Evidence map›Paper›PMID 34332045›Full record

ArticleJournal of pain and symptom management2022

Existential Quality of Life and Associated Factors in Cancer Patients Receiving Palliative Care.

Petra Rantanen, Harvey Max Chochinov, Linda L Emanuel, George Handzo, Diana J Wilkie, Yingwei Yao, George Fitchett

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03209440 (Palliative Care for Elderly Outpatients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT03209440 nacompletednot on this map

Palliative Care for Elderly Outpatients

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2022Enrolled579ConditionsCancer TerminalArmsDignity Therapy - Nurse Led, Usual care, Dignity Therapy - Chaplain Led
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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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.

Petra RantanenUniversity of Rochester School of Medicine and Dentistry (P.R.) Rochester, New York, USA.
Harvey Max ChochinovResearch Institute of Oncology and Hematology (H.M.C.), Cancer Care Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada, USA.
Linda L EmanuelBuehler Center on Aging (L.L.E.), Heatlh and Society, Northwestern Feinberg School of Medicine, Chicago, Illinois, USA.
George HandzoHealth Services Research & Quality (G.H.), HealthCare Chaplaincy Network, Caring for the Human Spirit TM, New York, New York, USA.
Diana J WilkieCenter for Palliative Care Research and Education (D.J.W., Y.Y.), College of Nursing, University of Florida, Gainesville, Florida, USA.
Yingwei YaoCenter for Palliative Care Research and Education (D.J.W., Y.Y.), College of Nursing, University of Florida, Gainesville, Florida, USA.
George FitchettDepartment of Religion (G.F.), Health and Human Values, Rush University Medical Center, Chicago, Illinois, USA. Electronic address: george_fitchett@rush.edu.

Funding

Dignity Therapy RCT led by Nurses or Chaplains for Elderly Cancer OutpatientsR01CA200867 · NCI · UNIVERSITY OF FLORIDA · PI EMANUEL, LINDA LEAH, FITCHETT, GEORGE · 2016 to 2020
$3.2M
NCI NIH HHS R01 CA200867
6 · The paper itself

Abstract

contextEnhancing quality of life (QoL) is a goal of palliative care. Existential QoL is an important aspect of this.

objectivesThis study sought to advance our understanding of existential QoL at the end of life through examining levels of Preparation and Completion, subscales of the QUAL-E, and their associated factors.

methodsWe used data from a multi-site study of 331 older cancer patients receiving palliative care. We examined levels of Preparation and Completion and their association with demographic, religious, and medical factors, and with the Patient Dignity Inventory.

resultsPreparation and Completion scores were moderately high. In adjusted models, being 10 years older was associated with an increase of 0.77 in Preparation (P = 0.002). Non-white patients had higher Preparation (1.03, P = 0.01) and Completion (1.56, P = 0.02). Single patients reported Completion score 1.75 point lower than those married (P = 0.01). One-point increase in intrinsic religiousness was associated with a 0.86-point increase in Completion (P = 0.03). One-point increase in terminal illness awareness was associated with 0.75-point decrease in Preparation (P = 0.001). A 10-point increase in symptom burden was associated with a decrease of 0.55 in Preparation (P < 0.001) and a decrease of 1.0 in Completion (P < 0.001). The total Patient Dignity Inventory score and all of its subscales were negatively correlated with Preparation (r from -.26 to -.52, all P < 0.001) and Completion (r from -.18 to -.31, all P < 0.001).

conclusionWhile most patients reported moderate to high levels of existential QoL, a subgroup reported low existential QoL. Terminal illness awareness and symptom burden may be associated with lower existential QoL.

Indexed as

Hospice and Palliative Care NursingNeoplasmsExistentialismHumansPalliative CareQuality of LifedignityExistential QoLpalliative care, cancersymptom burden

Identifiers

PMID34332045
PMCPMC8766863

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Registered trials

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.