Evidence map›Paper›PMID 30528539›Full record

ArticleJournal of pain and symptom management2019

Spiritual Experiences of Adults With Advanced Cancer in Outpatient Clinical Settings.

Saneta Maiko, Shelley A Johns, Paul R Helft, James E Slaven, Ann H Cottingham, Alexia M Torke

Abstract read
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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. Spiritual needs and quality of life of cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Meta-integration of qualitative studies on spiritual experience in palliative care for advanced cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  5. Article
  6. The Impact of Spirituality and Social Support on Health-Related Quality of Life in Breast Cancer Patients, Marrakech, Morocco.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  7. Interventions to support spirituality among adults with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Comparative Study of the Quality of Life and Coping Strategies in Oncology Patients.European journal of investigation in health, psychology and education · 2024
    Article
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  17. Observational
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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 1 country.

Saneta MaikoIndiana University Health, The Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, Indianapolis, Indiana, USA; The John Templeton Transforming Chaplaincy Research Fellow and Affiliate Research Scientist, Indiana University Center for Aging Research, Regenstrief Institute, Inc, Indianapolis, Indiana, USA. Electronic address: smaiko@iuhealth.org.
Shelley A JohnsIndiana University School of Medicine, Regenstrief Institute, Indianapolis, Indiana, USA; Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, Indiana, USA; Research in Palliative and End-of-Life Communication and Training (RESPECT) Center, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
Paul R HelftIndiana University Cancer Center, Charles Warren Fairbanks Center for Medical Ethics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
James E SlavenDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Ann H CottinghamRegenstrief Institute, Inc, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Alexia M TorkeThe Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, Indiana University Health, Indiana University School of Medicine, Indianapolis, Indiana, USA; Indiana University Center for Aging Research, Regenstrief Institute, Inc, Indianapolis, Indiana, USA.
Indiana University Health · USIndiana University School of MedicineRegenstrief Institute · US

Funding

Understanding the needs and experiences of surrogate decision makers caring for SGM individuals with Alzheimer's Disease and Related Dementias.K24AG053794 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI TORKE, ALEXIA MARY · 2016 to 2025
$1.8M
Research and Training for Behavioral Oncology InterventionsK05CA175048 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2014 to 2018
$484k
NCI NIH HHS K05 CA175048NIA NIH HHS K24 AG053794
6 · The paper itself

Abstract

contextAdults who have advanced cancer experience distress, and many use religion and spirituality to cope. Research on the spiritual experiences of patients with advanced cancer will help guide the provision of high-quality spiritual care.

objectivesTo qualitatively describe advanced cancer patients' spiritual experiences of illness.

methodsWe conducted semistructured qualitative interviews at a single cancer center with 21 patients with stage IV solid malignancies who had a prognosis of less than 12 months, as estimated by each patient's medical oncologist. Five investigators conducted a thematic analysis of the transcribed interviews.

resultsWe found 31 patients who were eligible for enrollment, and 21 (67.7%) participated in interviews to thematic saturation. Using a thematic-analysis approach, five major themes emerged. Relationships with family and friends was the most important theme among all 21 patients irrespective of their religious or spiritual identity. Relationship with God and faith community was frequently identified by those who considered themselves spiritually religious. Cancer often led to reflection about the meaning of life and the nature of existential suffering. Patients addressed the extent to which identity was changed or maintained through the cancer experience, and some expressed acceptance as a way of coping with illness.

conclusionsSpiritual care for dying cancer patients should always include the exploration of relationships with family and friends, as well as God and faith community for some patients. Relationships with family, friends, and God can be a source of strength for many. Making meaning, addressing identity concerns, supporting acceptance as a resource for coping with illness, and acknowledging existential suffering will often arise for these patients.

Indexed as

Adaptation, PsychologicalSpiritualityAgedFemaleHumansMaleMiddle AgedNeoplasmsOutpatientsQualitative ResearchQuality of LifeAdvanced cancercopingdistressexperiencesreligionspiritual carespirituality

Identifiers

PMID30528539
PMCPMC6382574
OpenAlexW2903892329

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.