Evidence map›Paper›PMID 42131884›Full record

ArticleEcancermedicalscience2026

Spirituality, symptom burden and palliative care needs assessed by the Palliative Outcome Scale in those with cancer: a cross-sectional study.

Gustavo Santos Paiva Laender Moura, Laura Gonzaga de Carvalho Bonifácio, Fernando Pedreschi Bernardes, Livia Regina Gonçalves E Silva, Vivian Marques Miguel Suen, Maria Izaura Sedoguti Scudeler Agnollitto, Rosana Aparecida Spadoti Dantas, Nereida Kilza da Costa Lima, Mevhibe Banu Hocaoglu

Abstract read
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Article in Ecancermedicalscience, 2026. 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.

Gustavo Santos Paiva Laender MouraDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP 14049-900, Brazil.
Laura Gonzaga de Carvalho BonifácioBase Hospital of the Federal District, Federal, Brasilia 70330-150, Brazil.
Fernando Pedreschi BernardesUniversity of Ribeirão Preto, Ribeirão Preto, SP 14096-900, Brazil.
Livia Regina Gonçalves E SilvaUniversity Center of the Central Plateau Apparecido dos Santos, Federal, Brasilia 72445-020, Brazil.
Vivian Marques Miguel SuenDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP 14049-900, Brazil.
Maria Izaura Sedoguti Scudeler AgnollittoDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP 14049-900, Brazil.
Rosana Aparecida Spadoti DantasRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, SP 05508, Brazil.
Nereida Kilza da Costa LimaDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP 14049-900, Brazil.
Mevhibe Banu HocaogluCicely Saunders Institute of Palliative Care, Rehabilitation and Policy, King's College London, WC2R 2LS London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Understanding symptom prevalence and palliative care needs is essential to advancing palliative care research in South America. This study aimed to assess these outcomes using the Palliative Outcome Scale (POS) and explore their relationship with the self-rated importance of spirituality. Methods: A cross-sectional study was conducted among adult persons with cancer receiving palliative care at an outpatient clinic in a Brazilian public hospital. Data were collected through structured interviews using the POS, which assesses physical and psychosocial symptoms, communication, practical concerns and information received. Spirituality was measured using a self-rated single-item question. Associations between symptom burden and spirituality were analysed using Results: Sixty-seven patients (mean age 60 ± 13.8 years; 68.6% female) participated. Pain (77.6%), nausea (27%), weakness/fatigue (20.9%) and psychological distress (19.4%) were the most prevalent symptoms. Most had metastatic cancer (62.7%), and 32.8% were undergoing chemotherapy. Patients rating spirituality as highly important had significantly lower pain scores (mean 1.4 ± 1.4 versus 2.6 ± 0.9, Conclusion: Our findings underscore the high prevalence of physical, psychological and social challenges among persons with cancer receiving palliative care. Symptom patterns aligned with global data, suggesting a universal burden. The strong association between spirituality and pain highlights the protective role of spiritual well-being in mitigating suffering, reinforcing the need to integrate spiritual care into palliative frameworks. These results offer valuable insights for guiding clinical practice, shaping international policy and informing future research to optimise care delivery and patient outcomes.

Indexed as

cancercross-sectional studypalliative carespiritualitysymptom burden

Identifiers

PMID42131884
PMCPMC13161588

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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.