Evidence map›Paper›PMID 30076966›Full record

ArticleJournal of pain and symptom management2018

Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice.

Huong Q Nguyen, Nora Ruel, Mayra Macias, Tami Borneman, Melissa Alian, Mark Becher, Kathy Lee, Betty Ferrell

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Palliative care interventions for thoracic cancer: a systematic review and meta-analysis identifying the core elements.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Dissemination and Implementation of Palliative Care in Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  8. 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 at 5 institutions in 1 country.

Huong Q NguyenDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California. Electronic address: huong.q2.nguyen@kp.org.
Nora RuelCity of Hope Medical Center, Duarte, California.
Mayra MaciasDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Tami BornemanCity of Hope Medical Center, Duarte, California.
Melissa AlianRiverside Medical Center, Kaiser Permanente Southern California, Riverside, California.
Mark BecherFontana Medical Center, Kaiser Permanente Southern California, Fontana, California.
Kathy LeeAnaheim and Irvine Medical Centers, Kaiser Permanente Southern California, Anaheim, California.
Betty FerrellNursing Research & Education, City of Hope Medical Center, Duarte, California.
City Of Hope National Medical Center · USKaiser Permanente · USKaiser Permanente Anaheim Medical Center · USKaiser Permanente Fontana Medical Center · USKaiser Permanente Riverside Medical Center · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
Refinement and Expansion of the Palliative Care Research Cooperative Group (PCRC)U24NR014637 · NINR · DUKE UNIVERSITY · PI KUTNER, JEAN S, POLLAK, KATHRYN I · 2013 to 2017
$9.6M
Palliative Care Research Cooperative Group (PCRC): Refinement and ExpansionU2CNR014637 · NINR · UNIVERSITY OF COLORADO DENVER · PI RITCHIE, CHRISTINE S · 2018 to 2022
$8.6M
Translation of a Lung Cancer Palliative Care Intervention for Clinical PracticeR01NR015341 · NINR · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI FERRELL, BETTY R · 2014 to 2017
$2.4M
NCI NIH HHS P30 CA033572NINR NIH HHS R01 NR015341NINR NIH HHS U24 NR014637NINR NIH HHS U2C NR014637
6 · The paper itself

Abstract

contextA notable gap in the evidence base for palliative care (PC) for cancer is that most trials were conducted in specialized centers with limited translation and further evaluation in "real-world" settings. Health systems are desperate for guidance on effective, scalable models.

objectivesThe objective of this study was to determine the effects of a nurse-led PC intervention for patients with non-small-cell lung cancer and their family caregivers (FCGs) in a community-based setting.

methodsTwo-group, sequential, quasi-experimental design with Phase 1 (usual care [UC]) followed by Phase 2 (intervention) was conducted at three Kaiser Permanente Southern California sites. Participants included patients with Stage 2-4 non-small-cell lung cancer and their FCG. Standard measures of quality of life (QOL) included Functional Assessment of Cancer Therapy-Lung, Functional Assessment of Chronic Illness Therapy-Spirituality Subscale, City of Hope Family QOL; other outcomes were distress, health care utilization, caregiver preparedness, and burden.

resultsPatients in the intervention cohort had significant improvements in three (physical, emotional, and functional well-being) of the five QOL domains at one month that were sustained through three month compared to UC (P < 0.01). Caregivers in the intervention cohort had improvements in physical (P = 0.04) and spiritual well-being (P = 0.03) and preparedness (P = 0.04) compared to UC. There were no differences in distress or health care utilization between cohorts.

conclusionOur findings suggest that a research-based PC intervention can be successfully adapted to community settings to achieve similar, if not better, QOL outcomes for patients and FCGs compared to UC. Nonetheless, additional modifications to ensure consistent referrals to PC and streamlining routine assessments and patient/FCG education are needed to sustain and disseminate the PC intervention.

Indexed as

Community Health ServicesPalliative CareAgedCarcinoma, Non-Small-Cell LungCaregiversCost of IllnessFamilyFemaleFollow-Up StudiesHealth Plan ImplementationHumansLung NeoplasmsMaleMiddle AgedNursesPatient Acceptance of Health Carecommunity practiceimplementationlung cancerPalliative caretranslation

Identifiers

PMID30076966
PMCPMC6248339
OpenAlexW2886606212

What OpenQuestion holds

Textmetadata
LicenceTDM
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.