Evidence map›Paper›PMID 33028381›Full record

SynthesisHealth and quality of life outcomes2020

Chemotherapy use and quality of life in cancer patients at the end of life: an integrative review.

Elham Akhlaghi, Rebecca H Lehto, Mohsen Torabikhah, Hamid Sharif Nia, Ahmad Taheri, Ehsan Zaboli, Ameneh Yaghoobzadeh

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. The effects of enteral tube feeding on nutrition, survival, and quality of life outcomes in advanced upper gastrointestinal cancers: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  7. Dyadic-concordance death-preparedness states and end-of-life care received by cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  9. Factors associated with end-of-life quality in terminally ill cancer patients' last six months of life: a longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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 at 4 institutions in 2 countries.

Elham AkhlaghiSchool of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Rebecca H LehtoSchool of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Mohsen TorabikhahDepartment of Adult Health Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Hamid Sharif NiaDepartment of Nursing, Mazandaran University of Medical Science, Sari, Iran. h.sharifnia@mazums.ac.ir.ORCID http://orcid.org/0000-0002-5570-3710
Ahmad TaheriDepartment of Adult Health Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Ehsan ZaboliGastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, 48166-33131, Sari, Iran.
Ameneh YaghoobzadehTehran University of Medical Sciences, Tehran, Iran.
Iran University of Medical Sciences · IRIsfahan University of Medical Sciences · IRMazandaran University of Medical Sciences · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen curative treatments are no longer available for cancer patients, the aim of treatment is palliative. The emphasis of palliative care is on optimizing quality of life and provided support for patients nearing end of life. However, chemotherapy is often offered as a palliative therapy for patients with advanced cancer nearing death. The purpose of this review was to evaluate the state of the science relative to use of palliative chemotherapy and maintenance of quality of life in patients with advanced cancer who were at end of life. MATERIALS AND

methodsPublished research from January 2010 to December 2019 was reviewed using PRISMA guidelines using PubMed, Proquest, ISI web of science, Science Direct, and Scopus databases. MeSH keywords including quality of life, health related quality of life, cancer chemotherapy, drug therapy, end of life care, palliative care, palliative therapy, and palliative treatment.

findings13 studies were evaluated based on inclusion criteria. Most of these studies identified that reduced quality of life was associated with receipt of palliative chemotherapy in patients with advanced cancer at the end of life.

conclusionStudies have primarily been conducted in European and American countries. Cultural background of patients may impact quality of life at end of life. More research is needed in developing countries including Mideastern and Asian countries.

Indexed as

Quality of LifeAgedFemaleHumansMaleMiddle AgedNeoplasmsPalliative CareTerminal CareCancer chemotherapyDrug therapyEnd of life careHealth related quality of life (HRQOL)Palliative carePalliative therapyPalliative treatmentQuality of life (QOL)

Identifiers

PMID33028381
PMCPMC7540433
OpenAlexW3092578979

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.