Evidence map›Paper›PMID 34898538›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Parents' Experiences with Home-Based Oral Chemotherapy Prescribed to a Child Diagnosed with Acute Lymphoblastic Leukemia: A Qualitative Study.

Étienne Camiré-Bernier, Erwan Nidelet, Amel Baghdadli, Gabriel Demers, Marie-Christine Boulanger, Marie-Claude Brisson, Bruno Michon, Sophie Lauzier, Isabelle Laverdière

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors at 2 institutions in 1 country.

Étienne Camiré-BernierFaculty of Pharmacy, Université Laval, Québec, QC G1V 0A6, Canada.
Erwan NideletFaculty of Pharmacy, Université Laval, Québec, QC G1V 0A6, Canada.
Amel BaghdadliPopulation Health and Optimal Health Practices Axis, CHU de Québec Research Center-Université Laval, Québec, QC G1S 4L8, Canada.
Gabriel DemersSchool of Psychology, Université Laval, Québec, QC G1V 0A6, Canada.
Marie-Christine BoulangerDepartment of Pharmacy, CHU de Québec-Université Laval, Québec, QC G1V 4G2, Canada.
Marie-Claude BrissonDepartment of Pharmacy, CHU de Québec-Université Laval, Québec, QC G1V 4G2, Canada.
Bruno MichonDivision of Pediatric Hematology-Oncology, CHU de Québec-Université Laval, Québec, QC G1V 4G2, Canada.
Sophie LauzierFaculty of Pharmacy, Université Laval, Québec, QC G1V 0A6, Canada.
Isabelle LaverdièreFaculty of Pharmacy, Université Laval, Québec, QC G1V 0A6, Canada.
Université Laval · CAThe Quebec Population Health Research Network · CA

Funding

Fondation du CHU de Québec 3412Fonds de recherche du Québec-Santé, Clinical research scholar (to I.L.) FQ122099Fonds de recherche du Québec-Santé, Research scholar (to S.L.) FQ122109Réseau Québécois de Recherche sur les Médicaments 2020 Concours "Optimisation de l'usage"
6 · The paper itself

Abstract

Acute lymphoblastic leukemia (ALL) is the most common type of cancer in children. Treatment includes home-based oral chemotherapies (OCs) (e.g., 6-mercaptopurine and dexamethasone) taken for 2 to 3 years. The management of OC can be challenging for children and their parents. However, the multifaceted experience of families with children taking OC for ALL is largely undescribed. We report the experience with these OCs from the parents' perspective. We conducted a qualitative descriptive study. Semi-structured interviews were conducted with the parents of children with ALL aged < 15 years, followed in a specialized university-affiliated center. The interviews were fully transcribed and thematically analyzed. Thirteen of the seventeen eligible parents (76.5%) participated in the study. The parents' motivation to follow the recommendations provided by the multidisciplinary care team regarding OC was very high. The quantity and the quality of the information received were judged adequate, and the parents reported feeling knowledgeable enough to take charge of the OC at home. Adapting to the consequences of OC on family daily life was collectively identified as the biggest challenge. This includes developing and maintaining a strict daily routine, adapting to the child's neurobehavioral changes during dexamethasone days and adapting family social life. Our findings have several implications for enhancing the support offered to families with home-based OC for ALL. Supportive interventions should consider the family as a whole and their needs should be regularly monitored. Specific attention should be paid to the development and maintenance of a routine, to the parental burden, and to the emotional impact, especially regarding dexamethasone.

Indexed as

ParentsPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentChildHumansPatient Care TeamQualitative Researchacute lymphoblastic leukemiaantineoplastic agentscancerchildmedication adherencequalitative research

Identifiers

PMID34898538
PMCPMC8628767
OpenAlexW3209676366

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.