Evidence map›Paper›PMID 31206784›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2019

Physicians working in oncology identified challenges and factors that facilitated communication with families when children could not be cured.

Camilla Udo, Ulrika Kreicbergs, Bertil Axelsson, Olle Björk, Malin Lövgren

Abstract readMulticenter Study
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed, 1 synthesis or guideline 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

5 authors.

Camilla UdoSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.ORCID 0000-0003-2853-0575
Ulrika KreicbergsDepartment of Health Care Sciences, Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.ORCID 0000-0002-8185-781X
Bertil AxelssonDepartment of Radiation Sciences, Unit of Clinical Research Centre-Östersund, Umeå University, Umeå, Sweden.
Olle BjörkKarolinska Institutet, Stockholm, Sweden.
Malin LövgrenDepartment of Health Care Sciences, Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.ORCID 0000-0003-4736-500X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe explored physicians' experiences of communicating with families when their child had cancer and a cure was no longer an option, by focusing on barriers and facilitating factors.

methodsPhysicians from the six cancer centres in Sweden took part in focus group discussions between December 2017 and May 2018, and the data were analysed using qualitative content analysis. Focus groups enabled us to gather individual and shared perspectives.

resultsThe 35 physicians (20 male) had a mean age of 47 (range 31-74) and a mean of 11 years' experience in oncology, ranging from under one year to 43 years. They reported communication challenges when a cure was not possible, namely: emotional and mental drain, lack of mutual understanding and uncertainty about communication skills. They also reported facilitating factors: flexibility in complex conversations, the child's position in the conversations, continuity and trusting relationships, support from colleagues and having discussed the potentially life-threatening nature of cancer from the very start of treatment.

conclusionTraining to overcome communication issues could support the early integration of palliative care.

Indexed as

Communication BarriersPhysician-Patient RelationsAdultAgedFemaleHumansMaleMiddle AgedOncologistsPalliative CarePediatricianschallengeschildhood cancercommunicationpaediatric oncologypalliative care

Identifiers

PMID31206784
PMCPMC6899467

What OpenQuestion holds

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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.