Evidence map›Paper›PMID 36320128›Full record

ArticleThe oncologist2023

Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis.

Sarah Bigi, Vittorio Ganfi, Eleonora Borelli, Leonardo Potenza, Fabrizio Artioli, Sonia Eliardo, Claudia Mucciarini, Luca Cottafavi, Umberto Ferrari, Laura Lombardo and 13 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Hope in Pediatric Palliative Care: A Systematic Review.Children (Basel, Switzerland) · 2026
    Review
  5. Unmet Needs of Palliative Cancer Patients: A Grounded Theory Study.The American journal of hospice & palliative care · 2026
    Article
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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

23 authors at 6 institutions in 3 countries.

Sarah BigiDepartment of Linguistic Sciences and Foreign Literatures, Catholic University of the Sacred Heart, Milan, Italy.ORCID 0000-0003-0506-6140
Vittorio GanfiDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Eleonora BorelliDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Leonardo PotenzaDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Fabrizio ArtioliOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Sonia EliardoOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Claudia MucciariniOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Luca CottafaviOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Umberto FerrariOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Laura LombardoOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Katia CagossiOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Alessandra PietramaggioriOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Valeria FantuzziOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Ilaria BernardiniOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Massimiliano CrucianiOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
Cristina CacciariDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Oreofe OdejideDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Carlo Adolfo PorroDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Camilla ZimmermannPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Fabio EfficaceHealth Outcomes Research Unit, Italian Group for Adult Hematologic Diseases (GIMEMA), Rome, Italy.ORCID 0000-0002-5065-5166
Eduardo BrueraPalliative Care & Rehabilitation Medicine, UT MD Anderson Cancer Center, Houston, TX, USA.
Mario LuppiDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Elena BandieriOncology and Palliative Care Units, Civil Hospital Carpi, USL, Carpi, Italy.
University of Modena and Reggio Emilia · ITDana-Farber Cancer Institute · USFondazione Gimema Onlus · ITThe University of Texas MD Anderson Cancer Center · USUniversità Cattolica del Sacro Cuore · ITUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOncologists are often concerned that talking about death with patients may hinder their relationship. However, the views of death held by patients have not been thoroughly investigated. This study aimed to describe the perception of death among patients with advanced cancer receiving early palliative care (EPC) and their caregivers. MATERIAL AND

methodsQualitative and quantitative analyses were performed on 2 databases: (a) transcripts of open-ended questionnaires administered to 130 cancer patients receiving EPC with a mean age of 68.4 years and to 115 primary caregivers of patients on EPC with a mean age of 56.8; (b) texts collected from an Italian forum, containing instances of web-mediated interactions between patients and their caregivers.

resultsQuantitative analysis shows that: (a) patients and caregivers are not afraid of speaking about death; (b) patients and caregivers on EPC use the word "death" significantly more than patients on standard oncology care (SOC) and their caregivers (P < .0001). For both participants on EPC and SOC, the adjectives and verbs associated with the word "death" have positive connotations; however, these associations are significantly more frequent for participants on EPC (verbs, Ps < .0001; adjectives, Ps < .003). Qualitative analysis reveals that these positive connotations refer to an actual, positive experience of the end of life in the EPC group and a wish or a negated event in the SOC group.

conclusionsEPC interventions, along with proper physician-patient communication, may be associated with an increased acceptance of death in patients with advanced cancer and their caregivers.

Indexed as

Attitude to DeathNeoplasmsPatientsAgedCaregiversHumansMiddle AgedPalliative CarePhysician-Patient Relationsadvanced cancercommunicationdeathearly palliative carequalitative researchterminal care

Identifiers

PMID36320128
PMCPMC9847550
OpenAlexW4307971007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.