Evidence map›Paper›PMID 40905415›Full record

ArticleCancer medicine2025

Casemanagers Positioned as Key Advance Care Planning Conversationalists in Oncology Care: A Qualitative Interview Study on the Perspectives of Healthcare Professionals and Patients.

Anouk Putker, Marieke Perry, Jelmer Chalkiopoulos, Annika Piek, Yvonne Engels, Evelien Kuip

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Anouk PutkerRadboudumc, Nijmegen, the Netherlands.ORCID https://orcid.org/0009-0007-8933-3344
Marieke PerryRadboudumc, Nijmegen, the Netherlands.
Jelmer ChalkiopoulosRadboudumc, Nijmegen, the Netherlands.
Annika PiekRadboudumc, Nijmegen, the Netherlands.
Yvonne EngelsRadboudumc, Nijmegen, the Netherlands.
Evelien KuipRadboudumc, Nijmegen, the Netherlands.

Funding

Betaalbaar Beter
6 · The paper itself

Abstract

introductionThe increasing global cancer burden and advances in treatments have extended patients' life expectancy, leading to greater prognostic uncertainty and a higher demand for palliative care. Advance care planning (ACP) is essential in this context, ensuring that patients' future care aligns with their values and preferences. Oncology case managers, being nurses with specialized training, have emerged as key ACP conversationalists. This study explores the perspectives of healthcare professionals and patients on case managers as ACP conversationalists for advanced cancer patients.

methodsA qualitative interview study was conducted with 12 patients who recently had an ACP conversation with their case managers and 12 healthcare professionals, including medical oncologists and case managers, at a university medical center in the Netherlands. Transcripts of semi-structured interviews were analyzed using inductive thematic analysis.

resultsThree main themes emerged: (1) Trust as the foundation for effective ACP, where patients valued the casemanagers' familiarity and accessibility; (2) ACP aligns with the competencies and tasks of the casemanager, as their communication skills and disease knowledge were seen as strengths; (3) Challenges related to responsibility around treatment decisions and the reluctance of medical oncologists to relinquish control of the conversation. Both patients and professionals recognized the importance of casemanagers having ACP conversations.

conclusionsCasemanagers are well-positioned to lead ACP conversations in oncology care, offering trust, continuity, and expertise. Despite some concerns regarding responsibility and medical decision-making, their role can improve the quality of ACP, supporting more personalized and timely palliative care.

Indexed as

Advance Care PlanningCommunicationHealth PersonnelNeoplasmsAdultAgedAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMedical OncologyMiddle AgedNetherlandsPalliative CarePhysician-Patient Relationsadvance care planningcancercasemanagersnursingoncologypalliative carequalitative researchshared decision making

Identifiers

PMID40905415
PMCPMC12409654

What Socratic holds

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LicenceCC BY
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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 Socratic graph.