Evidence map›Paper›PMID 31551374›Full record

ArticleBMJ open2019

Qualitative study exploring patients experiences of being diagnosed and living with primary bone cancer in the UK.

Ana Martins, Jeremy S Whelan, Lindsey Bennister, Lorna A Fern, Craig Gerrand, Maria Onasanya, Lesley Storey, Mary Wells, Rachael Windsor, Julie Woodford and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 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
3.8field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  11. Development of a patient-reported experience questionnaire for patients with sarcoma: the Sarcoma Assessment Measure (SAM).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    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

11 authors at 5 institutions in 1 country.

Ana MartinsCancer Division, University College London Hospitals NHS Foundation Trust, London, UK ana.martins1@nhs.net.ORCID 0000-0002-5036-4959
Jeremy S WhelanCancer Division, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0001-6793-5722
Lindsey BennisterWMUK - Waldenstrom's Macroglobulinaemia UK, London, UK.
Lorna A FernCancer Division, University College London Hospitals NHS Foundation Trust, London, UK.
Craig GerrandSarcoma Service, Royal National Orthopaedic Hospital Stanmore, Stanmore, UK.
Maria OnasanyaCancer Division, University College London Hospitals NHS Foundation Trust, London, UK.
Lesley StoreyDepartment of Psychology, Birmingham City University, Birmingham, UK.
Mary WellsImperial College Healthcare NHS Trust, London, UK.ORCID 0000-0001-5789-2773
Rachael WindsorCancer Division, University College London Hospitals NHS Foundation Trust, London, UK.
Julie WoodfordSarcoma Service, Royal National Orthopaedic Hospital Stanmore, Stanmore, UK.
Rachel M TaylorCancer Division, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-0853-0925
University College London Hospitals NHS Foundation Trust · GBRoyal National Orthopaedic Hospital · GBBirmingham City University · GBImperial College Healthcare NHS Trust · GBLondon Ambulance Service NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to explore the experiences of patients with primary bone cancer.

designQualitative study design using semistructured interviews and focus groups.

settingHospitals across the UK and recruitment through UK sarcoma charities and support groups.

methodsSemistructured telephone/face-to-face interviews and focus groups with a purposive sample of 26 participants. Data were analysed using Framework Analysis.

participantsPatients (n=26) with primary bone cancer aged 13-77 years. The majority were male (69%), white (85%); diagnosed within 4 years (54%); and had lower limb sarcoma (65%). Ten participants had undergone an upper/lower limb amputation (39%).

resultsThe health-related quality-of-life domains of physical, emotional and social well-being and healthcare professionals' role were the overarching themes of analysis. The physical domain anchored patient experiences. The intensity and length of treatment, the severity of side-effects, the level of disability after surgery and the uncertainty of their prognosis had an impact on patient's self-image, confidence, mood and identity, and caused disruption to various aspects of the patients' social life, including their relationships (emotional and sexual) and participation in work/school and leisure activities. Adaptation was influenced by the way patients dealt with stress and adversity, with some finding a new outlook in life, and others struggling with finding their 'new normal'. Family and friends were the main source of support. Healthcare professional's expertise and support was critical. Rehabilitation services had a considerable role in patient's physical and emotional well-being, but inequitable access to these services was apparent.

conclusionsThis study described the impact of primary bone cancer on patients' well-being and adjustment over time with the identification of influencing factors of better/worse experiences. It showed that impact was felt after end of treatment and affected patients at different life stages. Holistic models of survivorship care are needed.

Indexed as

Adaptation, PsychologicalAdolescentAdultAgedAmputation, SurgicalAnxietyBody ImageBone NeoplasmsDepressionFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedProfessional Rolepatient experienceprimary bone cancerquality of life

Identifiers

PMID31551374
PMCPMC6773292
OpenAlexW2977125046

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.