Evidence map›Paper›PMID 36802979›Full record

Trial reportPalliative medicine2023

Perceptions of prognosis and end-of-life care outcomes in patients with advanced lung and gastrointestinal cancer.

Tamryn F Gray, Rachel Plotke, Lauren Heuer, Carlisle Ew Topping, Ryan D Nipp, Annie C Wang, Juan Gasca Banda, Joseph A Greer, Jennifer S Temel, Areej El-Jawahri

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Determining patient-oncologist cancer treatment intent concordance using systematic screening in a supportive care center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Tamryn F GrayDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0001-8075-9735
Rachel PlotkeMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Lauren HeuerMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Carlisle Ew ToppingMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Ryan D NippHarvard Medical School, Boston, MA, USA.
Annie C WangMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Juan Gasca BandaMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Joseph A GreerHarvard Medical School, Boston, MA, USA.
Jennifer S TemelHarvard Medical School, Boston, MA, USA.
Areej El-JawahriHarvard Medical School, Boston, MA, USA.
Harvard University · USMassachusetts General Hospital · US

Funding

A Randomized trial of early palliative care for newly diagnosed cancer patientsR01NR012735 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2011 to 2015
$2.1M
Optimizing Palliative and End of Life Care for Patients with CancerK24CA181253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2014 to 2018
$737k
NCI NIH HHS K24 CA181253NINR NIH HHS R01 NR012735
6 · The paper itself

Abstract

backgroundMany patients with advanced cancer have misperceptions of their prognosis, which may impact end-of-life decision-making. Data regarding associations between prognostic perceptions over time and end-of-life care outcomes are lacking.

aimTo describe patients' perceptions of their prognosis with advanced cancer and examine associations between these perceptions and end-of-life care outcomes.

designSecondary analysis of longitudinal data from a randomized controlled trial of a palliative care intervention for patients with newly diagnosed incurable cancer. SETTING/

participantsConducted at an outpatient cancer center in the northeastern United States and patients were within 8 weeks of a diagnosis with incurable lung or non-colorectal gastrointestinal cancer.

resultsWe enrolled 350 patients in the parent trial, of which 80.5% (281/350) died during the study period. Overall, 59.4% (164/276) of patients reported they were terminally ill, and 66.1% (154/233) reported that their cancer was likely curable at the assessment closest to death. Patient acknowledgment of terminal illness was only associated with lower risk of hospitalizations in the last 30 days of life (OR = 0.52,

conclusionsPatients' perceptions of their prognosis are associated with important end-of-life care outcomes. Interventions are needed to enhance patients' perceptions of their prognosis and optimize their end-of-life care.

Indexed as

Gastrointestinal NeoplasmsHospice CareNeoplasmsTerminal CareHumansLungPalliative CarePrognosisadvanced cancerdecision makingend of life carehealth care usehospiceneoplasmPerceptions of prognosis

Identifiers

PMID36802979
PMCPMC13424897
OpenAlexW4321327747

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.