-2732
Carole FarrellChristie Patient Centred Research, School of Oncology, The Christie NHS Foundation Trust, Manchester, UK.
John KeadyDivision of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
Caroline SwarbrickDivision of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
Lorraine BurgessPsycho-Oncology, The Christie NHS Foundation Trust, Manchester, UK.
Gunn GrandeDivision of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
Sarah BellhouseChristie Patient Centred Research, School of Oncology, The Christie NHS Foundation Trust, Manchester, UK.
Janelle YorkeChristie Patient Centred Research, School of Oncology, The Christie NHS Foundation Trust, Manchester, UK.
University of Manchester · GBThe Christie NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLittle is known about the cancer experience and support needs of people with dementia. In particular, no evidence currently exists to demonstrate the likely complex decision-making processes for this patient group and the oncology healthcare professionals (HCP) involved in their care. The aim of this study was to explore the cancer-related information needs and decision-making experiences of patients with cancer and comorbid dementia, their informal caregivers and oncology HCPs.

designCross-sectional qualitative study. Semistructured interviews were conducted face to face with participants. Interviews were audio recorded and transcribed prior to thematic analysis.

settingPatients with a diagnosis of cancer and dementia, their informal caregivers and oncology HCPs involved in their care, all recruited from a regional treatment cancer centre.

participantsPurposeful sample of 10 patients with a diagnosis of cancer-dementia, informal caregivers (n=9) and oncology HCPs (n=12).

resultsFour themes were identified: (1) leading to the initial consultation-HCPs require more detailed information on the functional impact of dementia and how it may influence cancer treatment options prior to meeting the patient; (2) communicating clinically relevant information-informal caregivers are relied on to provide patient information, advocate for the patient and support decision-making; (3) adjustments to cancer care-patients with dementia get through treatment with the help of their family and (4) following completion of cancer treatment-there are continuing information needs. Oncology HCPs discussed their need to consult specialists in dementia care to support treatment decision-making.

conclusionsAlthough patients with cancer-dementia are involved in their treatment decision-making, informal caregivers are generally crucial in supporting this process. Individual patient needs and circumstances related to their cancer must be considered in the context of dementia prognosis highlighting complexities of decision-making in this population. Oncology teams should strive to involve healthcare staff with dementia expertise as early as possible in the cancer pathway.

Indexed as

Health Services Needs and DemandPatient Education as TopicAdultAgedAged, 80 and overCaregiversCross-Sectional StudiesDecision MakingDementiaEnglandFemaleHumansMaleMiddle AgedNeoplasmsQualitative Researchdementiaoncologyqualitative research

Identifiers

PMID29654025
PMCPMC5898327
OpenAlexW2797138472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.