Evidence map›Paper›PMID 31735999›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Treatment decision-making, family influences, and cultural influences of Chinese breast cancer survivors: a qualitative study using an expressive writing method.

Lijuan Wang, Xiaotao Geng, Lili Ji, Guohua Lu, Qian Lu

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 15% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  6. "Don't be a hero, don't keep it a secret": understanding the lived experience of Chinese American patients with cancer through their expressive writing entries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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 at 4 institutions in 2 countries.

Lijuan WangDepartment of Intensive Care Unit, Weifang People's Hospital, Weifang, Shandong, China.
Xiaotao GengSchool of Medicine, Shandong University, Jinan, Shandong, China.
Lili JiDepartment of Medical Nursing, Weifang Medical University, Weifang, Shandong, China.
Guohua LuDepartment of Psychology, Weifang Medical University, 7166 Baotong St, Weifang, 261053, Shandong, China. 1034511812@qq.com.ORCID http://orcid.org/0000-0001-6828-6189
Qian LuDepartment of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler St, Houston, TX, 77030, USA.
Weifang Medical University · CNShandong University · CNThe University of Texas MD Anderson Cancer Center · USWeifang People's Hospital · CN

Funding

Health and Family Planning Commission of Sichuan Province 2017WS852Natural Science Foundation of Shandong Province ZR2016GM05Science and Technology Development Plan of Weifang 2015WS009Science and Technology Development Plan of Weifang 2018YX003Shandong Education Department J17RA137
6 · The paper itself

Abstract

purposeAmong Chinese breast cancer survivors, treatment decision-making is different than that in western countries. Among Chinese women, family often plays an important role during the treatment period, and Chinese-specific cultural factors have negative influences on their psychological conditions. The aim of the present study was to explore the treatment decision making, family influences, and cultural influences of Chinese breast cancer survivors.

methodsThis study used an expressive writing method to explore the experiences of breast cancer survivors who were diagnosed with stage 0 to III cancer. Participants were instructed to write 30 min per week over a period of 3 weeks. All writings were analyzed using a qualitative method.

resultsThree themes were identified: treatment decision making, family influences, and cultural influences. Treatment decision-making included the subthemes of preference for mastectomy, passive involvement, and active involvement. Family influences included the subthemes of financial burden, family expectations, and family support. Cultural influences included the subthemes of fatalism, barriers to expressing emotions, and stigma related to cancer.

conclusionsInformation on breast cancer treatment and survivorship should be provided to patients through multiple methods to improve their knowledge of breast cancer. Family support should be maintained to ensure patients' confidence and courage during the treatment period. Necessary and appropriate psychological interventions that consider cultural influences should be administered.

Indexed as

Decision MakingAsian PeopleBreast NeoplasmsCancer SurvivorsCultural CharacteristicsFamilyFemaleHumansMiddle AgedQualitative ResearchWritingBreast cancerChineseCulturalDisclosureSocial support

Identifiers

PMID31735999
OpenAlexW2985985250

What OpenQuestion holds

Textmetadata
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.