Evidence map›Paper›PMID 34479460›Full record

ArticlePalliative medicine2021

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Anna J Pedrosa Carrasco, Martin Koch, Teresa Machacek, Anna Genz, Svenja Herzog, Jorge Riera Knorrenschild, Pia von Blanckenburg, Carola Seifart

Open access · bronzeAbstract 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 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, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Perceptions and experiences of onco-haematology professionals in relation to advance care planning: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    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.

Anna J Pedrosa CarrascoStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0002-4757-9019
Martin KochStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.
Teresa MachacekStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.
Anna GenzStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.
Svenja HerzogStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.
Jorge Riera KnorrenschildDepartment of Haematology, Oncology and Immunology, University Hospital of Giessen and Marburg, Marburg, Germany.
Pia von BlanckenburgDepartment of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Carola SeifartStudy Group Ethics in Medicine, Philipps-University Marburg, Marburg, Germany.
Philipps University of Marburg · DEUniversitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpaired readiness may hinder purposeful advance care planning in cancer patients. To reduce barriers to participation in end-of-life decision-making, a collaborative intervention was developed combining a psycho-oncological approach of dignity-based and cognitive-behavioural interventions, followed by a standardised advance care planning-process.

aimTo evaluate the novel collaborative advance care planning-approach by synthetising cancer patient and carer perspectives on communicational and relational effects.

designAs a sub-project of a mixed-methods evaluation study, we conducted an inductive content analysis of qualitative interviews with advanced cancer patients and caregivers to deeply explore the focused impact of a collaborative advance care planning-approach on communication and relationship dynamics. SETTING/

participantsTwelve patients with advanced cancer and 13 carers who participated in a collaborative advance care planning-intervention.

resultsThe collaborative advance care planning-approach was consistently evaluated positively by participants. Transcriptions of the semi-structured interviews were coded, analysed and merged under three main themes concerning communicational and relationship dynamics: action readiness, content readiness and impact on future communication and relationship.

conclusionsThe novel intervention served to foster individual readiness - including action and content readiness - for advance care planning-discussions by addressing highly individualised barriers to participation, as well as specific end-of-life issues. In addition, societal readiness could be promoted. Although the brief psycho-oncological intervention could not fully meet the needs of all participants, it can be used to develop individual psychotherapeutic strategies to improve different facets of readiness. The collaborative advance care planning-approach might require more time and human resources, but could pioneer successful advance care planning.

Indexed as

Advance Care PlanningNeoplasmsTerminal CareCaregiversCommunicationHumansQualitative ResearchAdvance care planningadvance directivescancercaregiverscommunicationfamilyoncologypatientspsycho-oncologyqualitative research

Identifiers

PMID34479460
PMCPMC8637376
OpenAlexW3198743183

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.