Evidence map›Paper›PMID 42394710›Full record

ArticleFrontiers in oncology2026

Caregiver satisfaction with early integrated palliative care in oncology: secondary outcomes from the PALLiON cluster-RCT.

Kristin Vassbotn Guldhav, Andrew Athan McAleavey, Nina Aass, Sigve Andersen, Bente Mirjam Christensen, Olav Dajani, Kari Eldal, Nienke Aafke de Glas, Herish Garresori, Hanne Hamre and 9 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03088202 (PALLiON - PALLiative Care In ONcology - a Cluster-randomized Trial to Improve the Care for Cancer Patients With a Short Life Expectancy), which is not on this 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.

NCT03088202 nacompletednot on this map

PALLiON - PALLiative Care In ONcology - a Cluster-randomized Trial to Improve the Care for Cancer Patients With a Short Life Expectancy

TypeinterventionalSponsorOslo University HospitalRan2017 to 2022Enrolled659ConditionsNeoplasia ProstateArmsEducational program, Standardized care pathways, Early palliative care
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

19 authors.

Kristin Vassbotn GuldhavDepartment of Oncology, Førde Central Hospital, Førde, Norway.
Andrew Athan McAleaveyFaculty of Health and Social Sciences, Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Nina AassEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Sigve AndersenRegional Advisory Unit in Palliative Care, Department of Oncology, University Hospital of North Norway, Tromsø, Norway.
Bente Mirjam ChristensenCenter for Cancer Treatment, Sorlandet Hospital, Kristiansand, Norway.
Olav DajaniEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kari EldalFaculty of Health and Social Sciences, Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Nienke Aafke de GlasDepartment of Oncology, Førde Central Hospital, Førde, Norway.
Herish GarresoriDepartment of Hematology and Oncology, Stavanger University Hospital, Stavanger, Norway.
Hanne HamreDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Ellinor Christin HauklandDepartment of Oncology and Palliative Care, Nordland Hospital Trust, Bodø, Norway.
Pål Andre HeglandFaculty of Health and Social Sciences, Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Tonje LundebyEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Erik Torbjørn LøhreCancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Ørnulf PaulsenEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Torunn WesterRegional Advisory Unit in Palliative Care, Department of Oncology, Oslo University Hospital, Oslo, Norway.
Stein KaasaEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Marianne Jensen HjermstadEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
John Roger AndersenFaculty of Health and Social Sciences, Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Palliative care is often introduced late in the disease trajectory. Earlier access to palliative care has been reported to benefit patient outcomes, but few studies have explored its impact on caregivers. PALLiON (PALLiative care Integrated in ONcology) was a cluster-randomized controlled trial designed to integrate systematic palliative care earlier in oncology settings. The aim of this follow-up study was to assess whether the intervention influenced caregivers' satisfaction with care in the intervention group compared to the standard care group, and to explore whether patients' quality of life (QoL) at inclusion influenced caregivers' satisfaction with care over time. Methods: The trial was conducted across 12 Norwegian hospitals. The intervention included a physician education program, a patient-centered care pathway, and systematic symptom assessment. Adult patients with advanced cancer and their caregivers were recruited. Caregivers' satisfaction with care was assessed longitudinally using the FAMCARE-20 scale, while patients' QoL was measured with the EORTC QLQ-C15-PAL questionnaire. Linear mixed-effects regression models were used to examine the intervention's effects, and partial least squares regression to examine associations between the intervention and responses to each FAMCARE-20 item. Results: A total of 432 caregivers of 660 patients participated between 2017 and 2021. The average caregiver age was 61.8 years (SD = 13.2), and 71% were spouses or partners. The intervention had no significant effect on caregivers' overall satisfaction with care ( Conclusions: Caregivers' satisfaction with care did not differ between the intervention and control groups. Satisfaction seemed to be more affected by patients' baseline QoL rather than early palliative care. Thus, a systematic, person-centered approach rooted in needs may be more beneficial than a purely time-based palliative care model.ClinicalTrials.gov: NCT03088202.

Indexed as

cancercaregivercaregiver satisfactionearly palliative careneoplasmnext of kinperson-centered care

Identifiers

PMID42394710
PMCPMC13322938

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Registered trials

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.