Evidence map›Paper›PMID 39980147›Full record

ArticlePalliative & supportive care2025

Situations in which caregivers and patients are likely to collude: Perspectives from caregivers of advanced cancer patients in Bangladesh.

Jheelam Biswas, Salma Ahsan Khanam, Md Shamsudduha Tauhid, Shima Rani Sarker, Nahid Afsar, Nashid Islam

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Article in Palliative & supportive care, 2025. 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
–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

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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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jheelam BiswasDepartment of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0003-4977-6136
Salma Ahsan KhanamDepartment of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Shamsudduha TauhidDepartment of Internal Medicine, Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh.
Shima Rani SarkerDepartment of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Nahid AfsarDepartment of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Nashid IslamPalliative Care Unit, Bangladesh Cancer Society Hospital and Welfare Home, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to explore situations where caregivers and patients are likely to collude, from the perspective of caregivers of advanced cancer patients in Bangladesh.

methodsThis study took place in 2 different tertiary care hospitals in Bangladesh. The study design included both quantitative and qualitative components. In this study, we focused on situations in which caregivers choose not to disclose the truth, regardless of their patients' desire to know it. This may include instances of mutual withholding or cases of deliberate withholding by caregivers, even when patients express a desire to know the truth. While collusion may occur in some instances, not all situations qualify as collusion; nonetheless, all of these situations were broadly considered as collusion-prone. The intensity of enactment was assessed using the "Caregiver Collusion Questionnaire," and in-depth exploration of collusion-prone situations was conducted through key person interviews with the caregivers.

resultsThe intensity of enactment was medium to high among two-thirds (83.1%) of caregivers. This intensity was significantly associated with the caregivers' relationship with the patients and their intention to disclose the truth ( SIGNIFICANCE OF

resultsThe nature of collusion-prone situations is shaped by culture and social values. By gradually and indirectly addressing these situations, healthcare professionals can assist families in navigating through difficult conversations and ensure that the patient's wishes and values are respected.

Indexed as

CaregiversNeoplasmsTruth DisclosureAdultAgedBangladeshFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesBangladeshcancercaregiverCollusionend-of-life care

Identifiers

PMID39980147
PMCPMC13166329

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LicenceCC BY-NC-SA
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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.