Evidence map›Paper›PMID 31959606›Full record

ArticleBMJ open2020

Cancer caregivers' experiences of prognosis in Australia: a qualitative interview study.

Sophie Lewis, Alex Broom, Katherine Kenny, Emma Kirby

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Navigating limited resources: experiences of caregivers for elderly terminal cancer patients in a region with limited palliative care services.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  2. 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
  3. Patient-reported outcome and experience domains for diagnostic excellence: a scoping review to inform future measure development.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  4. Article
  5. Patient Reasoning: Patients' and Care Partners' Perceptions of Diagnostic Accuracy in Emergency Care.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
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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

4 authors.

Sophie LewisCentre for Social Research in Health, The University of New South Wales, Sydney, New South Wales, Australia sophie.lewis@unsw.edu.au.ORCID 0000-0003-4639-217X
Alex BroomSchool of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-1258-1140
Katherine KennySchool of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-9088-5671
Emma KirbyCentre for Social Research in Health, The University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-9754-0342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesForecasting survival in cancer is a particularly challenging facet of oncological work and can involve complex interactions with patients and their families. While there is considerable research on patient experiences of being provided with, or becoming aware of, their prognosis, there has been much less emphasis placed on the experiences of caregivers. The aim of this paper was to examine caregivers' experiences of prognosis.

designThis study used semistructured interviews; transcripts were analysed thematically using the framework approach. These data are part of a larger research project focused on experiences of cancer survivorship.

settingRecruitment was from two metropolitan hospitals in Queensland, Australia.

participants50 caregivers of patients living with cancer and receiving treatment at two metropolitan hospitals (32% male, 68% female) participated in this study.

resultsFour main themes were identified: (1) caregivers' uncertainty around the meaning and implications of prognosis, (2) caregivers' sense of exclusion in prognostic conversations, (3) the practice of situating prognosis within a context of hope and (4) the precarious balance between realism, optimism and strategic 'ignorance'.

conclusionsCaregivers are in many respects the unseen third party of prognostic communication. Developing a better understanding of caregivers' perceptions of prognosis, including how this may be challenged, accepted or otherwise, is important in engaging caregivers in the process of communicating prognostic information. Facilitating greater participation by caregivers in prognostic conversations could potentially address evident complexities and even improve the experiences of all stakeholders in cancer care settings.

Indexed as

CommunicationDisease ManagementQualitative ResearchAdultCaregiversFemaleHumansMaleMiddle AgedNeoplasmsPrognosisQueenslandSurvival Ratecancerclinical forecastinginformal careprognosisqualitative research

Identifiers

PMID31959606
PMCPMC7045218

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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.