Evidence map›Paper›PMID 37296323›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Physicians' perspectives on family caregivers' roles in elderly cancer patients' therapies: a qualitative, interview-based study.

Andreas Heidenreich, Susanne Elsner, Frank Wörler, Joachim Hübner, Christina Schües, Christoph Rehmann-Sutter, Alexander Katalinic, Frank Gieseler

Open access · hybridAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Treatment decision-making for patients with cancer aged 75 and older: perspectives from focus group interviews with patients, family caregivers, and healthcare providers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. 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

8 authors at 3 institutions in 1 country.

Andreas HeidenreichInstitute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany. andreas.heidenreich@uksh.de.ORCID http://orcid.org/0000-0003-3279-416X
Susanne ElsnerInstitute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0001-7678-7071
Frank WörlerInstitute for History of Medicine and Science Studies, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0002-1582-4972
Joachim HübnerInstitute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0001-8596-2046
Christina SchüesInstitute for History of Medicine and Science Studies, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0002-8533-2527
Christoph Rehmann-SutterInstitute for History of Medicine and Science Studies, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0001-7642-5556
Alexander KatalinicInstitute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany.ORCID http://orcid.org/0000-0003-0490-1554
Frank GieselerClinic for Hematology and Oncology, University Hospital Schleswig-Holstein (UKSH), Luebeck, Germany.ORCID http://orcid.org/0000-0001-6409-3822
University of Lübeck · DEInstitute for Integrative and Experimental Genomics · DEUniversity Hospital Schleswig-Holstein · DE

Funding

German Federal Innovation Fund 01VSF16035
6 · The paper itself

Abstract

purposeClinical communication and facilitating informed and sound medical decisions become challenging as patients age and suffer from age-associated impairments. Family caregivers are perceived as essential actors in addressing these challenges. Here, we explore physicians' perspectives on family caregivers' roles and their involvement in consultations and therapy decision-making situations of elderly cancer patients.

methodsWe examined 38 semi-structured interviews with physicians from different specialities (oncologists, non-oncology specialists, and general practitioners) in Germany who treated elderly cancer patients. Data were analyzed using reflexive thematic analysis.

resultsWe identified five general and distinct perspectives on the involvement of family caregivers in the therapy process. Family caregivers are seen as (1) translators of medical information; (2) providers of support for the patient; (3) providers of information about the patient; (4) stakeholders with relevant points of view regarding the treatment decision; or (5) individuals who have a disruptive influence on the consultation. The interviewed physicians rarely involved family caregivers closely in consultations.

conclusionsAlthough physicians frequently attribute supportive roles to family caregivers, they rarely include them in consultations. Previous studies have found that a triadic setting is often better suited to agreeing upon a patient-centered and needs-based treatment decision for older cancer patients. We infer that physicians too rarely recognize the potential importance of family caregivers. Educators should further integrate family caregiver involvement and its implications in general medical education and professional training.

Indexed as

NeoplasmsPhysiciansAgedCaregiversFamilyHumansQualitative ResearchReferral and ConsultationClinical communicationFamily caregiversTherapy decision-making

Identifiers

PMID37296323
PMCPMC10256638
OpenAlexW4379980382

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.