Evidence map›Paper›PMID 34244955›Full record

ArticleOncology and therapy2021

Understanding Patient Experience in Biliary Tract Cancer: A Qualitative Patient Interview Study.

Nikunj Patel, Xandra Lie, Chad Gwaltney, Nana Rokutanda, Afsaneh Barzi, Davide Melisi, Teresa Macarulla, Makoto Ueno, Seung Tae Kim, Oren Meyers and 3 more

Abstract read
In one paragraph

Article in Oncology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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. Cholangiocarcinoma 2026: status quo, unmet needs and priorities.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  2. A review, evaluation and content mapping study of Australian patient-facing online pancreatobiliary cancer resources.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  3. Review
  4. Article
  5. Review
  6. Review
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

13 authors.

Nikunj PatelAstraZeneca, 1 Medimmune Way, Gaithersburg, MD, 20878, USA. nikunj.patel@astrazeneca.com.
Xandra LieIQVIA, Amsterdam, The Netherlands.
Chad GwaltneyGwaltney Consulting, Westerly, RI, USA.
Nana RokutandaAstraZeneca, Gaithersburg, MD, USA.
Afsaneh BarziCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Davide MelisiDigestive Molecular Clinical Oncology Unit, Università degli Studi di Verona, Verona, Italy.
Teresa MacarullaVall d'Hebron University Hospital, Barcelona, Spain.
Makoto UenoDepartment of Gastroenterology, Kanagawa Cancer Center, Yokohama, Japan.
Seung Tae KimSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Oren MeyersIQVIA, New York, NY, USA.
Christina WorkmanAstraZeneca, Gaithersburg, MD, USA.
Melinda BachiniCholangiocarcinoma Foundation, Riverton, UT, USA.
Gordon CohenAstraZeneca, Gaithersburg, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients living with biliary tract cancer (BTC) experience a decline in health-related quality of life (HRQoL). This study aimed to obtain a comprehensive understanding of the patient experience of BTC-related signs/symptoms and the impacts of these on daily functioning and HRQoL.

methodsPatients with BTC participated in qualitative semi-structured concept elicitation interviews. Signs/symptoms and impacts of BTC were initially explored by targeted literature searches and interviews with five clinicians. Patient interviews were transcribed and coded using qualitative research software. Concept saturation was assessed over five interview waves. A sign/symptom or impact was defined as "salient" if mentioned by ≥ 50% of patients, with a mean disturbance rating of ≥ 5 (0-10 scale). A conceptual model of the patient experience of BTC-related signs/symptoms and impacts was produced.

resultsTwenty-three patients from the USA (78% women; median age: 54 years), diagnosed as having early (n = 3), locally advanced (n = 11) or metastatic (n = 9) disease, were interviewed. Sixty-six signs/symptoms and 12 impacts were identified. Of these, 46 signs/symptoms and 8 impacts were not identified from the targeted literature or clinician interviews. Concept saturation was reached by the fourth of five interview waves. Fourteen disease-related signs/symptoms (including fatigue/lack of energy, abdominal pain, lack of appetite, insomnia and diarrhoea) and three impacts (physical, emotional and cognitive impacts) were deemed "salient". The conceptual model included 50 signs/symptoms and 12 impacts.

conclusionPatients with BTC reported a range of signs/symptoms and impacts that negatively affect daily functioning and HRQoL.

Indexed as

Biliary tract cancerInterview studyQualitative research

Identifiers

PMID34244955
PMCPMC8594245

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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.