As the bell tolls: a foundation study on pancreatic cancer consumer's research priorities
Open accessAbstract
Background: This is the first investigation of its kind to explore the views of people affected by pancreatic cancer with regard to research priorities. Pancreatic cancer has an extremely poor outlook in terms of early diagnosis, effective treatment and survival. Those affected by the disease generally lack opportunities to voice their needs or concerns in an organised manner, link with others affected by the condition and take part in research. Methods: This qualitative study adopts a self-selected telephone focussed discussion group approach. Information was obtained from distinct carer and patient groups after adequate controls such as the 'safe space' technique (repeatedly enquiring on and respecting the emotional needs) were implemented to protect participants from undue physical and psychological distress. Results: Five themes emerged overall, with three themes being common between the patients and carers groups. Early detection, clinician communication and public awareness were areas of recurring discussion and consensus for both groups. The fourth theme to emerge for the patient group centred on quality of care, while the fourth theme of the carer group focused on the need for more and improved treatment options. Conclusion: Research priorities for pancreatic cancer consumers have been identified via an investigation that was tailored to meet exceptional needs. This research gives us a primary understanding of the role that pancreatic cancer patients can play in identifying areas of research that are responsive to their needs and priorities when suitably planned. Importantly it also provides a much greater understanding of the grim realities of the disease for those affected. This work is likely to be of value to anyone planning to work with those with a time limited, challenging condition.
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From a maximum of 22 points, three qualitative studies scored 17 points and two scored 18 points.
“From a maximum of 22 points, three studies scored 17 points [27–30] and two studies scored 18 points [31].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
The Abstract > Methods identifies this as a qualitative study, supporting its inclusion among the studies being assessed. The paper’s Study Strengths and Limitations discusses its methodology but reports no score of 17 out of 22; that appraisal cannot be verified from this source. No page numbers are available in our copy. (LLM, conf=0.80)
Experimental — accuracy not yet measuredInformal caregivers of pancreatic cancer patients have an unmet need for support and briefings from health care professionals.
“Three studies raised the need for support and briefings from health care professionals [28, 31] or a support system for informal caregivers [27, 31].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
The Results (Identified themes) identify clinician communication as a recurring concern in the carers’ group, and the Discussion addresses how clinicians convey sensitive information to patients and carers. These passages support a need for better communication, but they do not establish an unmet need for a caregiver support system or specifically for professional briefings. (LLM, conf=0.78)
Experimental — accuracy not yet measuredInformal caregivers reported needing to ask clear questions to a provider or have someone explain things to them, representing unmet information needs.
“They reported they needed to ask clear questions to a provider [31] or have someone explain things to them [27], both of which represent unmet information needs.”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
In Results > Identified themes (page not provided), carers describe receiving no information and struggling to find information about treatment options, supporting the characterization of unmet information needs. The paper does not report that carers needed to ask clear questions of a provider. The separate phrase about having someone explain things is attached to citation [27], not this source. (LLM, conf=0.79)
Experimental — accuracy not yet measuredEight included studies were cross-sectional studies and one study was a prospective cohort design.
“Eight studies were cross-sectional studies [5, 27–33]. One study was a prospective cohort design [6].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Data was collected through questionnaires alone in four studies, semi-structured interviews with individual participants in three studies, focus groups in two studies, and questionnaire and semi-structured interview together in one study.
“Data was collected through questionnaires alone in four studies [5, 32, 33], semi-structured interviews with individual participants in three studies [29–31], focus groups in two studies [27, 28] and questionnaire and semi-structured interview together in one study [29].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Five included studies were conducted in the USA, three in Australia, and one in Denmark.
“Five studies (three qualitative, two quantitative) were conducted in the USA [5, 28, 29, 31, 33], three (two qualitative, one quantitative) in Australia [27, 30, 32] and one quantitative study in Denmark [6].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Informal caregivers of pancreatic cancer patients have an unmet need for better clinical communication.
“Two studies raised the need for better clinical communication [27, 29].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Informal caregivers described clinical communication at the time of diagnosis as insensitive.
“Informal caregivers described clinical communication at the time of diagnosis as insensitive [27].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Four studies reported qualitative data on unmet needs of informal caregivers of pancreatic cancer patients, and no quantitative data on unmet needs was available.
“Four studies reported qualitative data on unmet needs of informal caregivers [27–29, 31]. No quantitative data was available on unmet needs.”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Informal caregivers described the delivery of diagnosis as lacking empathy and failing to treat the patient as a whole person.
“They described the delivery of diagnosis as lacking empathy, as exemplified by phrases such as ‘brutal’ or ‘not warm’, and failing to treat the patient as a whole person [27].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
Informal caregivers suggested the development of guidelines or protocols to improve clinical communication.
“Informal caregivers suggested the development of ‘guidelines’ or ‘protocols’ to improve clinical communication in one study [27].”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
The lack of consideration for the relationship between researcher and participants and unsatisfactory data analysis were the two most frequent reasons points were deducted during quality assessments.
“The lack of consideration for the relationship between researcher and participants [30, 31] and unsatisfactory data analysis [27–30] were the two most frequent reasons points were deducted during quality assessments.”
From Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer (2023) · cites this paper as [27]
The Methods > Data analysis section describes how this study analysed its focus-group transcripts, while Study Strengths and Limitations discusses its own sampling limitations. Neither section reports quality-assessment point deductions or identifies the most frequent reasons for them; searches for researcher–participant relationships and quality assessment found no such passage in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
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Cited by
Sorted by citations
Chong, E., Crowe, L., Mentor, K., Pandanaboyana, S., & Sharp, L. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-022-07468-7 · Cited by 86 · see citing works
“From a maximum of 22 points, three studies scored 17 points [27–30] and two studies scored 18 points [31].”
Influential
- Authors
- Saunders, C., Gooden, H., Robotin, M., & Mumford, J.
- Affiliations
- University of Newcastle Australia (AU)
- The University of Sydney (AU)
- Cancer Council NSW (AU)
- Corresponding author
- Gooden, Helen
- Venue
- BMC Research Notes
- Published
- 2009-09-09
- Volume
- 2
- Issue
- 1
- Pages
- 179-179
- ISSN
- 1756-0500 (ISSN-L)
- PMC
- PMC2756279
- OpenAlex
- W2112748795
- Cited by
- 11
- References
- 0
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.17
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Research Notes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- pancreatic cancer, caregivers, patient and public involvement, early detection, provider communication, public awareness, quality of care, treatment options, patient experience
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