Evidence map›Paper›PMID 34507567›Full record

ArticleBMC palliative care2021

Knowledge of end-of-life wishes by physicians and family caregivers in cancer patients.

Jose A Calvache, Socorro Moreno, Gillian Prue, Joanne Reid, Sam H Ahmedzai, Angelica Arango-Gutierrez, Liliana Ardila, Lucia I Arroyo, Esther de Vries

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 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
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
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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

9 authors at 5 institutions in 3 countries.

Jose A CalvacheDepartment of Anesthesiology, Universidad del Cauca, Popayán, Colombia.ORCID http://orcid.org/0000-0001-9421-3717
Socorro MorenoDepartment of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogotá, Colombia.ORCID http://orcid.org/0000-0002-4119-4409
Gillian PrueReader in Chronic Illness, School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.ORCID http://orcid.org/0000-0003-2198-3731
Joanne ReidProfessor of Cancer and Palliative Care, School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK. j.reid@qub.ac.uk.ORCID http://orcid.org/0000-0001-5820-862X
Sam H AhmedzaiAcademic Unit of Supportive Care, Section of Oncology, School of Medicine and Biomedical Sciences, University of Sheffield, Royal Hallamshire Hospital, Sheffield, UK.ORCID http://orcid.org/0000-0002-2028-8510
Angelica Arango-GutierrezClinical Epidemiology, Pontificia Universidad Javeriana, Bogotá, Colombia.ORCID http://orcid.org/0000-0002-2980-6847
Liliana ArdilaNational Cancer Institute, Bogotá, Colombia.ORCID http://orcid.org/0000-0002-3686-7269
Lucia I ArroyoDepartamento de Fonoaudiología, Universidad del Cauca, Popayan, Colombia.ORCID http://orcid.org/0000-0002-1261-6297
Esther de VriesDepartment of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogotá, Colombia.ORCID http://orcid.org/0000-0002-5560-2258
Pontificia Universidad Javeriana · COQueen's University Belfast · GBUniversity of Cauca · COInstituto Nacional de Cancerología · CORoyal Hallamshire Hospital · GB

Funding

Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS) CT-826-2018
6 · The paper itself

Abstract

objectivesTo describe communication regarding cancer patient's end-of-life (EoL) wishes by physicians and family caregivers.

methodsAn online questionnaire and telephone-based surveys were performed with physicians and family caregivers respectively in three teaching hospitals in Colombia which had been involved in the EoL care of cancer patients.

resultsFor 138 deceased patients we obtained responses from physicians and family caregivers. In 32 % physicians reported they spoke to the caregiver and in 17 % with the patient regarding EoL decisions. In most cases lacking a conversation, physicians indicated the treatment option was "clearly the best for the patient" or that it was "not necessary to discuss treatment with the patient". Twenty-six percent of the caregivers indicated that someone from the medical team spoke with the patient about treatment, and in 67% who had a conversation, caregivers felt that the provided information was unclear or incomplete. Physicians and family caregivers were aware if the patient had any advance care directive in 6% and 26% of cases, respectively, with low absolute agreement (34%).

conclusionsThere is a lack of open conversation regarding EoL in patients with advanced cancer with their physicians and family caregivers in Colombia. Communication strategies are urgently needed.

Indexed as

NeoplasmsPhysiciansTerminal CareCaregiversDeathHumansAdvance DirectivesCancerCommunicationDecision MakingEnd of life

Identifiers

PMID34507567
PMCPMC8434705
OpenAlexW3161320311

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.