Evidence map›Paper›PMID 35876450›Full record

ArticlePalliative & supportive care2022

Voicing their choices: Advance care planning with adolescents and young adults with cancer and other serious conditions.

Lori Wiener, Sima Bedoya, Haven Battles, Leonard Sender, Keri Zabokrtsky, Kristine A Donovan, Lora M A Thompson, Barbara B Lubrano di Ciccone, Margarita Bobonis Babilonia, Karen Fasciano and 8 more

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In one paragraph

Article in Palliative & supportive care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Adolescents and young adults with cancer conversations following participation in an advance care planning video pilot.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

18 authors.

Lori WienerPediatric Oncology Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-9573-8870
Sima BedoyaPediatric Oncology Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD.
Haven BattlesPediatric Oncology Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD.
Leonard SenderChildren's Hospital of Orange County, 1201 W La Veta Ave, Orange, CA 92868.
Keri ZabokrtskyChildren's Hospital of Orange County, 1201 W La Veta Ave, Orange, CA 92868.
Kristine A DonovanDepartment of Supportive Care Medicine, Moffitt Cancer Center, Tampa, FL.
Lora M A ThompsonDepartment of Supportive Care Medicine, Moffitt Cancer Center, Tampa, FL.
Barbara B Lubrano di CicconeDepartment of Supportive Care Medicine, Moffitt Cancer Center, Tampa, FL.
Margarita Bobonis BabiloniaDepartment of Supportive Care Medicine, Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-4950-5179
Karen FascianoDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA.
Paige MalinowskiDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA.
Maureen LyonChildren's National Research Institute, Washington, DC.
Jessica ThompkinsChildren's National Research Institute, Washington, DC.
Corey HeathCook Children's Medical Center, Fort Worth, TX.
Denise VelazquezDivision of Pediatric Hematology/Oncology, Children's Hospital at Montefiore, New York City, NY.
Karen Long-TraynorDivision of Pediatric Hematology/Oncology, Children's Hospital at Montefiore, New York City, NY.
Abigail FryPediatric Oncology Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD.
Maryland PaoNational Institute of Mental Health, National Institutes of Health, Bethesda, MD.

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

objectivesTo determine whether engaging in advance care planning (ACP) using a formal tool,

methodsA total of 149 AYAs aged 18-39 years receiving cancer-directed therapy or treatment for another chronic medical illness were enrolled at seven US sites. Baseline data included prior ACP communication with family members and HCPs and measures of generalized anxiety, ACP anxiety, and social support. Participants critically reviewed each page of VMC and then completed three pages of the document. ACP anxiety was measured again immediately after the completion of VMC pages. One month later, participants repeated anxiety and social support measures and were asked if they shared what they had completed in VMC with a family member or HCP.

resultsAt baseline, 50.3% of participants reported that they previously had a conversation about EoL preferences with a family member; 19.5% with an HCP. One month later, 65.1% had subsequently shared what they wrote in VMC with a family member; 8.9% shared with an HCP. Most (88.6%) reported they would not have had this conversation if not participating in the study. No significant changes occurred in social support. There was an immediate drop in anxiety about EoL planning after reviewing VMC which persisted at 1 month. Generalized anxiety was also significantly lower 1 month after reviewing VMC. SIGNIFICANCE OF

resultsHaving a document specifically created for AYAs to guide ACP planning can decrease anxiety and increase communication with family members but not necessarily with HCPs. Future research should examine ways ACP can be introduced more consistently to this young population to allow their preferences for care to be heard, respected, and honored, particularly by their healthcare providers.

Indexed as

Advance Care PlanningNeoplasmsTerminal CareAdolescentChronic DiseaseCommunicationFamilyHumansYoung AdultAdolescents and young adultsAdvance care planningCommunicationEnd of lifeVoicing my choices

Identifiers

PMID35876450
PMCPMC9315053

What OpenQuestion holds

Textmetadata
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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.