Evidence map›Paper›PMID 40319195›Full record

ArticleBone marrow transplantation2025

What do pediatric transplant physicians think about palliative care? Results from a national survey study.

Emily C Merkel, Christa L Meyer, Rafeek A Yusuf, Caroline F Morrison, Debra Lynch Kelly, Deena R Levine, Thomas W LeBlanc, Christina K Ullrich, Areej El-Jawahri

Abstract read
In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Emily C MerkelClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. emily.merkel@seattlechildrens.org.ORCID 0000-0001-5531-9164
Christa L MeyerNMDP, Minneapolis, MN, USA.
Rafeek A YusufNMDP, Minneapolis, MN, USA.
Caroline F MorrisonCollege of Nursing, University of Cincinnati, Cincinnati, OH, USA.
Debra Lynch KellyCollege of Nursing, University of Florida, Gainesville, FL, USA.
Deena R LevineDivision of Quality-of-life and Palliative Care, Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Thomas W LeBlancDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-0546-7895
Christina K Ullrich *Harvard Medical School, Boston, MA, USA.
Areej El-Jawahri *Harvard Medical School, Boston, MA, USA.

Funding

PEDIATRIC ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009351 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth R Lawlor, SOHEIL MESHINCHI · 1985 to 2026
$7.0M
Palliative Care Research Training GrantT32HL125195 · NHLBI · UNIVERSITY OF WASHINGTON · PI KROSS, ERIN KATHRYN, SHARMA, RASHMI K. · 2015 to 2024
$3.2M
NCI NIH HHS T32 CA009351NHLBI NIH HHS T32 HL125195
6 · The paper itself

Abstract

The benefits of palliative care (PC) for hematopoietic cell transplant (HCT) patients are well established, however, uptake in pediatric HCT remains limited. To understand pediatric transplant physicians' attitudes towards PC, we conducted a cross-sectional study with a 28-question survey. A composite score and regression model identified factors associated with positive attitudes towards subspecialty PC. Ninety-eight participants reported caring for pediatric patients. Most (81%) trust PC clinicians to care for their patients, yet 33% feel PC clinicians lack enough HCT knowledge to counsel patients. Nearly half (46%) see the name "PC" as a barrier to referral. Multivariable analysis showed that spiritual practice (β = 1.53, p = 0.029), <10 years of clinical practice (β = 2.23, p = 0.007), and perceived PC quality (β = 0.73, p < 0.001) were associated with a more positive attitude towards PC. More training in PC (β = -2.70, p = 0.003) and a higher sense of ownership over PC issues (β = -0.51, p = 0.001) were associated with a more negative attitude towards subspecialty PC. These findings highlight barriers to pediatric HCT and PC collaboration, including concerns about PC team knowledge of HCT and patient perceptions. While most pediatric transplant physicians trust PC to enhance patient care, interventions are needed to improve collaboration.

Indexed as

Attitude of Health PersonnelHematopoietic Stem Cell TransplantationPalliative CarePhysiciansAdultChildCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40319195
PMCPMC12277032

What OpenQuestion holds

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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.