Evidence map›Paper›PMID 39934571›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Multilevel barriers and supportive care preferences of metastatic breast cancer patients and their caregivers: a mixed-methods analysis.

Ashley Buchanan, Julie Nangia, Hoda Badr

Abstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Ashley BuchananBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Julie NangiaLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Hoda BadrMargaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, USA. Hoda.badr@bcm.edu.

Funding

Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine P30 CA125123 (PI: Heslop)
6 · The paper itself

Abstract

purposeThe diagnosis of metastatic breast cancer (MBC) marks a transition from curative to palliative care, bringing significant psychosocial challenges, often exacerbated by racial and ethnic disparities. This mixed-methods study, grounded in the socioecological model, sought to examine distress levels among MBC patients and caregivers across academic and safety-net healthcare settings and to explore how individual, interpersonal, and system-level factors-shaped by intersecting identities such as race/ethnicity and socioeconomic status-influence unmet supportive care needs and intervention preferences.

methodsSurveys and interviews were conducted with a racially and ethnically diverse group of MBC patients (N = 27) and caregivers (N = 19), recruited from a comprehensive cancer center with academic practice and safety-net hospital affiliates.

resultsQuantitative analyses found no significant differences in distress levels between patients at safety-net and academic hospitals or between patients and caregivers. Qualitative analysis identified six categories of supportive care needs: personalized supportive care, comprehensive health and symptom management, emotional and psychosocial support, interpersonal and family support, sexual health and intimacy support, and equitable access to care-with patients and caregivers strongly preferring targeted, multilevel interventions to address these needs.

conclusionFindings underscore the multifaceted nature of MBC care needs and the importance of developing targeted interventions to address the individual, interpersonal, and systemic challenges faced by patients and caregivers.

Indexed as

Breast NeoplasmsCaregiversPatient PreferenceSocial SupportAdultAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedNeoplasm MetastasisPalliative CareQualitative ResearchSafety-net ProvidersStress, PsychologicalCaregiversDistressMetastatic breast cancerPatientsPsychosocial needsResilienceSocio-ecological modelSupportive care

Identifiers

What OpenQuestion holds

Textmetadata
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.