Evidence map›Paper›PMID 30927112›Full record

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

How communication between cancer patients and their specialists affect the quality and cost of cancer care.

Neli Slavova-Azmanova, Jade C Newton, Harry Hohnen, Claire E Johnson, Christobel Saunders

Abstract read
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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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Communication of costs and financial burdens between cancer patients and healthcare providers: a qualitative systematic review and meta-synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  6. Challenges and solutions to cancer-related financial toxicity according to Australian health professionals: qualitative results from a national survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  7. "Who can I ring? Where can I go?" Living with advanced cancer whilst navigating the health system: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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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

5 authors.

Neli Slavova-AzmanovaUWA Medical School, The University of Western Australia, Perth, Western Australia, Australia. neli.slavova-azmanova@uwa.edu.au.ORCID http://orcid.org/0000-0003-0800-2943
Jade C NewtonUWA Medical School, The University of Western Australia, Perth, Western Australia, Australia.
Harry HohnenUWA Medical School, The University of Western Australia, Perth, Western Australia, Australia.
Claire E JohnsonUWA Medical School, The University of Western Australia, Perth, Western Australia, Australia.
Christobel SaundersUWA Medical School, The University of Western Australia, Perth, Western Australia, Australia.

Funding

Cancer Council Western Australia N/AWA Cancer and Palliative Care Network N/A
6 · The paper itself

Abstract

purposeCommunication in cancer care is multidimensional and may affect patient treatment decision-making and quality of life. This study examined cancer patients' perceptions of the communication with their cancer specialists and explored its impact on the care they received and the financial burden they experienced.

methodsSemi-structured telephone interviews were conducted with 20 rural and 20 outer metropolitan Western Australians diagnosed with breast, lung, prostate or colorectal cancer. Thematic analysis using a phenomenological approach was undertaken to derive key themes regarding the communication experiences of the participants.

resultsFour main themes emerged: information context, communication about treatment options and treatment providers, communication about costs of treatment and impact of communication on continuity of care. The quality of the communication experienced by participants was variable and in many cases sub-optimal. This affected their ability to undertake well-informed decisions regarding treatment and providers and led to substantial out-of-pocket expenses for several participants. Whilst participants differed in their information needs and expectations, most participants trusted clinicians' treatment recommendations.

conclusionsOur results raise concerns about the quality of communication cancer patients receive during treatment and the repercussions for their treatment decisions and out-of-pocket expenses. Clear treatment and cost communication could empower patients in choosing treatment and providers. However, these findings suggest patients must remain vigilant during consultations and discuss available treatment pathways and their financial dimension to avoid costly treatments or missing out on available financial aid.

Indexed as

Health ExpendituresPhysician-Patient RelationsAgedCommunicationDecision MakingFemaleHumansMaleMiddle AgedNeoplasmsOncologistsQualitative ResearchQuality of LifeRural PopulationTrustWestern AustraliaCancerCommunicationQualitative studySupportive careWestern Australia

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Registered trials

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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.