Evidence map›Paper›PMID 31506739›Full record

Trial reportJournal of cancer research and clinical oncology2019

Structured multi-disciplinary psychosocial care for cancer patients and the perceived quality of care from the patient perspective: a cluster-randomized trial.

Susanne Singer, Helge Danker, Jürgen Meixensberger, Susanne Briest, Andreas Dietz, Rolf-Dieter Kortmann, Jens-Uwe Stolzenburg, Anette Kersting, Julia Roick

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01859429 (Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% 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.

NCT01859429 nacompletednot on this map

Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis

TypeinterventionalSponsorUniversity of LeipzigRan2012 to 2015Enrolled1,012ConditionsCancerArmsStepped Care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Application of stepped care model in cancer patients: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  4. Review
  5. Article
  6. Article
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

9 authors at 2 institutions in 1 country.

Susanne SingerInstitute of Medical Biostatistics, Epidemiology, and Informatics (IMBEI), University Medical Centre Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany. singers@uni-mainz.de.ORCID http://orcid.org/0000-0001-5784-7964
Helge DankerDepartment of Medical Psychology and Medical Sociology, University Medical Centre Leipzig, Leipzig, Germany.
Jürgen MeixensbergerDepartment of Neurosurgery, University Medical Centre Leipzig, Leipzig, Germany.
Susanne BriestDepartment of Obstetrics and Gynecology, University Medical Centre Leipzig, Leipzig, Germany.
Andreas DietzDepartment of Otolaryngology, University Medical Centre Leipzig, Leipzig, Germany.
Rolf-Dieter KortmannDepartment of Radiation-Oncology, University Medical Centre Leipzig, Leipzig, Germany.
Jens-Uwe StolzenburgDepartment of Urology, University Medical Centre Leipzig, Leipzig, Germany.
Anette KerstingDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre Leipzig, Leipzig, Germany.
Julia RoickInstitute of Medical Sociology, University of Halle, Halle, Germany.
University Hospital Leipzig · DEJohannes Gutenberg University Mainz · DE

Funding

Bundesgesundheitsministerium NKP-332-026
6 · The paper itself

Abstract

purposeWe examined whether multi-disciplinary stepped psychosocial care for cancer patients improves quality of care from the patient perspective.

methodsIn a university hospital, wards were randomly allocated to either stepped or standard care. Stepped care comprised screening for distress, consultation between doctor and patient, and the provision of psychosocial services. Quality of care was measured with the Quality of Care from the Patient Perspective questionnaire. The analysis employed mixed-effects multivariate regression, adjusting for age and gender.

resultsThirteen wards were randomized, and 1012 patients participated (n = 570 in stepped care and n = 442 in standard care). Patients who were highly distressed at baseline had 2.3 times the odds of saying they had had the possibility to converse in private with doctors and/or psychologists/social workers when they were in stepped care compared to standard care, 1.3 times the odds of reporting having experienced shared decision-making, 1.1 times the odds of experiencing their doctors as empathic and personal, and 0.6 times the odds of experiencing the care at the ward to be patient oriented. There was no evidence for an effect of stepped care on perceived quality of care in patients with moderate or low distress.

conclusionsStepped care can improve some aspects of perceived quality of care in highly distressed patients.

trial registrationhttp://www.clinicaltrials.gov . NCT01859429.

Indexed as

PsychotherapyAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMental HealthMiddle AgedNeoplasmsPatient ParticipationPhysician-Patient RelationsPrognosisPsychometricsQuality ImprovementCancerDistressPsychosocial careQuality of careRandomized trial

Identifiers

PMID31506739
PMCPMC11810274
OpenAlexW2972615301

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.