Evidence map›Paper›PMID 30261227›Full record

ArticleJournal of pain and symptom management2019

Patients' Hopes for Advanced Cancer Treatment.

Jeremy DeMartini, Joshua J Fenton, Ronald Epstein, Paul Duberstein, Camille Cipri, Daniel Tancredi, Guibo Xing, Paul Kaesberg, Richard L Kravitz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Jeremy DeMartiniDepartment of Psychiatry, University of California, Davis, Sacramento, California, USA. Electronic address: jmdemartini@ucdavis.edu.
Joshua J FentonDepartment of Family and Community Medicine, University of California, Davis, Sacramento, California, USA; Center for Healthcare Policy and Research, University of California, Davis, Sacramento, California, USA.
Ronald EpsteinDepartment of Family Medicine, University of Rochester, Rochester, New York, USA; Department of Psychiatry, University of Rochester, Rochester, New York, USA; Wilmot Cancer Center, University of Rochester, Rochester, New York, USA; Department of Medicine, University of Rochester, Rochester, New York, USA.
Paul DubersteinDepartment of Family Medicine, University of Rochester, Rochester, New York, USA; Department of Psychiatry, University of Rochester, Rochester, New York, USA.
Camille CipriCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, California, USA.
Daniel TancrediDepartment of Pediatrics, University of California, Davis, Sacramento, California, USA.
Guibo XingCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, California, USA.
Paul KaesbergDivision of Hematology and Oncology, University of California, Davis, Sacramento, California, USA.
Richard L KravitzDivision of General Medicine, University of California, Davis, Sacramento, California, USA; Center for Healthcare Policy and Research, University of California, Davis, Sacramento, California, USA.

Funding

RCT of Patient, Caregiver and Physician Communication Coaching in Advanced CancerR01CA140419 · NCI · UNIVERSITY OF ROCHESTER · PI EPSTEIN, RONALD M., KRAVITZ, RICHARD L · 2011 to 2015
$2.7M
Impact of a Novel Cancer Communication Intervention on Caregiver BereavementR01CA168387 · NCI · UNIVERSITY OF ROCHESTER · PI DUBERSTEIN, PAUL R, PRIGERSON, HOLLY GWEN · 2013 to 2017
$2.6M
NCI NIH HHS R01 CA140419NCI NIH HHS R01 CA168387
6 · The paper itself

Abstract

contextLittle is known about the hopes patients with advanced (incurable) cancer have for their treatment.

objectivesThe objective of this study was to describe the treatment hopes of advanced cancer patients, factors associated with expressing specific hopes, and the persons with whom hopes are discussed.

methodsWe surveyed 265 advanced cancer patients in the U.S. about their hopes for treatment at the baseline and after three months. We developed a taxonomy of hopes for treatment, which two investigators used to independently code patient responses. We explored associations between hopes for cure and patient covariates.

resultsWe developed eight categories of hopes. We were able to apply these codes reliably, and 95% of the patient's responses fit at least one hope category. The hope categories in order of descending baseline prevalence were as follows: quality of life, life extension, tumor stabilization, remission, milestone, unqualified cure, control not otherwise specified, and cure tempered by realism. Most patients reported discussing hopes with partners, family/friends, and oncologists; a minority reported discussing hopes with nurses, primary care physicians, clergy, or support groups. In logistic regression analysis, unqualified hopes for cure were more likely in younger patients and in those who did not endorse discussing their hopes with primary care physicians.

conclusionAdvanced cancer patients harbor a range of treatment hopes. These hopes often are not discussed with key members of the health care team. Younger age and lack of discussion of hopes with primary care physicians may lead to less realistic hopes for cure.

Indexed as

HopeAge FactorsFemaleHealth CommunicationHumansLongitudinal StudiesMaleMiddle AgedModels, PsychologicalNeoplasmsNeoplasm StagingPhysician-Patient RelationsPhysicians, Primary Careadvanced cancercommunicationend-of-life caregoalsHopepalliative care

Identifiers

PMID30261227
PMCPMC6310622

What OpenQuestion holds

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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.