Evidence map›Paper›PMID 42420598›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Missed opportunities to promote flourishing in cancer care: a brief examination of multiple myeloma.

Natalie Tuckey, Hannah R Wardill, Xavier Symons, Melissa Cantley, Kathina Ali, Hayley Beer, Gregory B Crawford, Angelina Yong, Matthew Iasiello

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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

9 authors.

Natalie TuckeySupportive Oncology Research Group, Precision Cancer Medicine Theme, SAHMRI, Adelaide, SA, Australia. Natalie.tuckey@adelaide.edu.au.ORCID https://orcid.org/0009-0007-1484-7957
Hannah R WardillSupportive Oncology Research Group, Precision Cancer Medicine Theme, SAHMRI, Adelaide, SA, Australia.
Xavier SymonsHuman Flourishing Program in the Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA.
Melissa CantleyPrecision Cancer Medicine Theme, SAHMRI, Adelaide, SA, Australia.
Kathina AliSchool of Health, University of the Sunshine Coast, Sunshine Coast, QLD, Australia.
Hayley BeerMyeloma Australia, Parramatta, NSW, Australia.
Gregory B CrawfordSchool of Medicine, College of Health, Adelaide University, Adelaide, SA, Australia.
Angelina YongCentral Adelaide Local Heath Network, SA Health, Adelaide, SA, Australia.
Matthew IasielloSchool of Pharmacy and Biomedical Science, College of Health, Adelaide University, Adelaide, SA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent theoretical and empirical advancements in well-being science can have meaningful implications for medical care when considering existential issues faced by people with incurable or life-limiting cancer diagnoses. We propose that certain elements of flourishing, such as meaning and purpose, deep personal relationships, and cultivating virtue, can be uniquely realized if targeted appropriately toward the end of life. Qualitative thematic analysis of semistructured interviews was conducted to explore the experiences and unmet psychological needs of people living with the blood cancer multiple myeloma and, precursor, smoldering myeloma to identify key themes related to the potential for flourishing at the end of life. Interview data was obtained from 25 participants (multiple myeloma n = 24, smoldering myeloma n = 4) and 10 health professionals with clinical expertise supporting or treating patients with multiple myeloma. Participants reported personal growth following their diagnosis through acceptance, meaning-making, and connection, yet reported the loneliness of dying with cancer with a desire to have discussions about death with their clinicians in addition to them maintaining treatment. On the contrary, health professionals were hesitant to discuss death with their patients, balancing hope in treatments with preparation for dying. We argue that the hesitation to discuss death thwarts the opportunity to flourish and that existing solutions such as dignity therapy, meaning-centered psychotherapy, early palliative care, and multidisciplinary support can close this gap without diminishing hope in treatments.

Indexed as

Multiple MyelomaTerminal CareAdaptation, PsychologicalAdultAgedAttitude to DeathFemaleHumansInterviews as TopicMaleMiddle AgedPsychological GrowthPsychological Well-BeingQualitative ResearchCancerDeath and dyingEnd of lifeFlourishingMental healthMyelomaPsychosocialSmouldering myelomaTreatment

Identifiers

PMID42420598
PMCPMC13346150

What OpenQuestion holds

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Registered trials

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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.