Evidence map›Paper›PMID 33967022›Full record

Trial reportJournal of geriatric oncology2021

Pain, symptom distress, and pain barriers by age among patients with cancer receiving hospice care: Comparison of baseline data.

Saunjoo L Yoon, Lisa Scarton, Laurie Duckworth, Yingwei Yao, Miriam O Ezenwa, Marie L Suarez, Robert E Molokie, Diana J Wilkie

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of geriatric oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
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

8 authors at 2 institutions in 1 country.

Saunjoo L YoonDepartment of Biobehavioral Nursing Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: yoon@ufl.edu.
Lisa ScartonDepartment of Family, Community and Health System Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: lscarton@ufl.edu.
Laurie DuckworthDepartment of Biobehavioral Nursing Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: lduck@ufl.edu.
Yingwei YaoDepartment of Biobehavioral Nursing Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: y.yao@ufl.edu.
Miriam O EzenwaDepartment of Biobehavioral Nursing Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: moezenwa@ufl.edu.
Marie L SuarezDepartment of Biobehavioral Health Science, University of Illinois at Chicago, Chicago, IL, USA. Electronic address: mlsuarez@uic.edu.
Robert E MolokieCollege of Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA; College of Pharmacy, Department of Biopharmaceutical Sciences, University of Illinois at Chicago, Chicago, IL, USA; Jesse Brown VA Medical Center, Chicago, IL, USA. Electronic address: remoloki@uic.edu.
Diana J WilkieDepartment of Biobehavioral Nursing Science and Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, USA. Electronic address: diwilkie@ufl.edu.
University of Florida · USUniversity of Illinois Chicago · US

Funding

Patient-Centered Outcomes Research Institute IH-1304-6553
6 · The paper itself

Abstract

objectivesAge group differences have been reported for pain and symptom presentations in outpatient and inpatient oncology settings, but it is unknown if these differences occur in hospice. We examined whether there were differences in pain, symptom distress, pain barriers, and comorbidities among three age groups (20-64 years, 65-84 years, and 85+) of hospice patients with cancer. MATERIALS AND

methodsParticipants were recruited from two hospices. Half were women; 49% White and 34% Black. 42% were 20-64 y, 43% 65-84 y, and 15% 85+ y. We analyzed baseline data for 230 hospice patients with cancer (enrolled 2014-2016, mean age 68.2 ± 14.0, 20-100 years) from a stepped-wedge randomized controlled trial. Measures were the Average pain intensity (API, 0-10: current, least and worst pain intensity during the past 24 h), Symptom Distress Scale (SDS, 13-65), Barriers Questionnaire-13 (BQ-13, 0-5), and comorbid conditions. Descriptive, bivariate association, and multiple regression analyses were performed.

resultsMean API scores differed (p < .001) among the three age groups (5.6 ± 2.0 [20-64 years], 4.7 ± 2.0 [65-84 years], and 4.4 ± 1.8 [85+], as did the mean SDS scores (36.1 ± 7.3, 33.5 ± 8.1, and 31.6 ± 6.6, p = .004). BQ-13 mean scores (2.6 ± 0.9, 2.7 ± 0.8, and 2.5 ± 0.7) and comorbidities were not significantly different across age groups. In multiple regression analyses, age-related differences in API and SDS remained significant after adjusting for gender, race, cancer, palliative performance score, and comorbidities. Comorbidities were positively associated with SDS (p = .046) but not with API (p = .64) in the regression model.

conclusionOlder hospice patients with cancer reported less pain and symptoms than younger patients, but all groups reported similar barriers to pain management. These findings suggest the need for age- and race-sensitive interventions to reduce pain and symptom distress levels at life's end.

Indexed as

Hospice CareHospicesNeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedPainPalliative CareAge differenceCancerHospiceOldest-oldPainPalliative careRace and ethnicitySurvivalSymptom distress

Identifiers

PMID33967022
PMCPMC8429256
OpenAlexW3160926715

What OpenQuestion holds

Textmetadata
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.