Evidence map›Paper›PMID 36151895›Full record

Observational studyEuropean journal of cancer care2022

Assessment of patient symptom burden and information needs helps tailoring palliative care consultations: An observational study.

Mary-Joanne Verhoef, Boudewijn Sweep, Ellen J M de Nijs, Anne C Valkenburg, Nanda Horeweg, Arwen H Pieterse, Jenny T van der Steen, Yvette M van der Linden

Abstract readObservational Study
In one paragraph

Observational study 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
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  7. Review
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  9. Observational
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

8 authors.

Mary-Joanne VerhoefCenter of Expertise in Palliative Care, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-3796-815X
Boudewijn SweepCenter of Expertise in Palliative Care, Leiden University Medical Center, Leiden, Netherlands.
Ellen J M de NijsCenter of Expertise in Palliative Care, Leiden University Medical Center, Leiden, Netherlands.
Anne C ValkenburgCenter of Expertise in Palliative Care, Leiden University Medical Center, Leiden, Netherlands.
Nanda HorewegDepartment of Radiation Oncology, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-8581-4753
Arwen H PieterseDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0001-6395-0052
Jenny T van der SteenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-9063-7501
Yvette M van der LindenCenter of Expertise in Palliative Care, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-9003-6124

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study is to study (1) the relationship between patient-reported symptom burden and information needs in hospital-based palliative care and (2) differences in patient-reported needs during the disease trajectory.

methodsObservational study: patient-reported symptom burden and information needs were collected via a conversation guide comprising assessment scales for 12 symptoms (0-10), the question which symptom has priority to be solved and a question prompt list on 75 palliative care-related items (35 topics, 40 questions). Non-parametric tests assessed associations.

resultsConversation guides were used by 266 patients. Median age was 65 years (IQ-range, 57-72), 49% were male and 96% had cancer. Patients reported highest burden for Fatigue (median = 7) and Loss of appetite (median = 6) and prioritised Pain (26%), Fatigue (9%) and Shortness of breath (9%). Patients wanted information about 1-38 (median = 14) items, mostly Fatigue (68%), Possibilities to manage future symptoms (68%) and Possible future symptoms (67%). Patients also wanted information about symptoms for which they reported low burden. Patients in the symptom-directed phase needed more information about hospice care.

conclusionSymptom burden and information needs are related. Patients often also want information about non-prioritised symptoms and other palliative care domains. Tailored information-provision includes inviting patients to also discuss topics they did not consider themselves.

Indexed as

Hospice and Palliative Care NursingHospice CareNeoplasmsAgedFatigueFemaleHumansMalePalliative CareReferral and ConsultationSymptom Assessmentadvance care planninginformation needspalliative carepalliative medicinequestion prompt listsymptom assessment

Identifiers

PMID36151895
PMCPMC9788071

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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.