Evidence map›Paper›PMID 30525302›Full record

SynthesisCancer medicine2019

Palliative care initiation in pediatric oncology patients: A systematic review.

Brian T Cheng, Michael Rost, Eva De Clercq, Louisa Arnold, Bernice S Elger, Tenzin Wangmo

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
8.0field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Integration of Pediatric Palliative Care in Oncology: A Scoping Review.Journal of pediatrics. Clinical practice · 2026
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  12. Review
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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 at 3 institutions in 3 countries.

Brian T ChengDepartment of Hematology and Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Michael RostInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.ORCID 0000-0001-6537-9793
Eva De ClercqInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Louisa ArnoldInstitute of Psychology, Friedrich-Schiller-University of Jena, Jena, Germany.
Bernice S ElgerInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Tenzin WangmoInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.
University of Basel · CHFriedrich Schiller University Jena · DENorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Palliative care (PC) aims to improve quality of life for patients and their families. The World Health Organization and American Academy of Pediatrics recommend that PC starts at diagnosis for children with cancer. This systematic review describes studies that reported PC timing in the pediatric oncology population. The following databases were searched: PubMed, Web of Science, CINAHL, and PsycInfo databases. Studies that reported time of PC initiation were independently screened and reviewed by 2 researchers. Studies describing pilot initiatives, published prior to 1998, not written in English, or providing no empirical time information on PC were excluded. Extracted data included sample characteristics and timing of PC discussion and initiation. Of 1120 identified citations, 16 articles met the inclusion criteria and comprised the study cohort. Overall, 54.5% of pediatric oncology patients received any palliative service prior to death. Data revealed PC discussion does not occur until late in the illness trajectory, and PC does not begin until close to time of death. Despite efforts to spur earlier initiation, many pediatric oncology patients do not receive any palliative care service, and those who do, predominantly receive it near the time of death. Delays occur both at first PC discussion and at PC initiation. Efforts for early PC integration must recognize the complex determinants of PC utilization across the illness timeline.

Indexed as

Palliative CareChildHumansMedical OncologyNeoplasmsPediatricsaccesscancerpalliativepediatric oncologytiming

Identifiers

PMID30525302
PMCPMC6346252
OpenAlexW2905398263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.