Trial reportCancer medicine2020
Patient and clinician experience of a serious illness conversation guide in oncology: A descriptive analysis.
Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 59 papers, 3 of them syntheses that pooled 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.
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.
Serious Illness Communication Project
Evaluating the Effectiveness, Acceptability and Feasibility of a Communication and Care Coordinator (CCC) Model in Facilitating Serious Illness Communication (SIC) and Care in Patients With Cancer
Improving Care for Cancer Patients by Facilitating Communication With Clinicians Through a Serious Illness Communication Program Using an Assistant Based on Artificial Intelligence.
Who cites it
59 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Effects of online advance care planning (ACP) decision aid programmes on adults with cancer: a systematic review and meta-analysis.BMC palliative care · 2026Pooled it
- Core Competencies for Serious Illness Conversations: An Integrative Systematic Review.Journal of palliative care · 2024Pooled it
- Interventions for interpersonal communication about end of life care between health practitioners and affected people.The Cochrane database of systematic reviews · 2022Pooled it
- Acceptability and feasibility of a Patient Support Coordinator (PSC) model to facilitate serious illness communication in outpatient oncology.BMC palliative care · 2026Trial
- Exploring Patients' Perceptions of an Advance Care Planning Intervention in the Emergency Department: A Qualitative Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Trial
- Increasing the completion rate of the advance directives in primary care setting - a randomized controlled trial.BMC family practice · 2021Trial
- Patient and clinician experience of a serious illness conversation guide in oncology: A descriptive analysis.Cancer medicine · 2020Trial
- A Qualitative Study to Characterize the Experiences of Patients and Caregivers With Dementia Diagnostic Disclosure Communication and Care Planning.Journal of geriatric psychiatry and neurology · 2026Article
- Racial Disparities in Doctor-Patient Communication: Examining Doctors' Encounters with Black and White Patients.Journal of racial and ethnic health disparities · 2026Article
- Article
- Patients' responses & reflections when receiving news of cancer progression: a qualitative study.BJC reports · 2026Article
- What Inspires Medical Students to Pursue Radiation Oncology? A Thematic Analysis of Application Essays for a Canadian Studentship in Radiation Oncology.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Serious Illness Conversation in the Care of Atypical Parkinsonian Disorders: A Practical Guide for Neurology Clinicians.Movement disorders clinical practice · 2026Review
- What makes serious illness conversations acceptable? A mixed-methods study of patient and caregiver experiences in oncology and cardiology.Palliative care and social practice · 2026Article
- 'It's given us the opportunity': Patient and clinician experiences of serious illness conversations in the NHS acute setting - Results from a UK Qualitative Study.Palliative care and social practice · 2026Article
- Barriers and Strategies to Effective Serious Illness Communication for Patients with End-Stage Liver Disease in the Intensive Care Setting.Journal of intensive care medicine · 2026Review
- Cultural adaptation of the serious illness conversation guide for caregivers of persons with dementia in Singapore.BMC geriatrics · 2025Article
- A scoping review: Understanding brain tumor patients' decisional needs and preferences.Neuro-oncology practice · 2025Review
- Acceptability of virtual reality for training health professions students in serious illness communication: A cross-sectional study with educators.PEC innovation · 2025Article
- Adaptation of the serious illness conversation guide to a multicultural context in Singapore: a qualitative study.BMJ open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectiveOncology guidelines recommend earlier communication with patients about prognosis and goals-of-care in serious illness. However, current evidence leaves gaps in our understanding of the experience of these conversations. This analysis evaluates the patient and clinician experience of a conversation using a Serious Illness Conversation Guide (SICG). DESIGN/
settingSecondary analysis from a cluster-randomized clinical trial in a northeastern cancer center.
participantsPhysicians, advanced practice clinicians, and patients with advanced cancer who received the intervention.
interventionSICG, clinician training, systems-changes. MAIN OUTCOMES AND MEASURES: The patient questionnaire assessed perceptions of the conversation and impact on anxiety, hopefulness, peacefulness, sense of control over medical decisions, closeness with their clinician, and behaviors. The clinician questionnaire assessed feasibility, acceptability, and impact on satisfaction in their role.
resultsWe enrolled 54 clinicians and 163 patients; 41 clinicians and 118 patients had a SICG discussion. Most patients described the conversation as worthwhile (79%) and reported no change or improvement in their sense of peacefulness, hopefulness, and anxiety (on average 79%); 56% reported feeling closer with their clinician. Qualitative patient data described positive behavior changes, including enhanced planning for future care and increased focus on personal priorities. Nearly 90% of clinicians agreed that the SICG facilitated timely, effective conversations, and 70% reported increased satisfaction in their role.
conclusionConversations using a SICG were feasible, acceptable, and were associated with positive experiences for both patients and clinicians in oncology in ways that align with national recommendations for serious illness communication. This trial is registered at ClinicalTrials.gov: NCT01786811 https://clinicaltrials.gov/ct2/show/NCT01786811.
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Identifiers
What OpenQuestion holds
Registered trials
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.