Evidence map›Paper›PMID 33353484›Full record

ArticlePalliative medicine2021

The role, impact, and support of informal caregivers in the delivery of palliative care for patients with advanced cancer: A multi-country qualitative study.

Samuel Ojima Adejoh, Florien Boele, David Akeju, Adlight Dandadzi, Elizabeth Nabirye, Eve Namisango, Elizabeth Namukwaya, Bassey Ebenso, Kennedy Nkhoma, Matthew J Allsop

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  14. Examination of the relationship between the empathic tendencies and sleep quality of caregivers of cancer patients.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

10 authors at 6 institutions in 4 countries.

Samuel Ojima AdejohDepartment of Social Work, University of Lagos, Lagos, Nigeria.ORCID 0000-0002-3588-3187
Florien BoeleAcademic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
David AkejuDepartment of Sociology, University of Lagos, Lagos, Nigeria.
Adlight DandadziClinical Trials Research Centre, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Elizabeth NabiryeDepartment of Internal Medicine, Makerere University, Kampala, Uganda.
Eve NamisangoAfrican Palliative Care Association, Kampala, Uganda.ORCID 0000-0001-5032-4714
Elizabeth NamukwayaDepartment of Internal Medicine, Makerere University, Kampala, Uganda.
Bassey EbensoNuffield Centre for International Health and Development, University of Leeds, Leeds, UK.
Kennedy NkhomaFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Matthew J AllsopAcademic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0002-7399-0194
University of Leeds · GBMakerere University · UGUniversity of Lagos · NGAfrican Palliative Care Association · UGKing's College London · GBUniversity of Zimbabwe · ZW

Funding

Medical Research Council MR/S014535/1
6 · The paper itself

Abstract

backgroundCancer is increasing in its prevalence in sub-Saharan Africa. Informal caregivers are key to supporting engagement and interaction with palliative care services, but limited literature on their role impedes development of supportive interventions.

aimWe aimed to understand the role, impact, and support of informal caregivers of patients with advanced cancer when interacting with palliative care services in Nigeria, Uganda, and Zimbabwe.

designSecondary analysis of qualitative interview transcripts. The dataset was assessed for fit and relevance and framework approach was used. SETTING/

participantsInterview transcripts of informal caregivers included participants aged over 18 years of age recruited from palliative care services across participating countries.

resultsA total of 48 transcripts were analyzed. Mean age was 37 (range 19-75) with equal numbers of men and women. Five themes emerged from the data: (1) caregivers are coordinators of emotional, practical, and health service matters; (2) caregiving comes at a personal social and financial cost; (3) practical and emotional support received and required; (4) experience of interacting and liaising with palliative care services; and (5) barriers and recommendations relating to the involvement of palliative care.

conclusionsThe role of informal caregivers is multi-faceted, with participants reporting taking care of the majority of medical, physical, financial, and emotional needs of the care recipient, often in the face of sacrifices relating to employment, finances, and their own health and social life. Efforts to develop comprehensive cancer control plans in sub-Saharan Africa must take account of the increasing evidence of informal caregiver needs.

Indexed as

CaregiversNeoplasmsAdolescentAdultAgedFemaleHumansMalePalliative CareQualitative ResearchSocial SupportZimbabweAfrica South of the SaharacaregiversneoplasmsPalliative carequalitative research

Identifiers

PMID33353484
PMCPMC7975852
OpenAlexW3117771746

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.