Evidence map›Paper›PMID 40384519›Full record

Observational studyJournal of clinical nursing2026

The Role of Nursing Diagnoses in Enhancing Prognostic Accuracy in Home-Based Cancer Care: Insights From a Retrospective Cohort Study.

Luca Bertocchi, Andreina Saba, Angelo Dante, Monica Guberti, Sandra Consolini, Stefania Tortella, Dorothy Jones, Cristina Petrucci, Loreto Lancia

Abstract readObservational Study
In one paragraph

Observational study in Journal of clinical nursing, 2026. 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. Review
  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.

Luca BertocchiDepartment of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Andreina SabaLocal Health Unit Reggio Emilia, Reggio Emilia, Italy.ORCID 0009-0007-3698-1700
Angelo DanteDepartment of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0001-5875-3353
Monica GubertiLocal Health Unit Reggio Emilia, Reggio Emilia, Italy.
Sandra ConsoliniLocal Health Unit Reggio Emilia, Reggio Emilia, Italy.
Stefania TortellaLocal Health Unit Reggio Emilia, Reggio Emilia, Italy.
Dorothy JonesThe Marjory Gordon Program for Clinical Reasoning and Knowledge Development, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA.
Cristina PetrucciDepartment of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Loreto LanciaDepartment of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo (1) describe the characteristics of patients with advanced cancer receiving home-based care, (2) identify the nursing diagnoses associated with 6-month mortality and (3) explore the predictive power of nursing diagnoses on 6-month mortality for patients with an advanced cancer diagnosis.

backgroundNursing diagnoses have been shown to capture the complexity of patients' experiences and the specific nursing care related to patients' responses to illness, including increased mortality risk. However, there is a lack of studies investigating the relationship between nursing diagnoses and mortality among cancer patients receiving home-based care.

designRetrospective cohort study.

methodsBetween July 2021 and June 2023, patients with advanced cancer were consecutively admitted to a home-based care service. Medical data, prognostic indexes and nursing assessment data, including nursing diagnoses from NANDA International, assigned during the first home visit, were extracted from patient health records. Survival analysis was performed over the first 6 months using the Kaplan-Meier method and Cox proportional hazards model.

resultsAmong 344 enrolled patients, the most frequent nursing diagnoses were chronic pain and constipation. The 45.9% of patients died at home within 6 months after discharge. Multivariate Cox regression identified a Palliative Prognostic Index ≥ 5, palliative status, terminal phase of illness and two nursing diagnoses-imbalanced nutrition: less than body requirements and death anxiety-as significant predictors of 6-month mortality.

conclusionsSurvival in advanced cancer patients receiving home care was primarily predicted by the terminal phase of illness, Palliative Prognostic Index, palliative status and two specific nursing diagnoses: imbalanced nutrition: less than body requirements and death anxiety. REPORTING

methodThe Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were adopted in this study. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

Home Care ServicesNeoplasmsNursing DiagnosisAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID40384519
PMCPMC12667005

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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.