Evidence map›Paper›PMID 35984312›Full record

ArticleJournal of the National Cancer Institute2022

Assessment of Caregivers' Burden When Caring for Patients With Pancreatic and Periampullary Cancer.

Zhi Ven Fong, Jonathan Teinor, Theresa P Yeo, Dee Rinaldi, Jonathan B Greer, Harish Lavu, Motaz Qadan, Fabian M Johnston, Cristina R Ferrone, David C Chang and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  4. Patient-, care partner-, and clinician-proposed solutions to address the time toxicity of cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  13. Unpaid Caregiving: What are the Hidden Costs?Journal of the National Cancer Institute · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Zhi Ven FongDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-6398-413X
Jonathan TeinorNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.
Theresa P YeoDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Dee RinaldiDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Jonathan B GreerDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Harish LavuDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Motaz QadanDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-6951-8308
Fabian M JohnstonDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Cristina R FerroneDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
David C ChangDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Charles J YeoDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Christopher L WolfgangDepartment of Surgery, New York University, New York, NY, USA.
Andrew L WarshawDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Keith D LillemoeDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Carlos Fernandez-Del CastilloDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Matthew J WeissDepartment of Surgery, Northwell Health University Hospital, Manhasset, NY, USA.
Jennifer L WolffDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Albert W WuDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Massachusetts General Hospital · USJohns Hopkins University · USThomas Jefferson University · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNew York University · USNorthwell Health · US

Funding

Impact of Volume-Based Regionalization on Access to Care in Patients Undergoing PancreatectomyF32CA217455 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FONG, ZHI VEN · 2017 to 2018
$157k
NCI NIH HHS F32 CA217455NIH HHS F32CA217455
6 · The paper itself

Abstract

backgroundFamily and other unpaid caregivers play an active role in the recovery of individuals with pancreatic and periampullary cancer after pancreatectomy. However, little is known about caregivers' experiences and how to better support them.

methodsCaregivers accompanying patients to 1-month postpancreatectomy visits at 3 hospitals completed an electronic survey between November 2018 and February 2020. We examine measures of absenteeism and work productivity loss among the subset of caregivers who reported working for pay and comparatively assess caregiver experiences by employment status. All analyses were performed as 2-sided tests.

resultsOf 265 caregivers approached for study participation, 240 (90.6%) enrolled. Caregivers were primarily female (70.8% female, 29.2% male) and spouses (58.3%) or adult children (25.8%) of patients, with a median age of 60 years. Of the 240 caregivers included in the study, 107 (44.6%) worked for pay. Nearly half (44.4%) of working caregivers reported being absent from work because of caregiving amounting to a 14% loss in work hours. While at work, 58.9% of working caregivers reported increased work difficulty as a result of caregiving. Taken together, an estimated 59.7% loss in work productivity was experienced because of caregiving in the month following pancreatectomy. After adjustment for sociodemographic factors, working (vs nonworking) caregivers reported increased financial (odds ratio [OR] = 2.32; P = .04) and emotional (OR = 1.93; P = .04) difficulties and daily activity restrictions (OR = 1.85; P = .048).

conclusionsWorking caregivers of patients with pancreatic and periampullary cancer experience negative impacts on work and productivity, and caregiving-related financial and emotional difficulties may be amplified. This study highlights the need for workplace policies to support unpaid cancer caregiving.

Indexed as

Caregiver BurdenCaregiversNeoplasmsActivities of Daily LivingAdultAdult ChildrenEfficiencyFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID35984312
PMCPMC9664174
OpenAlexW4294349223

What OpenQuestion holds

Textmetadata
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.