Evidence map›Paper›PMID 40549982›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Multisite Randomized Trial of Inpatient Palliative Care Intervention for Patients Undergoing Hematopoietic Stem Cell Transplantation.

Areej El-Jawahri, Thomas W LeBlanc, Ali Kavanaugh, Jason Webb, James Fausto, Lara Traeger, Joseph A Greer, Vicki Jackson, Nora Horick, Dustin J Rabideau and 9 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

19 authors.

Areej El-JawahriMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-3556-1495
Thomas W LeBlancDivision of Hematologic Malignancies and Cellular Therapy, Duke University, Durham, NC.ORCID 0000-0002-0546-7895
Ali KavanaughMassachusetts General Hospital, Boston, MA.ORCID 0000-0001-9435-216X
Jason WebbDivision of Hematology/Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0003-4048-9499
James FaustoUniversity of Washington, Seattle, WA.
Lara TraegerDepartment of Psychology, University of Miami, Miami, FL.ORCID 0000-0002-8175-5725
Joseph A GreerMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-0979-4076
Vicki JacksonMassachusetts General Hospital, Boston, MA.
Nora HorickMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-4355-5853
Dustin J RabideauMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-3829-7079
Alyssa FenechMassachusetts General Hospital, Boston, MA.ORCID 0000-0001-5031-6116
Richard NewcombMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-8251-6961
Nneka N UfereMassachusetts General Hospital, Boston, MA.
Ella CarusoMassachusetts General Hospital, Boston, MA.ORCID 0009-0002-2726-173X
Julia PepperMassachusetts General Hospital, Boston, MA.ORCID 0009-0004-4587-1413
Zachariah DeFilippMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-7994-8974
Yi-Bin ChenMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-9554-1058
Stephanie J LeeUniversity of Washington, Seattle, WA.ORCID 0000-0003-2600-6390
Jennifer S TemelMassachusetts General Hospital, Boston, MA.ORCID 0000-0002-7268-5921

Funding

Randomized Trial of Inpatient Palliative Care for Patients with Hematologic Malignancies Undergoing Hematopoietic Stem Cell TransplantationR01CA222014 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI EL-JAWAHRI, AREEJ · 2018 to 2022
$2.2M
NCI NIH HHS R01 CA222014
6 · The paper itself

Abstract

purposePatients undergoing hematopoietic stem cell transplantation (HSCT) and their caregivers endure immense physical and psychological symptoms, which result in quality-of-life (QOL) impairments during HSCT.

methodsWe conducted a multisite randomized trial among adults undergoing autologous or allogeneic HSCT at three academic institutions. Patients were randomly assigned to an inpatient palliative care (PC) intervention or usual care. Intervention patients met with PC clinicians twice weekly during the HSCT hospitalization. Patients assigned to usual care could be referred to PC as per standard of care. We assessed QOL (patient: Functional Assessment of Cancer Therapy-Bone Marrow Transplant; caregiver: Caregiver-Oncology-QOL), depression and anxiety symptoms (Hospital-Anxiety-and-Depression-Scale), and patients' post-traumatic stress disorder (PTSD) symptoms (PTSD Checklist) at baseline, week 2, and 3 and 6 months post-HSCT. The primary end point was patients' QOL at week 2 during hospitalization when patients experience their QOL nadir. We used linear regression, adjusting for baseline scores, to evaluate the effect of the intervention on patient-reported outcomes at week 2. We used linear mixed-effect models to assess the effect of the intervention on study outcomes longitudinally.

resultsWe enrolled 68.7% (360/524) of eligible patients between October 2018 and July 2022. Compared with those receiving usual care, patients receiving the intervention reported better QOL (adjusted mean difference [B], 6.3; SE, 0.1;

conclusionPC led to substantial improvements in patients' QOL, depression, and PTSD symptoms with sustained effects on PTSD symptoms up to 6 months post-HSCT.

Indexed as

Hematopoietic Stem Cell TransplantationPalliative CareAdultAgedAnxietyCaregiversDepressionFemaleHospitalizationHumansInpatientsMaleMiddle AgedPatient Reported Outcome MeasuresQuality of LifeStress Disorders, Post-Traumatic

Identifiers

PMID40549982
PMCPMC12353685

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.