Evidence map›Paper›PMID 33234628›Full record

ArticleBMJ open2020

Psychological adaptation and recovery in youth with sarcoma: a qualitative study with practical implications for clinical care and research.

Urska Kosir, Lucy Bowes, Rachel M Taylor, Craig Gerrand, Rachael Windsor, Maria Onasanya, Ana Martins

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
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  3. Review
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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.

Urska KosirDepartment of Experimental Psychology, Oxford University, Oxford, Oxfordshire, UK urska.kosir@psy.ox.ac.uk.ORCID 0000-0003-2132-4090
Lucy BowesDepartment of Experimental Psychology, Oxford University, Oxford, Oxfordshire, UK.
Rachel M TaylorCancer Clinical Trials, University College Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-0853-0925
Craig GerrandSarcoma Service, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Rachael WindsorPaediatric & Adolescent Division, University College London Hospitals NHS Foundation Trust, London, UK.
Maria OnasanyaPaediatric & Adolescent Division, University College London Hospitals NHS Foundation Trust, London, UK.
Ana MartinsPaediatric & Adolescent Division, University College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study explored factors that play a role in psychological adaptation and recovery of young people with sarcoma.

designQualitative study.

settingNational Health Service hospitals in the UK.

methodsUsing purposive sampling, participants were recruited for semistructured interviews over the telephone or face to face in order to answer questions about how cancer impacted various domains of their life. Data were analysed using a framework approach.

resultsThirty participants, aged 15-39 years with primary sarcoma diagnosis provided in-depth accounts of their experience. Emerging themes from the interviews were grouped into two overarching themes that relate to one's adaptation to illness: individual level and environmental level. The qualitative nature of our study sheds light on meaningful connections between various factors and their role in one's psychological adaptation to sarcoma. We devised a visual matrix to illustrate how risk and protective factors in adaptation vary between and within individuals.

conclusionsThis study demonstrates that young people with sarcoma report an array of both positive and negative factors related to their illness experience. The route to recovery is a multifactorial process and a one-size-fits-all approach to psychosocial care proves inadequate. We propose that moving beyond the latent constructs of resilience and psychopathology towards a dynamic model of psychological adaptation and recovery in this population can result in optimisation of care. We offer some recommendations for professionals working with young people with sarcoma in clinic and research.

Indexed as

SarcomaSoft Tissue NeoplasmsAdaptation, PsychologicalAdolescentAdultHumansQualitative ResearchState MedicineYoung Adultpsychiatryqualitative researchsarcoma

Identifiers

PMID33234628
PMCPMC7684813

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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.