Evidence map›Paper›PMID 34115527›Full record

ArticleJCO global oncology2021

Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population.

Eric L Krakauer, Khadidjatou Kane, Xiaoxiao Kwete, Gauhar Afshan, Lisa Bazzett-Matabele, Danta Dona Ruthnie Bien-Aimé, Lawrence F Borges, Sarah Byrne-Martelli, Stephen Connor, Raimundo Correa and 18 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.1field-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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. European Society of Gynaecological Oncology Guidelines for the Management of Patients with Vulvar Cancer - Update 2023.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Guideline
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Strategic approaches for global cervical cancer elimination: An update review and call for national action.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  9. Article
  10. Review
  11. Pain management in cervical cancer.Frontiers in oncology · 2024
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 16 institutions in 13 countries.

Eric L KrakauerDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.ORCID 0000-0001-8868-0044
Khadidjatou KaneDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.
Xiaoxiao KweteHarvard School of Public Health, Boston, MA.ORCID 0000-0003-1535-1068
Gauhar AfshanDepartment of Anaesthesiology, Aga Khan University Medical College, Karachi, Pakistan.
Lisa Bazzett-MatabeleDepartment of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-6170-1084
Danta Dona Ruthnie Bien-AiméDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA.ORCID 0000-0003-0494-7536
Lawrence F BorgesDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0003-4357-180X
Sarah Byrne-MartelliDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.ORCID 0000-0001-8864-1328
Stephen ConnorWorldwide Hospice Palliative Care Alliance, Fairfax, VA.ORCID 0000-0003-0332-2067
Raimundo CorreaGynecologic Oncology Unit and Palliative Care Service, Clínica Las Condes, Santiago, Chile.
C R Beena DeviNormah Medical Specialist Center, Sarawak, Malaysia.
Mamadou DiopCancer Institute of Cheikh Anta Diop University, Dakar, Senegal.
Shekinah N ElmoreDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, NC.ORCID 0000-0002-7136-1597
Nahla GaferRadiation and Isotope Centre, Oncology Hospital, Khartoum, Sudan.ORCID 0000-0001-6291-093X
Annekathryn GoodmanDivision of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA.
Surbhi GroverPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7443-5937
Annette HasenburgDepartment of Gynecology and Obstetrics, Johannes Gutenberg University Medical Center, Mainz, Germany.ORCID 0000-0002-1547-4968
Kelly IrwinDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA.ORCID 0000-0002-4591-9876
Mihir KamdarDepartment of Medicine, Harvard Medical School, Boston, MA.
Suresh KumarInstitute of Palliative Medicine, Medical College, Kerala, India.ORCID 0000-0002-2551-2139
Quynh Xuan Nguyen TruongCollege of Public Health Science, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0001-6929-4404
Tom RandallDivision of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA.ORCID 0000-0002-3230-0310
Maryam RassouliShahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-5607-8064
Cristiana SessaDepartment of Medical Oncology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
Dingle SpenceHope Institute Hospital, Kingston, Jamaica.ORCID 0000-0001-9733-4100
Ted TrimbleNational Cancer Institute, Bethesda, MD.ORCID 0000-0001-5028-0598
Cherian VargheseDepartment of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.
Elena FidarovaDepartment of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.ORCID 0000-0003-3521-4589
Harvard University · USUniversity of Botswana · BWWorld Health Organization · CHAga Khan University · PKBoston College · USCheikh Anta Diop University · SNClínica Las Condes · CLInstitute of Oncology Research · CHJohannes Gutenberg University Mainz · DEMassachusetts General Hospital · USNational Cancer Institute · USNational Hospice and Palliative Care Organization · USPallium India · INShahid Beheshti University of Medical Sciences · IRUniversity of North Carolina at Chapel Hill · USUniversity of the West Indies · JM

Funding

Prognostic value of quantitative HPV viral load in determining cervical cancer treatment response and recurrenceK08CA230170 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GROVER, SURBHI · 2019 to 2023
$1.4M
NCI NIH HHS K08 CA230170World Health Organization 001
6 · The paper itself

Abstract

Women with cervical cancer, especially those with advanced disease, appear to experience suffering that is more prevalent, complex, and severe than that caused by other cancers and serious illnesses, and approximately 85% live in low- and middle-income countries where palliative care is rarely accessible. To respond to the highly prevalent and extreme suffering in this vulnerable population, we convened a group of experienced experts in all aspects of care for women with cervical cancer, and from countries of all income levels, to create an essential package of palliative care for cervical cancer (EPPCCC). The EPPCCC consists of a set of interventions, medicines, simple equipment, social supports, and human resources, and is designed to be safe and effective for preventing and relieving all types of suffering associated with cervical cancer. It includes only inexpensive and readily available medicines and equipment, and its use requires only basic training. Thus, the EPPCCC can and should be made accessible everywhere, including for the rural poor. We provide guidance for integrating the EPPCCC into gynecologic and oncologic care at all levels of health care systems, and into primary care, in countries of all income levels.

Indexed as

Hospice and Palliative Care NursingUterine Cervical NeoplasmsDelivery of Health CareFemaleHumansPalliative CareVulnerable Populations

Identifiers

PMID34115527
PMCPMC8457866
OpenAlexW3167370894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.