Evidence map›Paper›PMID 40958003›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Family perspectives on chemical coping in advanced cancer: influence on opioid-use concerns.

Mika Baba, Toru Shirakawa, Masanori Mori, Tatsuo Akechi, Yoichi Matsuda, Takuya Odagiri, Hiroyuki Otani, Kento Masukawa, Tatsuya Morita, Mitsunori Miyashita

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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

10 authors.

Mika BabaDepartment of Palliative Medicine, Suita Tokushukai Hospital, 21-1 Senriokanishi, Suita City, Osaka, 565-0814, Japan. mmika1217@gmail.com.ORCID http://orcid.org/0000-0003-4135-2646
Toru ShirakawaPublic Health, Osaka University Graduate School of Medicine, Suita, Japan.ORCID http://orcid.org/0000-0003-4733-0077
Masanori MoriDepartment of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.ORCID http://orcid.org/0000-0002-5489-9395
Tatsuo AkechiDepartment of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID http://orcid.org/0000-0003-1100-7518
Yoichi MatsudaDepartment of Anesthesiology & Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, Japan.ORCID http://orcid.org/0000-0002-8963-264X
Takuya OdagiriPalliative Care, Seino Kosei Hospital, Ibi, Gifu, Japan.ORCID http://orcid.org/0000-0002-6488-5595
Hiroyuki OtaniDepartment of Palliative Care Team, and Palliative and Supportive Care, St. Mary's Hospital, Kurume, Japan.ORCID http://orcid.org/0000-0002-2437-4344
Kento MasukawaDepartment of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID http://orcid.org/0000-0002-5993-0822
Tatsuya MoritaDepartment of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Mitsunori MiyashitaDepartment of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID http://orcid.org/0000-0002-7637-0409

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn cancer pain management, families often have concerns and information needs regarding opioids. The experiences that contribute to these concerns and a higher demand for accurate information remain to be elucidated. This study aims to investigate the percentage of families caring for cancer patients using opioids for symptoms other than pain (OP group), and how concerns and information needs regarding opioids vary between the OP group and families caring for patients using opioids for pain only (PO group).

methodsA multicenter cross-sectional self-report questionnaire study for 3036 bereaved families at Japanese specialized palliative care units in 2018.

resultsOf 1910 responses, 1641 responses were analyzed. We identified 1169 families of patients using opioids consisting of an OP group (n = 397, 34.0%), PO group (n = 450, 38.5%), and unknown and no response (n = 322, 27.5%). Multivariate logistics analysis indicated that the OP group had greater concerns about overusing (P < 0.0001); misconceptions about pain medication, such as the possibility of becoming addicted (P < 0.0001); and greater needs for information about opioids, such as the difference between opioids and illegal narcotics (P = 0.013), causal relationship between opioids and addiction (P < 0.0001), and the propriety of using opioids for symptoms other than pain (P < 0.0001).

conclusionApproximately one-third of families observed that their patients used opioids for symptoms other than pain, leading to heightened concerns and increased information needs regarding opioids. To provide effective care, explaining opioids in a manner that reflects families' experiences may be essential.

Indexed as

Analgesics, OpioidCancer PainFamilyNeoplasmsAdaptation, PsychologicalAdultAgedCross-Sectional StudiesFemaleHumansJapanMaleMiddle AgedOpioid-Related DisordersPain ManagementPalliative CareAnalgesics, OpioidFamilies’ experienceInformation needOpioid concernSymptom other than pain

Identifiers

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Textmetadata
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Registered trials

None linked

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.