Evidence map›Paper›PMID 41705334›Full record

ArticlePalliative & supportive care2026

Cross-cultural adaptation and validation of the Suffering Pictogram for Brazilian cancer patients.

Ana Cláudia Mesquita Garcia, Eliza Mara das Chagas Paiva, Angela Bezerra Perlamagna, Tais Rodrigues Caproni, Silvana Maria Coelho Leite Fava, Everson Meireles, Talita Prado Simão, Seng Beng Tan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative & supportive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ana Cláudia Mesquita GarciaInterdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Brazil.ORCID https://orcid.org/0000-0001-9793-7905
Eliza Mara das Chagas PaivaInterdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Brazil.
Angela Bezerra PerlamagnaInterdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Brazil.
Tais Rodrigues CaproniClinical Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Silvana Maria Coelho Leite FavaSchool of Nursing, Federal University of Alfenas, Alfenas, Brazil.
Everson MeirelesInterdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Brazil.
Talita Prado SimãoInterdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Brazil.
Seng Beng TanUnit of Palliative Medicine, Department of Medicine, Subang Jaya Medical Center, Selangor Darul Ehsan, Malaysia.ORCID https://orcid.org/0000-0002-0649-0739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing the multidimensional nature of suffering in palliative care is challenging. The Suffering Pictogram (SP) is a visual instrument developed to facilitate the communication and measurement of this experience in clinical practice.

objectivesTo translate, cross-culturally adapt, and validate the SP into Brazilian Portuguese (SP-BR) for cancer patients.

methodsA sample of 222 cancer patients completed the SP-BR and the FACIT-Sp-12 scale. Psychometric properties were assessed using exploratory factor analysis (EFA), internal consistency (Cronbach's alpha), and convergent validity (Pearson's correlations).

resultsEFA confirmed a unidimensional structure (loadings 0.40-0.73; variance explained 34.42%). Internal consistency was robust (

conclusionThe SP-BR is a validated, unidimensional Brazilian Portuguese instrument suitable for holistic suffering assessment in clinical settings. SIGNIFICANCE OF

resultsThe SP-BR is a brief tool for holistic suffering assessment, making it suitable for efficient screening in clinical and research settings, including those with limited resources.

Indexed as

NeoplasmsPsychometricsStress, PsychologicalAdultAgedAged, 80 and overBrazilCross-Cultural ComparisonFemaleHumansMaleMiddle AgedPalliative CareReproducibility of ResultsSurveys and QuestionnairesTranslatinghospice carePalliative carepalliative medicinepsychometricsspirituality

Identifiers

PMID41705334
PMCPMC13166607

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.