Observational studyPediatric blood & cancer2025
Spiritual Communication Between Pediatric Oncologists, Caregivers, and Patients With Brain Tumors.
Observational study in Pediatric blood & cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02846038 (Understanding Communication in Healthcare to Achieve Trust), which is not on this map. Cited by 1 paper.
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.
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.
Understanding Communication in Healthcare to Achieve Trust (U-CHAT): A Prospective Longitudinal Investigation of Communication Between Pediatric Oncologists, Children/Adolescents With High-Risk Cancer, and Their Families at the Stressful Time-Points of Disease
Who cites it
1 citing paper in PubMed.
- Hope and Uncertainty in Prognostic Discussions.Pediatrics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundSpiritual care is recognized as an essential component of standard care for children with cancer and their families. Oncologists lack training in navigating spirituality discussions in primary cancer care. The current landscape of spiritual dialog during clinical oncology encounters remains understudied. PROCEDURES: This qualitative study described the frequency, context, and content of religious and spiritual communication between pediatric neuro-oncologists, caregivers, and patients with brain tumors during disease re-evaluation encounters. This study is part of the U-CHAT trial (NCT02846038), a prospective longitudinal investigation of real-time clinical communication across the trajectory of poor-prognosis cancer. Patients with brain tumors and their caregivers were eligible if their primary oncologist estimated ≤50% survival. All disease re-evaluation encounters for enrolled patients were audio-recorded and underwent rapid qualitative analysis to identify, summarize, and synthesize religious and spiritual communication.
resultsReligious or spiritual references were identified in 23 (18%) of 129 total encounters. References usually comprised a single religious or spiritual term, with "prayer"-related language representing the majority of references. Caregivers introduced spiritual dialog more often than oncologists (65% vs. 35%). References were most often identified in the context of a discussion about an uncertain or uncontrollable future.
conclusionsResults suggest oncologists rarely integrate spiritual care into disease re-evaluation discussions. In light of recommendations from multiple consensus groups to integrate spiritual care into cancer care, future work should explore how generalist spiritual care training could better equip oncologists to attend to spiritual needs that arise along the cancer trajectory.
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Registered trials
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.