Evidence map›Paper›PMID 40117339›Full record

ArticleCancer2025

Utilization and perceptions of chaplaincy among hospitalized adults of Dharmic religions with cancer.

Rushil V Patel, Jill M Bowden, Danielle Boselli, Ashley E Strahley, Sydney-Evelyn L Gibbs, Komal P Murali, Viraj R Patel, Ritesh R Kotecha, Judith E Nelson

Abstract read
In one paragraph

Article in Cancer, 2025. 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
–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

2 citing papers in PubMed.

  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

9 authors.

Rushil V PatelDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-2856-6271
Jill M BowdenDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Danielle BoselliLevine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
Ashley E StrahleyWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Sydney-Evelyn L GibbsGeorgetown University Medical Center, Georgetown University, Washington, District of Columbia, USA.
Komal P MuraliNew York University Rory Meyers College of Nursing, New York, New York, USA.
Viraj R PatelRush Medical College, Rush University, Chicago, Illinois, USA.
Ritesh R KotechaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-0223-3479
Judith E NelsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-3624-3111

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Rutgers-NYU Center for Asian Health Promotion and EquityP50MD017356 · NIMHD · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI SETOGUCHI IWATA, SOKO, ZHENG, YAGUANG · 2021 to 2025
$11.6M
Consumer-based meditation app, Calm, for treatment of sleep disturbance in hematological cancer patientsR01CA262041 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Jennifer Lynne Huberty, Ruben A. Mesa · 2022 to 2026
$2.8M
Engage-D: DEsigNing Culturally Sensitive Care ManaGement for Hospice TrAnsitions for Diverse Persons LivinG with AdvancEd DementiaK23AG083125 · NIA · NEW YORK UNIVERSITY · PI Komal Patel Murali · 2024 to 2026
$586k
Atrium Health FoundationMemorial Sloan Kettering Cancer CenterNCI NIH HHS P30 CA008748NCI NIH HHS P30CA01219NCI NIH HHS P30 CA012197NCI NIH HHS R01 CA262041NIA NIH HHS K23 AG083125NIA NIH HHS U54 AG063546NIMHD NIH HHS P50 MD017356
6 · The paper itself

Abstract

backgroundSpiritual care provided by chaplains plays a key role in cancer care in the United States, yet little is known about chaplaincy utilization among people of Dharmic religions (Hinduism, Buddhism, Sikhism, Jainism) with cancer.

methodsThis multi-methods study reviewed the records of patients (aged 18 years and older) who were hospitalized at a dedicated cancer hospital (2015-2019) and conducted interviews with chaplains and adults of Dharmic religions (2020). Primary outcomes included measuring chaplaincy utilization (at least one chaplain visit) across different religions and identifying perceptions of chaplaincy. Secondary outcomes involved measuring unmet spiritual needs on admission, types of spiritual care needs, and variables associated with chaplaincy utilization.

resultsOf 54,828 patients, 2% were of Dharmic religions (n = 1163; 58.4% Hindu, 33.2% Buddhist, 4.8% Sikh, 3.4% multiple, <1% Jain). Compared with others, those of Dharmic religions were younger (median age, 59 vs. 63 years; p < .001), predominantly East or South Asian (78.7% vs. 5.6%; p < .001), and had higher rates of advanced illness (22.6% vs. 15.2%; p < .001) but lower chaplaincy utilization (31.6% vs. 36.7%; p < .001). There were no significant differences in unmet spiritual needs on admission (Dharmic religions vs. others, 8.7% vs. 9.4%; p = .41). Ritual care was the most frequently documented spiritual care need (72%). Multivariable analysis indicated that longer length of stay, non-Dharmic religion, and advanced illness were associated with higher chaplaincy utilization. Themes identified from the interviews included unfamiliarity with chaplaincy, concerns about faith-discordant care, addressing spiritual care needs independently, and solutions for concordant care.

conclusionsPeople of Dharmic religions with cancer were less likely to use chaplaincy services. Barriers included unfamiliarity and faith discordance. Spiritual care incorporating faith-specific resources is urgently needed.

Indexed as

Chaplaincy Service, HospitalClergyNeoplasmsPastoral CareAdultAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedSpiritualitychaplaincyhealth equitypsycho‐oncologyspiritual care

Identifiers

PMID40117339
PMCPMC11927932

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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.