Evidence map›Paper›PMID 34735272›Full record

ArticleJCO oncology practice2022

"It's Rougher on Me Than It Is on Him": Family Caregiver-Generated and Prioritized Illness Concerns While Patients Undergo Cancer Treatments.

Kristin Levoy, Jesse Wool, Rebecca L Ashare, William E Rosa, Frances K Barg, Salimah H Meghani

Abstract read
In one paragraph

Article in JCO oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Kristin LevoyDepartment of Community and Health Systems, Indiana University School of Nursing, Indianapolis, IN.ORCID 0000-0002-4336-5849
Jesse WoolDepartment of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA.ORCID 0000-0003-3055-7021
Rebecca L AshareDepartment of Psychiatry, University of Buffalo, Buffalo, NY.ORCID 0000-0003-4664-009X
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0680-8911
Frances K BargDepartment of Family and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3328-1980
Salimah H MeghaniDepartment of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA.ORCID 0000-0002-5866-8279

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
The Role of Opioid Adherence Profiles in Cancer Pain Self-Management and OutcomesR01NR017853 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MEGHANI, SALIMAH H. · 2019 to 2023
$2.7M
NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461NINR NIH HHS R01 NR017853NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

purposeResearch eliciting patients' illness concerns has typically focused later in the cancer continuum, rather than during cancer treatments. Family caregiver concerns are overlooked during this time. Less is known about how patients and caregivers prioritize concerns during cancer treatments, which holds potential for improving supportive oncology care (ie, primary palliative care). The purpose of this study was to elicit and compare which domains of supportive oncology are of highest importance to patients and caregivers during cancer treatments.

methodsFreelisting, a cognitive anthropology method, was used to elicit concerns in order of importance. Freelist data were analyzed using Smith's salience index. Qualitative interviews were conducted with a caregiver subsample to add explanatory insights.

resultsIn descending order, pain, death, fear, family, and awful were salient Freelist items for patients (n = 65), whereas sadness, time-consuming, support, anger, tired, death, and frustration were salient for caregivers (n = 24). When integrated with supportive oncology domains, patients' concerns reflected a prioritization of the physical (pain) and emotional (death, fear, and awful) domains, with less emphasis on social (family) aspects. Caregivers' prioritized the emotional (sadness, anger, death, and frustration) and social (time-consuming and support) domains, with less emphasis on the physical (tired) aspects.

conclusionOur findings suggest that enhancing primary palliative care delivery by oncology teams requires systems thinking to support

Indexed as

CaregiversNeoplasmsHumansMalePainSocial Support

Identifiers

PMID34735272
PMCPMC9014424

What OpenQuestion holds

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Registered trials

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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.