Evidence map›Paper›PMID 41985116›Full record

ArticleJCO global oncology2026

Barriers to Palliative Care Integration for Children With Cancer Across Asia Pacific.

Andrea Cuviello, Marta Salek, Sri Andini Handayani, Sally Blair, Anjali Chandra, Godwin Job, Bella S Ehrlich, Lynna Chandra, Ross Drake, Sanjeeva Gunasekera and 52 more

Abstract read
In one paragraph

Article in JCO global oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. A Mixed-Methods Exploration of the Quality of Care and Care Needs for Asian Children and Young Adults With Serious Long-Term Conditions.Health expectations : an international journal of public participation in health care and health policy · 2026
    Observational
  2. 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

62 authors.

Andrea CuvielloPhoenix Children's Hospital, Phoenix, AZ.ORCID 0000-0002-7684-6841
Marta SalekSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-3421-5945
Sri Andini HandayaniSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-2908-1329
Sally BlairSt Jude Children's Research Hospital, Memphis, TN.ORCID 0009-0008-4423-725X
Anjali ChandraStanford University School of Medicine, Palo Alto, CA.
Godwin JobSt Jude Children's Research Hospital, Memphis, TN.
Bella S EhrlichBoston Children's Hospital, Boston, MA.
Lynna ChandraRachel House (Yayasan Rumah Rachel), Jakarta, Indonesia.
Ross DrakeQueensland Children's Hospital, Brisbane, Australia.ORCID 0000-0002-2938-9158
Sanjeeva GunasekeraNational Cancer Institute, Maharagama, Sri Lanka.ORCID 0000-0002-4043-559X
Mariko KakazuJapan Heart Medical Center, Udong, Cambodia.
Sung Han KangAsan Medical Center Children's Hospital, Seoul, South Korea.ORCID 0000-0002-1651-4415
Lurdes Maria do R LeãoNational Hospital Guido Valadares, Díli, Timor-Leste.
Amita MahajanIndraprastha Apollo Hospitals Delhi, Delhi, India.
Michelle Cristine MirandaSouthern Philippines Medical Center, Davao City, Philippines.
Thida MoeYangon Children's Hospital, Yangon, Myanmar.ORCID 0009-0002-0064-3041
Mimi Lhamu MynakJigme Dorji Wangchuck National Referral Hospital, Ministry of Health, Thimphu, Bhutan.ORCID 0000-0002-6887-2847
Hoa Thi Kim NguyenHue Central Hospital, Hue, Vietnam.ORCID 0000-0003-2525-4368
Eman RasheedHulhumalé Hospital, Hulhumalé, Maldives.
Sani SipaiKanti Children's Hospital, Kathmandu, Nepal.ORCID 0000-0003-3229-6590
Bounpalisone SouvalansyChildren's Hospital, Vientiane, Laos.
Pornpun SripornsawanPrince of Songkla University, Hat Yai, Thailand.ORCID 0000-0001-5130-0714
Teresa Shu Zhen TanNational University Children's Medical Institute, Singapore, Singapore.ORCID 0000-0002-9649-1216
Kok Hoi TehHospital Tunku Azizah, Kuala Lumpur, Malaysia.ORCID 0000-0001-7539-1147
Nobuyuki YotaniNational Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0003-4874-3738
Chong Lee AiUniversity Malaya, Kuala Lumpur, Malaysia.
Poonam BagaiCanKids KidsCan, Delhi, India.
Ong Gek BeeSabah Women and Children Hospital, Sabah, Malaysia.
Shella BravoSouthern Philippines Medical Center, Davao City, Philippines.
Siti Nur Hanim BuangKK Women's and Children's Hospital, Singapore, Singapore.
Huyen Thi Thanh BuiVinUniversity Hanoi, Ha Noi, Vietnam.ORCID 0000-0003-0626-8799
Tashi ChodenJigme Dorji Wangchuck National Referral Hospital, Ministry of Health, Thimphu, Bhutan.
Bishnu Rath GiriWHO Regional Office for Southeast Asia, New Delhi, India.ORCID 0000-0001-5238-2061
Dylan E GraetzSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-4541-6910
Haresh GuptaCanKids KidsCan, Delhi, India.
Chong Poh HengHCA Hospice Care, Singapore, Singapore.ORCID 0000-0003-4241-3295
Erica C KayeSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-6522-3876
Chusana KhaimanChulalongkorn University, Bangkok, Thailand.
Aye Aye KhaingUniversity of Medicine, Maharagama, Myanmar.
Min Sun KimSeoul National University Hospital, Seoul, Republic of Korea.
Nia KurniatiCipto Mangunkusumo Hospital, Jakarta, Indonesia.
Stephen LaughtonStarship Blood and Cancer Center, Auckland, New Zealand.ORCID 0009-0007-2289-7604
Ratha MlisCalmette Hospital, Phnom Penh, Cambodia.
Lan Bui NgocVietnam National Children's Hospital, Hanoi, Vietnam.
Ximena Garcia QuinteroSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-1416-544X
Diana RiosSt Jude Children's Research Hospital, Memphis, TN.
Milena Maria Lay Dos SantosNational Hospital Guido Valadares, Díli, Timor-Leste.
Sudhir SapkotaKanti Children's Hospital, Kathmandu, Nepal.
Teny Tjitra SariCipto Mangunkusumo Hospital, Jakarta, Indonesia.
Krishna Sagar SharmaB.P. Koirala Memorial Cancer Hospital, Chitwan, Nepal.
Rojim SorrosaSouthern Philippines Medical Center, Davao City, Philippines.
Sommaphun TabjaroenThai Pediatric Oncology Group, Bangkok, Thailand.
Rina WahyuniRachel House (Yayasan Rumah Rachel), Jakarta, Indonesia.
Kazuyo WatanabeAsian Children's Care League, Tokyo, Japan.
Su YandanaSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-0447-2083
Wynn Yi YiKK Women's and Children's Hospital, Singapore, Singapore.
Maziya Abbas ZakiHulhumalé Hospital, Hulhumalé, Maldives.
Meenakshi DevidasSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1099-3478
Justin N BakerStanford University School of Medicine, Palo Alto, CA.
Michael J McNeilSt Jude Children's Research Hospital, Memphis, TN.
Asya AgulnikSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-8932-8181
Catherine G LamSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-1363-5331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly integration of palliative care (PC) for children with cancer is vital to improved patient outcomes. Despite this, access to PC services for children in Asia Pacific (AP) is sparce. We aimed to explore potential barriers to PC provision in childhood cancer care across AP.

methodsThe Assessing Doctors' Attitudes on Palliative Treatment survey was revised for cultural context, translated into six languages, and distributed electronically to physicians who care for children with cancer. Descriptive statistics were used to summarize data. Secondary analyses used the Pearson chi-square test or Fisher exact test to examine associations between prior PC training and physician subspecialty with reported barriers. The McNemar test was applied to evaluate differences between actual versus ideal timing of PC consultations. Analysis of variance was conducted to compare mean values for perceived barriers across country income levels.

resultsSix hundred twenty-one physicians from 18 countries participated, with an overall response rate of 27% (621/2,305) and a median country response rate of 30% (range, 11%-85%). Most respondents (n = 366; 59%) believed PC should be consulted at diagnosis, but only 18% (n = 117) stated that this occurred in their clinical setting (

conclusionPhysicians report a discrepancy between ideal and actual timing of PC integration and identify several barriers to PC provision. Study findings will inform capacity building, education, and advocacy initiatives to improve the timing and quality of PC delivery in the region.

Indexed as

NeoplasmsPalliative CareAsiaChildFemaleHealth Services AccessibilityHumansMaleSurveys and Questionnaires

Identifiers

PMID41985116
PMCPMC13268108

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.