Evidence map›Paper›PMID 42485510›Full record

ArticleRevista da Escola de Enfermagem da U S P2026

Care trajectories of women with advanced breast cancer at the end of life.

Danielle Copello Vaz, Ana Luisa Teixeira da Costa Durante, Livia Costa de Oliveira, Livia Gomes da Silva, Andrea Dos Santos Garcia, Sonia Regina de Souza, Daniel Aragão Machado, Roberto Carlos Lyra da Silva, Suzi Maria Fernandes de Farias, Emanuel Pereira Dos Santos and 2 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Revista da Escola de Enfermagem da U S P, 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

12 authors.

Danielle Copello VazInstituto Nacional de Câncer, Hospital do Câncer IV, Ambulatório, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-2536-2492
Ana Luisa Teixeira da Costa DuranteInstituto Nacional de Câncer, Hospital do Câncer IV, Internação hospitalar, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0002-9190-3178
Livia Costa de OliveiraInstituto Nacional de Câncer, Hospital do Câncer IV, Internação hospitalar, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-5052-1846
Livia Gomes da SilvaInstituto Nacional de Câncer, Hospital do Câncer III, Educação continuada, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-4795-9115
Andrea Dos Santos GarciaUniversidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Enfermagem Médico-Cirúrgica, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-2125-1437
Sonia Regina de SouzaUniversidade Federal do Estado do Rio de Janeiro, Escola de Enfermagem Alfredo Pinto, Enfermagem Médico-Cirúrgica, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-7981-0038
Daniel Aragão MachadoUniversidade Federal do Estado do Rio de Janeiro, Escola de Enfermagem Alfredo Pinto, Enfermagem Fundamental, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-0680-5291
Roberto Carlos Lyra da SilvaUniversidade Federal do Estado do Rio de Janeiro, Escola de Enfermagem Alfredo Pinto, Enfermagem Fundamental, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-9416-9525
Suzi Maria Fernandes de FariasUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffree-Guinle, Anestesiologia, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0004-6568-7322
Emanuel Pereira Dos SantosUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffree-Guinle, Pediatria, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-2454-7572
Davi da Silveira Barroso AlvesUniversidade Federal do Estado do Rio de Janeiro, Centro de Ciências Exatas e Tecnologia, Métodos Quantitativos, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-8664-703X
Carlos Roberto Lyra da SilvaUniversidade Federal do Estado do Rio de Janeiro, Escola de Enfermagem Alfredo Pinto, Enfermagem Fundamental, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-4327-6272

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the care trajectories of women with advanced breast cancer in the last 30 days of life, analyzing clinical differences and healthcare service utilization between patients undergoing intravenous palliative chemotherapy (IPC) and those followed by specialized palliative care (SPC) teams.

methodA retrospective study based on the analysis of electronicmedical records of 370 women who died between 2019 and 2023, distributed into IPC (n = 176) and SPC (n = 194). Comparisons were performed using the chi-square, Fisher's exact, or Mann-Whitney tests (p < 0.05).

resultsPatients in SPC presented greater metastatic burden (4; IQR 3-5; p < 0.001), greater central nervous system involvement (39.69% vs. 16.48%; p < 0.001), and more multidisciplinary consultations (p < 0.001). They presented lower emergency care utilization (1; IQR 1-2; p < 0.001) and lower hospitalization in the last 24 hours of life (p < 0.001).

conclusionFollow-up by SPC teams was associated with less aggressive care trajectories at the end of life, even among patients with greater clinical complexity.

Indexed as

Antineoplastic AgentsBreast NeoplasmsPalliative CarePatient Acceptance of Health CareTerminal CareAgedFemaleHospitalizationHumansMiddle AgedRetrospective StudiesAntineoplastic Agents

Identifiers

PMID42485510
PMCPMC13390997

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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.