Evidence map›Paper›PMID 28808093›Full record

ArticleThe oncologist2017

Are Disagreements in Caregiver and Patient Assessment of Patient Health Associated with Increased Caregiver Burden in Caregivers of Older Adults with Cancer?

Tina Hsu, Matthew Loscalzo, Rupal Ramani, Stephen Forman, Leslie Popplewell, Karen Clark, Vani Katheria, Rex Strowbridge, Redmond Rinehart, Dan Smith and 6 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The oncologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Guideline
  2. Guideline
  3. Trial
  4. Trial
  5. Quality of life dynamics in the gastric cancer dyad: an actor-partner interdependence model analysis guiding the development of a family-centered nursing framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Assessing the Risk of Adjuvant Radiotherapy Initiation Delays With Social Support Surveys.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
  10. Symptom Agreement Between Patients and Their Peer Caregivers in Prison.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Informal caregiver quality of life in a palliative oncology population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  15. Review
  16. Article
  17. Quality of Life of Caregivers of Older Patients with Advanced Cancer.Journal of the American Geriatrics Society · 2019
    Article
  18. 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

16 authors at 1 institution in 1 country.

Tina HsuCity of Hope National Medical Center, Duarte, California, USA.
Matthew LoscalzoCity of Hope National Medical Center, Duarte, California, USA.
Rupal RamaniCity of Hope National Medical Center, Duarte, California, USA.
Stephen FormanCity of Hope National Medical Center, Duarte, California, USA.
Leslie PopplewellCity of Hope National Medical Center, Duarte, California, USA.
Karen ClarkCity of Hope National Medical Center, Duarte, California, USA.
Vani KatheriaCity of Hope National Medical Center, Duarte, California, USA.
Rex StrowbridgeCity of Hope National Medical Center, Duarte, California, USA.
Redmond RinehartCity of Hope National Medical Center, Duarte, California, USA.
Dan SmithCity of Hope National Medical Center, Duarte, California, USA.
Keith MatthewsCity of Hope National Medical Center, Duarte, California, USA.
Jeff DillehuntCity of Hope National Medical Center, Duarte, California, USA.
Tao FengCity of Hope National Medical Center, Duarte, California, USA.
David SmithCity of Hope National Medical Center, Duarte, California, USA.
Canlan SunCity of Hope National Medical Center, Duarte, California, USA.
Arti HurriaCity of Hope National Medical Center, Duarte, California, USA ahurria@coh.org.
City Of Hope National Medical Center · US

Funding

Technology to Assess Vulnerable Older Adults with Cancer and Their CaregiversR21AG041489 · NIA · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI HURRIA, ARTI · 2013 to 2014
$462k
NIA NIH HHS R21 AG041489
6 · The paper itself

Abstract

backgroundAs patients age, caregivers increasingly provide essential support and patient information. We sought to determine if patient-caregiver assessments of patient health differ and if differences contribute to burden in caregivers of older adults with cancer. MATERIALS AND

methodsOne hundred patients, aged ≥65, and their caregivers independently assessed patient function, comorbidity, nutrition, social activity, social support, and mental health. Caregivers completed the Caregiver Strain Index (CSI). Patient-caregiver assessments were compared using the Wilcoxon signed rank test and paired

resultsMedian patient age was 70 (range 65-91) and 70% had advanced disease. Sixty percent of patients reported requiring help with instrumental activities of daily living (IADLs); most had good social support (median Medical Outcomes Study [MOS]-Social Support Survey score 92) and mental health (median Mental Health Inventory score 85).Caregivers were a median age of 66 (range 28-85), 73% female, 68% spousal caregivers, and 79% lived with the patient. Caregivers rated patients as having poorer physical function (more IADLs dependency [

conclusionPatient-caregiver assessments of patient function, mental health, and social support differ. However, only differences in assessment of IADLs dependency were associated with increased caregiver burden. IMPLICATIONS FOR PRACTICE: As patients age, there is a higher incidence of frailty and cognitive impairments. As a result, caregivers play an increasingly vital role in providing information about patient health to healthcare providers, which is used to help healthcare providers tailor treatments and optimize patient health. These findings highlight that caregiver reporting in older adults with cancer may not replace patient reporting in those older adults who are otherwise able to self-report. Furthermore, clinicians should check for caregiver burden in caregivers who report providing more help with instrumental activities of daily living than patients themselves report and provide appropriate support as needed.

Indexed as

Adaptation, PsychologicalCaregiversActivities of Daily LivingAgedAged, 80 and overCost of IllnessFemaleGeriatric AssessmentHumansMaleNeoplasmsPatient Health QuestionnairePatientsQuality of LifeSocial SupportAgedCaregiversNeoplasmsPatient‐caregiver assessment

Identifiers

PMID28808093
PMCPMC5679832
OpenAlexW2747055519

What Socratic holds

Textmetadata
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 Socratic graph.