Evidence map›Paper›PMID 31900620›Full record

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

The impact of the caregiver-oncologist relationship on caregiver experiences of end-of-life care and bereavement outcomes.

Amy W An, Susan Ladwig, Ronald M Epstein, Holly G Prigerson, Paul R Duberstein

Abstract read
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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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Improving communication skills in caregivers: an adaptation and pilot test of a brief training module for caregivers of people with cancer in Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  4. Observational
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  6. Article
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  8. Article
  9. Article
  10. Article
  11. Therapeutic Alliance Between Bereaved Parents and Physicians in the PICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2021
    Observational
  12. Article
  13. 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

5 authors.

Amy W AnDepartment of Medicine, Division of Palliative Care, University of Rochester Medical Center, 601 Elmwood Ave, Box 687, Rochester, NY, 14642, USA. amy_an@urmc.rochester.edu.ORCID https://orcid.org/0000-0002-3889-5474
Susan LadwigDepartment of Medicine, Division of Palliative Care, University of Rochester Medical Center, 601 Elmwood Ave, Box 687, Rochester, NY, 14642, USA.
Ronald M EpsteinDepartment of Medicine, Division of Palliative Care, University of Rochester Medical Center, 601 Elmwood Ave, Box 687, Rochester, NY, 14642, USA.
Holly G PrigersonDepartment of Medicine, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York, NY, USA.
Paul R DubersteinDepartment of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.

Funding

Psychosocial Approaches to Better Understanding & End-Stage Cancer Care (PROTECT)R35CA197730 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Holly Gwen Prigerson · 2015 to 2026
$11.2M
RCT of Patient, Caregiver and Physician Communication Coaching in Advanced CancerR01CA140419 · NCI · UNIVERSITY OF ROCHESTER · PI EPSTEIN, RONALD M., KRAVITZ, RICHARD L · 2011 to 2015
$2.7M
Impact of a Novel Cancer Communication Intervention on Caregiver BereavementR01CA168387 · NCI · UNIVERSITY OF ROCHESTER · PI DUBERSTEIN, PAUL R, PRIGERSON, HOLLY GWEN · 2013 to 2017
$2.6M
NCI NIH HHS R01 CA140419-05NCI NIH HHS R01 CA168387NCI NIH HHS R35 CA197730
6 · The paper itself

Abstract

purposeThe quality of the relationship between oncologists and cancer patients has been associated with caregiver bereavement outcomes, but no studies have examined whether the perceived quality of the relationship between cancer caregivers and oncologists is associated with caregiver experiences of end-of-life care or psychological adjustment after the patient's death.

methodsWe conducted secondary analyses of data collected in the Values and Options in Cancer Care (VOICE) study, a randomized controlled trial of an intervention that improved communication between oncologists and patients/caregivers (n = 204 dyads). At study entry, we assessed caregivers' experiences with the oncologist using four items from the Human Connection Scale. Following patients' deaths, we assessed bereaved caregivers' experiences with end-of-life cancer care (Quality of Death; Peace, Equanimity, and Acceptance in the Cancer Experience [PEACE]; Caregiver Evaluation of the Quality of End-of-Life Care [CEQUEL]; and modified Decision Regret scales) and psychological adjustment (Prolonged Grief Disorder-13 and Purpose in Life scales). We conducted multivariable regressions examining prospective associations between caregiver experiences with the oncologist at study entry and outcome variables.

resultsData were collected from 105 caregivers of patients who died during the course of the study. Positive experience with the oncologist was prospectively associated with better experiences of end-of-life care, as reflected in better quality of death (estimate = 0.33, SE = 0.14, p = 0.02), PEACE (estimate = 0.11, SE = 0.05, p = 0.04), and decisional regret (estimate = - 0.16, SE = 0.06, p = 0.01). Caregivers' experience with the oncologist was not significantly associated with indicators of psychological adjustment.

conclusionCaregivers' early experiences with oncologists may affect their experiences of the patient's end-of-life care.

Indexed as

BereavementAdaptation, PsychologicalAdultAgedCaregiversCommunicationFemaleHospice CareHumansMaleMiddle AgedNeoplasmsOncologistsPhysician-Patient RelationsProspective StudiesQuality of LifeBereavementCancerCaregiverCaregiver-physician relationshipPhysician ratingsTherapeutic alliance

Identifiers

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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.