ArticleCancer2020
A multicountry assessment in Eurasia: Alignment of physician perspectives on palliative care integration in pediatric oncology with World Health Organization guidelines.
Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Physician Perceptions Toward Palliative Care Integration in Childhood Cancer Care in Asia Pacific.JCO global oncology · 2026Article
- Barriers to Palliative Care Integration for Children With Cancer Across Asia Pacific.JCO global oncology · 2026Article
- Milestones and Horizons: Highlights from the 4th International Children's Palliative Care Network Conference in Manila, Philippines.Ecancermedicalscience · 2026Article
- Strategies to improve healthcare team communication structure and quality in resource-variable childhood cancer hospitals (TeamTalk): a study protocol.Implementation science communications · 2025Article
- Paediatric palliative care in cancer.Ecancermedicalscience · 2024Review
- Perceptions of physicians caring for pediatric patients with cancer in Europe: insights into the use of palliative care, its timing, and barriers to early integration.Frontiers in oncology · 2024Article
- Physician Perceptions of and Barriers to Pediatric Palliative Care for Children With Cancer in Brazil.JCO global oncology · 2023Article
- Ideal vs Actual Timing of Palliative Care Integration for Children With Cancer in Latin America.JAMA network open · 2023Article
- Communication of Early Integration of Palliative Care for Children With Cancer in Latin America: The Care as a Vessel Metaphor.JCO global oncology · 2023Article
- Physician Perceptions of Palliative Care for Children With Cancer in Latin America.JAMA network open · 2022Article
- Translating Research to Action: The Development of a Pediatric Palliative Cancer Care Advocacy Tool in Eurasia.JCO global oncology · 2022Article
- Barriers to the early integration of palliative care in pediatric oncology in 11 Eurasian countries.Cancer · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
17 authors at 6 institutions in 5 countries.
Funding
Abstract
backgroundThe World Health Organization (WHO) advocates for early integration of palliative care for all children with life-threatening illness. Provider awareness and misperceptions, however, can impede this imperative. In the Eurasian region, little is known about physician knowledge and perspectives on palliative care.
methodsThe Assessing Doctors' Attitudes on Palliative Treatment survey was developed as an evidence-based and culturally relevant assessment of physician perceptions on palliative care integration into childhood cancer care in Eurasia. Iteratively tested by American and Eurasian palliative care experts, the survey was culturally adapted, translated, and piloted in English, Russian, and Mongolian. The survey was distributed to physicians caring for children with cancer. Fifteen statements were scored in accordance with WHO guidelines to evaluate provider knowledge. The statistical analysis was complemented by a qualitative analysis of open-ended responses.
resultsThis study received 424 responses from 11 countries in Eurasia. The mean alignment between provider perspectives and WHO recommendations was 70% (range, 7%-100%). Significant independent predictors of higher alignment included country, prior palliative care education, and greater experience with patient death. Respondents primarily described palliative care as end-of-life care and symptom management. Two-thirds of respondents (67%) reported not feeling confident about delivering at least 1 component of palliative care.
conclusionsThis is the first study assessing physician perspectives and knowledge of palliative care in Eurasia and reveals wide variability in alignment with WHO guidelines and limited confidence in providing palliative care. Study findings will inform targeted educational interventions, which must be tailored to the local political, economic, and cultural context.
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