ArticleBMC palliative care2025
Decision-Making preferences in advanced cancer patients: associations with sociodemographic and psychological factors.
Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Spirituality in Decision-Making in Patients in Oncology Settings: A Scoping Review.Scandinavian journal of caring sciences · 2026Article
- Real-world treatment durability and pain management in older adults with metastatic castration-resistant prostate cancer.Journal of geriatric oncology · 2026Article
- Advances in End-of-Life Care in Canada: Implications for Oncology Nursing.Current oncology (Toronto, Ont.) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundPatients with advanced cancer often wish to be involved in medical decisions but may vary according to sociodemographic and clinical factors. This study examined how these variables relate to patients' preferred roles in decision-making.
methodsData from 1198 advanced cancer patients were collected via self-administered questionnaires and clinical records. The Control Preferences Scale was used to classify patients into three profiles: Patient Control (decisions mainly made by the patient), Shared Control (decisions made jointly with the physician), and Physician Control (decisions primarily led by the physician). Associations with sociodemographic and psychological variables were analyzed.
resultsAmong participants, 53% were in the Patient Control group, 10% in the Shared Control group, and 37% in the Physician Control group. Sociodemographic variables were significantly associated with decision-making profiles: men and participants with higher education (secondary or above) were more represented in the Physician Control group (41% and 43%), while women and unemployed participants predominated in the Patient Control group (both 57%). In contrast, clinical variables such as tumor site, treatment type, and disease stage showed no significant associations. Regarding psychological characteristics, the Physician Control group reported lower levels of distress and higher levels of positive adjustment (p <.05) compared to the other groups.
conclusionDecision-making preferences among advanced cancer patients depend predominantly on sociodemographic and psychological factors, rather than clinical variables. Patients deferring decisions to physicians experience lower distress and better psychological adjustment. Personalized communication informed by patient background and coping styles may improve patient-centered care and outcomes.
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