Evidence map›Paper›PMID 40660257›Full record

ArticleBMC palliative care2025

Assessing palliative care needs in adult patients with hematological malignancies and their caregivers: implications for referral practice.

Radhika R Pai, Arun Ghoshal, Karthik Udupa, Ananth Pai, Sharada Mailankody, Anuja Damani, Krithika S Rao, Shwetha Prabhu, Malathi G Nayak, Naveen Salins

Abstract read
In one paragraph

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

10 authors.

Radhika R Pai *Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Arun Ghoshal *Department of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Karthik UdupaDepartment Medical Oncology Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Ananth PaiDepartment Medical Oncology Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Sharada MailankodyDepartment Medical Oncology Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Anuja DamaniDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Krithika S RaoDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Shwetha PrabhuManipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Malathi G NayakCommunity Health Nursing Department, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Naveen SalinsDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India. naveen.salins@manipal.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with hematological malignancies frequently experience complex physical, psychological, and spiritual concerns due to disease progression and intensive therapies. Despite these needs, palliative care services are often underutilized. This study aimed to assess the palliative care needs of adult patients with hematological malignancies and their caregivers in a tertiary care setting in India.

methodsA descriptive survey was conducted from October 2022 to February 2023, involving 200 patients and their caregivers in oncology wards. The Needs Assessment Tool for Progressive Disease-Cancer (NAT: PD-C) was used to evaluate physical, psychological, and social needs. Data were analyzed using descriptive statistics in Jamovi 2.0.0.

resultsOf the 200 patients, 55.5% reported no unresolved physical symptoms, while 9.5% had significant concerns, including fatigue, pain, and breathlessness. Psychological distress was noted in 16% of patients, with 15.62% requiring referral to specialized services. Caregivers reported significant concerns regarding physical strain (2%) and psychological distress (14%). Only 9.55% of patients were referred to specialist palliative care services, highlighting a gap in timely palliative care access.

conclusionsDespite a high burden of symptoms, specialist palliative care services are underutilized for patients with hematological malignancies. Early integration of palliative care can improve symptom management, reduce psychological distress, and enhance patients' and caregivers' quality of life. Training healthcare providers in palliative care principles and establishing standardized referral pathways are essential to address these unmet needs.

Indexed as

CaregiversHematologic NeoplasmsNeeds AssessmentPalliative CareReferral and ConsultationAdultAgedFemaleHumansIndiaMaleMiddle AgedSurveys and QuestionnairesAdultCaregiver burdenCaregiversEnd-of-life careHealth care surveysHealth services accessibilityHealth services needs and demandHematologic neoplasmsNeeds assessmentOncology nursingPalliative carePatient care needsPatient care planningPsychological distressQuality of lifeReferral and consultationSupportive careSymptom management

Identifiers

PMID40660257
PMCPMC12261735

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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.