ArticleJournal of pain and symptom management2020
Spiritual Care, Pain Reduction, and Preferred Place of Death Among Advanced Cancer Patients in Soweto, South Africa.
Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05587517 (A Clinical Trial of Interventions to Support Family Surrogates of Critically Ill Patients), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
A Clinical Trial of Interventions to Support Family Surrogates of Critically Ill Patients
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Effects of non-pharmacological interventions on pain in wound patients during dressing change: A systematic review.Nursing open · 2024Pooled it
- What constitutes a palliative care need in people with serious illnesses across Africa? A mixed-methods systematic review of the concept and evidence.Palliative medicine · 2021Pooled it
- The dynamic of control: A qualitative analysis of the perspectives of patients and family members with palliative care needs on Emergency Medical Services.Palliative care and social practice · 2026Article
- Spiritual Care in Serious Illness: A Narrative Review of Low- and Middle-Income Country Evidence.Annals of global health · 2026Review
- Spirituality issues in cancer patients at Ocean Road Cancer Institute, Dar es Salaam, Tanzania.Palliative & supportive care · 2025Article
- Holistic Spiritual Care Practices, Competencies, and Needs in Cancer Treatment in Sub-Saharan Africa: A Scoping Review.Journal of religion and health · 2025Article
- Spiritual needs, practices and associated factors among patients with cancer at two teaching hospitals.African journal of primary health care & family medicine · 2025Observational
- Interventions to support spirituality among adults with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025Article
- Relationship Between Spiritual Care Needs and Cognitive Intrusion of Pain in Patients with Advanced-Stage Cancer in Türkiye.Journal of religion and health · 2025Article
- Identifying the key components of providing spiritual care in the hospital: a scoping review study.BMC palliative care · 2025Article
- South African palliative care provider perspectives on emergency medical services in palliative situations.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Predicting place of death of patients with advanced cancer receiving home-based palliative care services in Iran.BMC palliative care · 2024Article
- Benefits of Spiritual and Religious Support in the Pain Management of Cancer Patients: A Literature Scoping Review.Journal of religion and health · 2023Article
- Associations Between Psycho-Social-Spiritual Interventions, Fewer Aggressive End-of-Life Measures, and Increased Time After Final Oncologic Treatment.The oncologist · 2023Article
- Quality of Dying and Death of Patients With Cancer in Hospice Care in Uganda.JCO global oncology · 2023Article
- Barriers to optimal management of cancer pain in sub-Saharan Africa: a scoping review.Ecancermedicalscience · 2023Article
- The psychological health of patients diagnosed with cancer in Iraq during the COVID-19 pandemic: A single center study.Psycho-oncology · 2022Article
- Quality of life among patients with cancer and their family caregivers in the Sub-Saharan region: A systematic review of quantitative studies.PLOS global public health · 2022Article
- Spiritual Care: Motivations and Experiences through the Lenses and Voices of a Cohort of Spiritual Care Workers at an Established Hospice in Cape Town, South Africa.Journal of religion and health · 2021Article
Corrections and comments
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Authors and funding
16 authors at 7 institutions in 2 countries.
Funding
Abstract
contextWhen religious and spiritual (R/S) care needs of patients with advanced disease are met, their quality of life (QoL) improves. We studied the association between R/S support and QoL of patients with cancer at the end of life in Soweto, South Africa.
objectivesTo identify R/S needs among patients with advanced cancer receiving palliative care services and to assess associations of receipt of R/S care with patient QoL and place of death.
methodsA prospective cohort study conducted from May 1, 2016 to April 30, 2018 at a tertiary hospital in Soweto, South Africa. Nurses enrolled patients with advanced cancer and referred them to the palliative care multidisciplinary team. Spiritual counselors assessed and provided spiritual care to patients. We compared sociodemographic, clinical, and R/S factors and QoL of R/S care recipients and others.
resultsOf 233 deceased participants, 92 (39.5%) had received R/S care. Patients who received R/S care reported less pain (2.82 ± 1.23 vs. 1.93 ± 1.69), used less morphine, and were more likely to die at home than patients who did not (57.5% compared with 33.7%). On multivariate logistic regression analysis, adjusting for significant confounding influences and baseline African Palliative Care Association Palliative care Outcome Scale scores, receipt of spiritual care was associated with reduced pain and family worry (odds ratio 0.33; 95% CI 0.11-0.95 and odds ratio 3.43; 95% CI 1.10-10.70, respectively).
conclusionPatients with cancer have R/S needs. R/S care among our patients appeared to improve their end-of-life experience. More research is needed to determine the mechanisms by which R/S care may have improved the observed patient outcomes.
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Registered trials
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