Evidence map›Paper›PMID 35965390›Full record

ArticleEuropean journal of cancer care2022

Referral of patients with cancer to palliative care: Attitudes, practices and work-related experiences among Swedish physicians.

Karin Adolfsson, Ulrika Kreicbergs, Charlotte Bratthäll, Erik Holmberg, Thomas Björk-Eriksson, Margaretha Stenmarker

Abstract 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Illness trajectories of incurable solid cancers.BMJ (Clinical research ed.) · 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

6 authors.

Karin AdolfssonDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-8649-9305
Ulrika KreicbergsDepartment of Health Care Sciences, Palliative Research Centre, Marie Cederschiöld University College, Stockholm, Sweden.
Charlotte BratthällDepartment of Oncology, Kalmar County Hospital, Kalmar, Region Kalmar County, Sweden.
Erik HolmbergDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Thomas Björk-ErikssonDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Margaretha StenmarkerDepartment of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

FORSS, Medical Research Council of Southeast Sweden FORSS-657621Foundation for Clinical Cancer Research, Jönköping, Sweden 809311Futurum - Academy for Health and Care, Region Jönköping County, Sweden FUTURUM-419721Futurum - Academy for Health and Care, Region Jönköping County, Sweden FUTURUM-423541Futurum - Academy for Health and Care, Region Jönköping County, Sweden FUTURUM-913371Futurum - Academy for Health and Care, Region Jönköping County, Sweden FUTURUM-933554
6 · The paper itself

Abstract

objectiveThis study aimed to explore the attitudes, practices and work-related experiences among Swedish physicians regarding the referral process, integration and transition between oncology care and palliative care (PC).

methodsA cross-sectional online survey was performed with a study-specific questionnaire in 2016-2017 in south-eastern Sweden. Physicians working with cancer patients within surgical specialties, medical specialties and paediatric oncology participated.

resultsThe vast majority of the 130 participating physicians (99.2%) stated that PC was beneficial for the patient and were positive about early integration of PC (65.5%). Still, only 27.6% of the participants introduced PC at an early stage of non-curable disease. However, paediatric oncologists had a very early introduction of PC in comparison with medical specialties (p = 0.004). Almost 90% of the study population said they wanted to know that the patient had been taken care of by another care facility.

conclusionsDespite the physicians' positive attitude towards early integration and referral to PC, they often acted late in the disease trajectory. This late approach can reduce the patient's opportunity of improving quality of life during severe circumstances. There is a need for in-depth knowledge of the physicians' challenges in order to bridge the gap between intentions and actions.

Indexed as

NeoplasmsPhysiciansChildCross-Sectional StudiesHumansPalliative CareQuality of LifeReferral and ConsultationSwedencanceroncologypaediatric oncologypalliative carephysicianreferral

Identifiers

PMID35965390
PMCPMC10909424

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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.