Evidence map›Paper›PMID 34876096›Full record

ReviewBMC palliative care2021

Communicating with patients and families about illness progression and end of life: a review of studies using direct observation of clinical practice.

Stuart Ekberg, Ruth Parry, Victoria Land, Katie Ekberg, Marco Pino, Charles Antaki, Laura Jenkins, Becky Whittaker

Open access · goldAbstract readReview
In one paragraph

Review 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  14. Open communication between patients and relatives about illness & death in advanced cancer-results of the eQuiPe Study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  16. Hospice Family Caregivers' Uncertainty, Burden, and Unmet Needs in Prospective Audio Diaries.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2023
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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

8 authors at 2 institutions in 2 countries.

Stuart EkbergSchool of Psychology & Counselling, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.ORCID https://orcid.org/0000-0001-8837-7440
Ruth ParrySchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK. r.parry@lboro.ac.uk.ORCID https://orcid.org/0000-0003-4909-440X
Victoria LandSchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK.ORCID https://orcid.org/0000-0003-4542-6163
Katie EkbergSchool of Early Childhood & Inclusive Education, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.ORCID https://orcid.org/0000-0002-8237-1459
Marco PinoSchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK.ORCID https://orcid.org/0000-0003-1571-5028
Charles AntakiSchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK.ORCID https://orcid.org/0000-0002-9473-4413
Laura JenkinsSchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK.ORCID https://orcid.org/0000-0002-5594-4477
Becky WhittakerSchool of Social Sciences and Humanities, Loughborough University, Brockington Building, Epinal Way, Margaret Keay Road, Loughborough, LE11 3TU, UK.
Loughborough University · GBQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing recognition that a diverse range of healthcare professionals need competence in palliative approaches to care. Effective communication is a core component of such practice. This article informs evidence-based communication about illness progression and end of life through a rapid review of studies that directly observe how experienced clinicians manage such discussions.

methodsThe current rapid review updates findings of a 2014 systematic review, focussing more specifically on evidence related to illness progression and end-of-life conversations. Literature searches were conducted in nine bibliographic databases. Studies using conversation analysis or discourse analysis to examine recordings of actual conversations about illness progression or end of life were eligible for inclusion in the review. An aggregative approach was used to synthesise the findings of included studies.

resultsFollowing screening, 26 sources were deemed to meet eligibility criteria. Synthesis of study findings identified the structure and functioning of ten communication practices used in discussions about illness progression and end-of-life.

conclusionThe ten practices identified underpin five evidence-based recommendations for communicating with patients or family members about illness progression and end of life.

Indexed as

CommunicationPalliative CareDeathFamilyHealth PersonnelHumansBad newsCommunicationConversation analysisDifficult conversationsDiscourse analysisPalliative careRapid reviewSerious news

Identifiers

PMID34876096
PMCPMC8651503
OpenAlexW4200380182

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.