Evidence map›Paper›PMID 32753031›Full record

ArticleBMC palliative care2020

Differing needs of mothers and fathers during their child's end-of-life care: secondary analysis of the "Paediatric end-of-life care needs" (PELICAN) study.

Tanja Leemann, Eva Bergstraesser, Eva Cignacco, Karin Zimmermann

Abstract readMulticenter Study
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Review
  7. Observational
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  9. Review
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.

Tanja LeemannSchool of Human Medicine, University of Zurich Faculty of Medicine, Zurich, Switzerland.
Eva BergstraesserPaediatric Palliative Care and Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, Zurich, 8032, Switzerland.
Eva CignaccoDepartment of Health Professions, Berne University of Applied Sciences, Berne, Switzerland.
Karin ZimmermannPaediatric Palliative Care and Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, Zurich, 8032, Switzerland. karin.zimmermann@kispi.uzh.ch.ORCID http://orcid.org/0000-0002-6718-265X

Funding

Bundesamt für Gesundheit 0Krebsforschung Schweiz KFS-3008-08-2012Universität Basel 0
6 · The paper itself

Abstract

backgroundMothers and fathers are severely challenged when providing care for their terminally ill child at end of life. Caregiving needs have been studied predominantly in mothers. Differences in caregiving needs between mothers and fathers during their child's end of life have not, however, been explored so far. This knowledge is of importance to best meet individual parental needs in paediatric end-of-life care.

methodsSecondary analysis of a quantitative survey on parental needs during their child's last 4 weeks of life, collected in the Swiss multicentre "Paediatric End-of-Life Care Needs" (PELICAN) study. Caregiving needs of mothers and fathers (parental dyad) who had lost a child due to a cardiological, neurological or oncological disease or during the neonatal period in the years 2011-2012 were retrospectively assessed using a questionnaire representing six evidence-based quality domains of paediatric palliative and end-of-life care.

resultsSeventy-eight parental dyads were included in this analysis. Differences between mothers and fathers were mostly found around needs to be supported as a family. In all, 28 out of 34 needs-related questionnaire items were scored higher by mothers than by fathers, indicating higher importance for that need to be met. The results indicate that these differences might relate to different caregiving roles and gender-specific coping strategies.

conclusionsTo best meet parental needs in paediatric end-of-life care, particular attention should be paid to both mothers and fathers and their specific caregiving roles, as differences in these roles might influence their needs in this exceptional situation. Therefore, healthcare professionals should identify how parental dyads mutually navigate care for their sick child to best meet their needs in support. Additionally, mothers and fathers should be supported in their individual coping strategies.

Indexed as

Time FactorsAdultFemaleHumansMaleMiddle AgedParent-Child RelationsParentsPediatricsRetrospective StudiesSurveys and QuestionnairesSwitzerlandTerminal CareEnd of lifeNeeds assessmentPaediatricsParentsSurveys and questionnairesTerminal care

Identifiers

PMID32753031
PMCPMC7405340

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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.