Evidence map›Paper›PMID 32615952›Full record

SynthesisBMC cancer2020

The impact on quality of life from informing diagnosis in patients with cancer: a systematic review and meta-analysis.

Miao Wan, Xianggui Luo, Juan Wang, Louis B Mvogo Ndzana, Chen Chang, Zhenfen Li, Jianglin Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC 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. COPD-Related Anxiety: A Systematic Review of Patient Perspectives.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
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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

7 authors.

Miao WanDermatology Department of Xiangya Hospital, Central SouthUniversity, No.87, Xiangya Road, Kaifu District, Changsha, 410000, Hunan Province, China.
Xianggui LuoDermatology Department of Xiangya Hospital, Central SouthUniversity, No.87, Xiangya Road, Kaifu District, Changsha, 410000, Hunan Province, China.
Juan WangMaternity Department of Xiangya Hospital, Central South University, Lanzhou, 730000, China.
Louis B Mvogo NdzanaDermatology Department of Xiangya Hospital, Central SouthUniversity, No.87, Xiangya Road, Kaifu District, Changsha, 410000, Hunan Province, China.
Chen ChangThe Second Clinical Medical College of Lanzhou University, Lanzhou, 730000, China.
Zhenfen LiThe Second Clinical Medical College of Lanzhou University, Lanzhou, 730000, China.
Jianglin ZhangDermatology Department of Xiangya Hospital, Central SouthUniversity, No.87, Xiangya Road, Kaifu District, Changsha, 410000, Hunan Province, China. zhangjlcsu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the impact on quality of life from informing patients with cancer of their diagnosis and disease status.

methodWe searched the follow databases, PubMed, CENTRAL (Cochrane Central Register of Controlled Trials), PsycINFO, WEB OF SCIENCE, Embase, CBM (Chinese Biomedical Literature database), WANFANG database (Chinese Medicine Premier), and CNKI (China National Knowledge Infrastructure), using the following terms: neoplasm, cancer, tumor, tumor, carcinoma, disclosure, truth telling, breaking bad news, knowledge, knowing, awareness, quality of life, QOL. Pairs of reviewers independently screened documents and extracted the data, and the meta-analysis was performed using Revman 5.0 software.

resultsEleven thousand seven hundred forty records retrieved from the databases and 23 studies were included in the final analysis. A meta-analysis revealed that there were no differences in either the general quality of life and symptoms of fatigue, pain, dyspnea, insomnia, appetite loss, and diarrhea, between informed and uniformed cancer patients (P > 0.05). There were also no differences found between the patient groups in physical function, role function, cognitive activity, and emotional function (P > 0.05). In terms of vitality, patients who were completely informed about their diagnosis showed higher vitality than uniformed patients. Uninformed patients seemed to have lower social function scores. Between partly informed and uninformed cancer patients, no differences were found in their general quality of life, function domains, and disease-related symptoms (P > 0.05).

conclusionInforming cancer patients of their diagnosis may not have a detrimental effect on their quality of life.

trial registrationCRD42017060073 .

Indexed as

DisclosureQuality of LifeHumansNeoplasmsCancerDiagnosis awarenessDiagnosis disclosureMeta-analysisQuality of lifeSystematic review

Identifiers

PMID32615952
PMCPMC7331248

What OpenQuestion holds

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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.