Evidence map›Paper›PMID 37178323›Full record

ReviewCancer control : journal of the Moffitt Cancer Center

To Treat or Not to Treat? Dilemmas when Deciding on Antineoplastic Treatment in Patients With Far Advanced Cancers.

Carlos Eduardo Paiva, Daniel D'Almeida Preto, Crislaine de Lima, Bianca Sakamoto Ribeiro Paiva

Open access · goldAbstract readReview
In one paragraph

Review in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

4 authors at 1 institution in 1 country.

Carlos Eduardo PaivaPalliative Care and Quality of Life Research Group (GPQual), Barretos Cancer Hospital, Barretos, Brazil.ORCID 0000-0002-7934-1451
Daniel D'Almeida PretoPalliative Care and Quality of Life Research Group (GPQual), Barretos Cancer Hospital, Barretos, Brazil.
Crislaine de LimaPalliative Care and Quality of Life Research Group (GPQual), Barretos Cancer Hospital, Barretos, Brazil.
Bianca Sakamoto Ribeiro PaivaPalliative Care and Quality of Life Research Group (GPQual), Barretos Cancer Hospital, Barretos, Brazil.
Hospital de Câncer de Barretos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with advanced cancers and their oncologists are often faced with difficult treatment decisions, especially when there are borderline situations of expected benefit or increased risk of complications. In this narrative review, we will explore the decision-making process for patients with advanced cancers and provide insights on how to approach this complex task, while didactically dividing the oncologist's assessments according to a mnemonic rule of the ABCDE of therapeutic decision-making. Part A (advanced cancer) recalls that the rule is to be used specifically for advanced cancers. Parts B (potential benefits) and C (clinical conditions and risks) represents the traditional risk vs benefit scale. In Part D, we discuss ways to identify and understand patients' desires, values, preferences, and beliefs. The prognostic estimation, from Part E, may function as an "adjust" for the antineoplastic treatment decision-making. Treatment decisions need to be conducted by skilled oncologists, in a patient-centered care, aiming to promote valuable oncology with lower rates of aggressive care.

Indexed as

Antineoplastic AgentsNeoplasmsOncologistsDecision MakingHumansMedical OncologyPalliative CareAntineoplastic Agentsadvance care planningcancer therapydecision-makingneoplasmspalliative careprognosistoxicity

Identifiers

PMID37178323
PMCPMC10184254
OpenAlexW4376612821

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.