Evidence map›Paper›PMID 41466210›Full record

ArticleBMC palliative care2025

Palliative care in patients with brain metastases from breast cancer: a qualitative descriptive study of attitudes, practices, and barriers.

Wei-Si Peng, Si-Jia Zhou, Bing-Dong Wang, Li-le Xiong, Chao-Ran Qu, Rui Sun, Wei-Wei Zhang, Wei-Xiang Luo, Xiu-Fen Yang

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. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Wei-Si PengDepartment of Nursing, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Si-Jia ZhouDepartment of Geriatrics, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Bing-Dong WangDepartment of Emergency, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Li-le XiongDepartment of Thoracic Surgery, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Chao-Ran QuDepartment of Surgery, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Rui SunDepartment of Emergency, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Wei-Wei ZhangDepartment of Nephrology, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Wei-Xiang LuoDepartment of Nursing, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China. luoweixiang688@126.com.
Xiu-Fen YangDepartment of Emergency, Shenzhen People's Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China. 1757083108@qq.com.

Funding

Guangdong Medical Research Fund A2024009
6 · The paper itself

Abstract

backgroundBrain metastases occur in 20%-40% of women with breast cancer, the most common malignancy in women worldwide. These patients frequently require palliative care to improve quality of life; however, their needs and experiences remain poorly characterised. This study explored attitudes, practices, and perceived barriers and facilitators related to palliative care among patients with brain metastasis from breast cancer in China.

methodsBetween October and December 2024, we conducted qualitative interviews with 16 women with brain metastases from breast cancer at a public hospital in Shenzhen, Guangdong Province, China. Participants were purposively sampled and interviewed face to face using a semi-structured, pilot-tested topic guide. Using directed content analysis, we analysed interview transcripts to identify concepts and key ideas within a deductive framework (attitudes, practices, barriers and facilitators). From these initial concepts, categories were inductively expanded and core themes were generated.

resultsFindings clustered into four domains: attitudes (goal incongruence among stakeholders; misunderstandings and stigma surrounding palliative care; evolving acceptance linked to perceived benefits); practices (managing neurological symptoms; maintaining cognitive function; optimising of pain management; coordination across family, community, and hospital settings); barriers (financial strain, limited understanding, cultural-familial norms); and facilitators (multidisciplinary care, family/community support, policy support). DISCUSSION: The findings highlight the need for improved communication and education to align expectations and enhance palliative care. Addressing the economic burden and cognitive decline, and strengthening professional team support, family and community engagement, and policy/organisational backing, may enhance palliative care delivery and outcomes. Future research should examine longitudinal shifts in awareness, evaluate transferability to other tumour types and sites via multicentre studies, and incorporate clinicians' and caregivers' perspectives to optimise symptom-control protocols and family-community-hospital coordination.

Indexed as

Brain NeoplasmsBreast NeoplasmsPalliative CareAdultAgedChinaFemaleHumansInterviews as TopicMiddle AgedQualitative ResearchQuality of LifeAttitudesBarriersBrain metastasesBreast cancerFacilitatorsPalliative careQualitative research

Identifiers

PMID41466210
PMCPMC12751947

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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.