Evidence map›Paper›PMID 30411237›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

"Treat us with dignity": a qualitative study of the experiences and recommendations of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients with cancer.

Charles S Kamen, Alison Alpert, Liz Margolies, Jennifer J Griggs, Lynae Darbes, Marilyn Smith-Stoner, Megan Lytle, Tonia Poteat, Nfn Scout, Sally A Norton

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
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  9. Recommendations for healthcare organization websites: towards demonstrating LGBTQ+ inclusivity in oncology care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  19. "Sorry, no results found": evaluating LGBTQIA + inclusivity of U.S. cancer centers' websites.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  20. Diversity, Equity, and Inclusion in Multiple Myeloma: A Call to Action.Journal of the advanced practitioner in oncology · 2024
    Review
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.

Charles S KamenUniversity of Rochester, Saunders Research Building, 265 Crittenden Blvd, Box 420658, Rochester, NY, 14642, USA. charles_kamen@urmc.rochester.edu.ORCID 0000-0002-4219-4320
Alison AlpertUniversity of Rochester, Saunders Research Building, 265 Crittenden Blvd, Box 420658, Rochester, NY, 14642, USA.
Liz MargoliesNational LGBT Cancer Network, New York, NY, USA.
Jennifer J GriggsUniversity of Michigan, Ann Arbor, MI, USA.
Lynae DarbesUniversity of Michigan, Ann Arbor, MI, USA.
Marilyn Smith-StonerCalifornia State University San Bernardino, San Bernardino, CA, USA.
Megan LytleUniversity of Rochester, Saunders Research Building, 265 Crittenden Blvd, Box 420658, Rochester, NY, 14642, USA.
Tonia PoteatJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Nfn ScoutThe Torvus Group, Beverly Hills, CA, USA.
Sally A NortonUniversity of Rochester, Saunders Research Building, 265 Crittenden Blvd, Box 420658, Rochester, NY, 14642, USA.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Exercise Intervention for Lesbian, Gay, Bisexual, and Transgender Cancer SurvivorsK07CA190529 · NCI · UNIVERSITY OF ROCHESTER · PI KAMEN, CHARLES STEWART · 2015 to 2019
$830k
DAISY Foundation J. Patrick Barnes Grant for NursingNCATS NIH HHS UL1 TR002001NCI NIH HHS K07 CA190529NCI NIH HHS UG1 CA189961NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

purposeDespite indications that lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients have unique needs when seeking healthcare, the experiences of LGBTQ patients in the context of cancer care have not been fully explored. This qualitative study investigated recommendations offered by LGBTQ patients with cancer for improving cancer care.

methodsTwo hundred seventy-three LGBTQ people across the USA who had been diagnosed with cancer completed an online survey that included open-ended questions. Using responses to these questions, two researchers independently conducted open coding. A code book was generated collaboratively and the data were coded independently. Codes were clustered and refined and the data were independently re-coded.

resultsFive themes emerged. LGBTQ patients with cancer: (1) are affected by providers' LGBTQ-specific knowledge and skills, assumptions, and mistreatment; (2) negotiate disclosure of identities based on safety of clinical encounters; (3) have differing experiences based on multiple intersecting identities; (4) receive more effective care when members of their support networks are included; and (5) are self-advocates and undergo transformative experiences in the face of morbidity and marginalization.

conclusionsLGBTQ cancer survivors report challenges accessing competent cancer treatment. To address this, cancer care providers should provide safe clinical encounters, inquire about and respond professionally to patients' identities and identifiers, include chosen support people, provide care relevant to patients' gender identities, and address treatments' effects on sexuality. Training providers about diverse LGBTQ communities and acknowledging the strengths of LGBTQ patients with cancer may improve provider/patient relationships. Provider training could be created based on these principles.

Indexed as

FemaleHumansMaleNeoplasmsQualitative ResearchSexual and Gender MinoritiesSexual BehaviorSurveys and QuestionnairesCancerGender identityHealth disparitiesSexual and gender minoritiesSexual orientation

Identifiers

PMID30411237
PMCPMC6506401

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.