Evidence map›Paper›PMID 36198337›Full record

ArticleJournal of pain and symptom management2023

Cancer Caregivers' Prognostic and End-of-Life Communication Needs and Experiences and their Impact.

Anny T H R Fenton, Kalen M Fletcher, Deniz Kizildag, Nancy A Borstelmann, Daniela Kessler, Christine Cronin, Anna C Revette, Alexi A Wright, Elizabeth Frank, Andrea C Enzinger

Open access · greenAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. From diagnosis to daily realities: longitudinal phenomenological exploration of symptom trajectories in glioma survivorship.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  5. Family perceptions of the transition from hospital to home palliative care: a phenomenological study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  6. Article
  7. Rapid Review of Family Caregiver Engagement in Hospice and End-of-Life Patient Care: Implications for Nursing Practice.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2025
    Review
  8. Early and late code status documentation in cancer patients managed by a dedicated supportive care team.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cancer prognosis information-seeking among survivors and caregivers: findings from the National Cancer Institute's Cancer Information Service.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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

10 authors at 1 institution in 1 country.

Anny T H R FentonDana Farber Cancer Institute, Boston, Massachusetts, USA. Electronic address: Annyt_fenton@dfci.harvard.edu.
Kalen M FletcherDana Farber Cancer Institute, Boston, Massachusetts, USA.
Deniz KizildagDana Farber Cancer Institute, Boston, Massachusetts, USA.
Nancy A BorstelmannDana Farber Cancer Institute, Boston, Massachusetts, USA.
Daniela KesslerDana Farber Cancer Institute, Boston, Massachusetts, USA.
Christine CroninDana Farber Cancer Institute, Boston, Massachusetts, USA.
Anna C RevetteDana Farber Cancer Institute, Boston, Massachusetts, USA.
Alexi A WrightDana Farber Cancer Institute, Boston, Massachusetts, USA.
Elizabeth FrankDana Farber Cancer Institute, Boston, Massachusetts, USA.
Andrea C EnzingerDana Farber Cancer Institute, Boston, Massachusetts, USA.
Dana-Farber Cancer Institute · US

Funding

Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Video Informed Consent Tools to Improve Care for Patients With Advanced Pancreatic CancerK07CA204201 · NCI · DANA-FARBER CANCER INST · PI ENZINGER, ANDREA C · 2016 to 2020
$878k
NCI NIH HHS K07 CA204201NCI NIH HHS T32 CA092203
6 · The paper itself

Abstract

contextFamily caregivers of patients with advanced cancer are integrally involved in communications regarding prognosis and end-of-life (EOL) planning and care. Yet little research has examined caregivers' communication experiences or the impact of these experiences on patients and caregivers at EOL.

objectivesInvestigate cancer caregivers' communication experiences and potential impact on patient and caregiver outcomes.

methodsSemistructured interviews with bereaved family cancer caregivers (N=19) about their communication needs and experiences as their loved one approached EOL and died. Audiotaped interviews were transcribed and thematically analyzed for communication-related themes.

resultsCaregivers described fulfilling many important communication roles including information gathering and sharing, advocating, and facilitating-often coordinating communication with multiple partners (e.g., patient, family, oncology team, hospital team). Caregivers reported that, among the many topics they communicated about, prognosis and EOL were the most consequential and challenging. These challenges arose for several reasons including caregivers' and patients' discordant communication needs, limited opportunity for caregivers to satisfy their personal communication needs, uncertainty regarding their communication needs and responsibilities, and feeling unacknowledged by the care team. These challenges negatively impacted caregivers' abilities to satisfy their patient-related communication responsibilities, which shaped many outcomes including end-of-life decisions, care satisfaction, and bereavement.

conclusionCaregivers often facilitate essential communication for patients with advanced cancers yet face challenges successfully fulfilling their own and patients' communication needs, particularly surrounding prognostic and end-of-life conversations. Future research and interventions should explore strategies to help caregivers navigate uncertainty, create space to ask sensitive questions, and facilitate patient-caregiver discussions about differing informational needs.

Indexed as

BereavementNeoplasmsTerminal CareCaregiversCommunicationDeathHumansPrognosisQualitative ResearchcancercaregiversCommunicationend-of-lifeprognosis

Identifiers

PMID36198337
PMCPMC9790036
OpenAlexW4300003401

What OpenQuestion holds

Textmetadata
LicenceTDM
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.