Evidence map›Paper›PMID 37360680›Full record

ArticlePalliative medicine reports2023

Comparison of Symptom Severity and Progression in Advanced Cancer Patients Among Different Care Settings: A Secondary Analysis.

Ryuto Shiraishi, Yoshiyuki Kizawa, Masanori Mori, Isseki Maeda, Yutaka Hatano, Hiroto Ishiki, Tomofumi Miura, Naosuke Yokomichi, Maiko Kodama, Keiko Inoue and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative medicine reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 8 institutions in 1 country.

Ryuto ShiraishiDepartment of Palliative Medicine, Kobe University School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0003-0641-8259
Yoshiyuki KizawaDivision of Clinical Medicine, Department of Palliative and Supportive Care, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Masanori MoriPalliative Care Team, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Isseki MaedaDepartment of Palliative Care, Senri-Chuo Hospital, Toyonaka, Japan.ORCID https://orcid.org/0000-0002-0018-3359
Yutaka HatanoDepartment of Palliative Care, Daini Kyoritsu Hospital, Kawanishi, Japan.ORCID https://orcid.org/0000-0002-9797-3487
Hiroto IshikiDepartment of Palliative Medicine, National Cancer Center Hospital, Tokyo, Japan.
Tomofumi MiuraDepartment of Palliative Medicine, National Cancer Center Hospital East, Kashiwa, Japan.ORCID https://orcid.org/0000-0002-7031-7279
Naosuke YokomichiDivision of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.ORCID https://orcid.org/0000-0003-0863-1184
Maiko KodamaOrange Home-Care Clinic, Fukui, Japan.
Keiko InoueMedical Corporation Aisei-kai, Hirakata, Japan.
Sen OtomoSeimeikan Clinic, Sapporo, Japan.
Takashi YamaguchiDepartment of Palliative Medicine, Kobe University School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0003-3060-0245
Jun HamanoDivision of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.ORCID https://orcid.org/0000-0003-0304-9881
Kobe University · JPSeirei Mikatabara General Hospital · JPUniversity of Tsukuba · JPHiroshima Kyoritsu Hospital · JPKishokai Medical Corporation · JPNational Cancer Center Hospital East · JPSapporo Science Center · JPTokyo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Most people in Japan wish to spend their final days at home, but the majority fail to do so; earlier studies indicated a more pronounced worsening of symptoms if treated at home. Objectives: This study compared the prevalence of symptom worsening and explored associated factors between patients with advanced cancer receiving palliative care in palliative care units (PCUs) and at home. Design: We conducted a secondary analysis of two multicenter, prospective cohort studies involving patients with advanced cancer receiving palliative care in PCUs or at home. Setting/Subjects: One study was conducted at 23 PCUs (January to December 2017) and the other on 45 palliative home care services (July to December 2017) in Japan. Measurements: Symptom changes were categorized as stable, improved, or worse. Results: Of the 2998 registered patients, 2877 were analyzed. Among them, 1890 patients received palliative care in PCUs, and 987 at home. Patients receiving palliative care at home were more likely to have worsening of pain (17.1% vs. 3.8%; Conclusions: After adjusting for patient background, the prevalence of symptom worsening was not different between patients with advanced cancer receiving palliative care at home and in PCUs.

Indexed as

advanced cancer patientsmulticenter prospective cohort studiespalliative care at homepalliative care unitsplace of caresymptom management

Identifiers

PMID37360680
PMCPMC10288302
OpenAlexW4381799887

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.