Evidence map›Paper›PMID 35729779›Full record

ArticleEuropean journal of cancer care2022

Challenges in self-management of persons living with advanced cancer: An exploratory, in-depth interview study.

Hanna Noorlandt, Rik Stoevelaar, Sophie van Dongen, Muzeyyen Arslan, Nancy Luu, Leonieke Kranenburg, Erica Witkamp, Carin van der Rijt, Kate Lorig, Agnes van der Heide and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Barriers and facilitators to self-management in people living with a lower-grade glioma.Journal of cancer survivorship : research and practice · 2025
    Article
  5. Article
  6. Article
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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

11 authors at 2 institutions in 2 countries.

Hanna NoorlandtDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Rik StoevelaarDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5101-5654
Sophie van DongenDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Muzeyyen ArslanDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Nancy LuuDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Leonieke KranenburgDepartment of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Erica WitkampDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Carin van der RijtDepartment of Medical Oncology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Kate LorigStanford School of Medicine, Stanford, California, USA.
Agnes van der HeideDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Judith RietjensDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0538-5603
Erasmus MC · NLStanford Medicine · US

Funding

Dutch Research Council (NWO), Innovational Research Incentives Scheme Vidi 91717386
6 · The paper itself

Abstract

objectiveTo obtain insight in self-management challenges of persons with advanced cancer and factors that influence their self-management.

methodsExploratory study among persons with advanced cancer. We conducted in-depth interviews and performed an inductive thematic analysis, using open, axial and selective coding.

resultsWe interviewed 33 persons with advanced cancer. Four self-management challenges were identified: (1) Dealing with physical and psychological symptoms and problems. (2) Navigating the illness trajectory, including management of clinical appointments and treatment regimens, end-of-life planning life and 'maintaining normality'. (3) Managing relations with healthcare professionals, including contributing experiential knowledge to medical decision-making. (4) Navigating changes in the social environment. Some participants responded proactively to these challenges, for example, by actively searching for information to obtain an extensive understanding of their illness and (re)scheduling medical appointments for a better fit in their agenda. Self-management strategies seemed to be influenced by patients' personality, life history, moment in the illness trajectory and the social environment.

conclusionSelf-management challenges of persons with advanced cancer are based largely outside the professional care setting. Self-management strategies in response to these challenges are typically aimed at maintaining a normal life. Self-management support should be tailored to patients' needs and part of trustful partnerships with patients and relatives.

Indexed as

NeoplasmsSelf-ManagementHumansPatient Acceptance of Health CareQualitative Researchcare pathsoncologypalliative carequalitative researchself-careself-management

Identifiers

PMID35729779
PMCPMC9788059
OpenAlexW4283269998

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.