Correlation between patient quality of life in palliative care and burden of their family caregivers: a prospective observational cohort study
Open accessAbstract
BACKGROUND: Family caregivers play a key role in palliative care at home, and understanding the interdependencies in the constellation of patient, family caregivers and service providers is important. As few longitudinal studies have examined the influence of patient quality of life (QoL) in palliative care on burden of family caregivers, the aim of this study was to identify correlations between changing patient QoL and changing burden of family caregivers that need consideration in patient management. METHODS: Palliative patients with cancer in primary care evaluated their QoL (Quality of Life Questionnaire Core 15 Palliative Care, QLQ-C15-PAL). They were assessed monthly for an interval of 6 months or until death of the patient. Family caregivers reported the burden they perceived while supporting the patient (Short form of the Burden Scale for Family Caregivers, BSFC). Longitudinal data were analysed for all patients with at least 3 available assessments, considering the most recent data for participants with more than 3 assessments. Changes in patient QoL were analysed using the Friedman test. In a stepwise regression analysis, influences of change in patient QoL on changing caregiver burden were investigated. RESULTS: One hundred patients (63 men, 37 women; average age: 68 years) were enrolled in the study. The most common primary diagnoses were colon, lung or breast cancer. In 58 cases, assessments were available from both patients and caregivers. Patients reported overall quality of life increasing towards end of life, although reporting that physical functioning deteriorated. Symptoms of pain and fatigue bothered patients most. Caregiver burden was moderate and on average did not change over time. In a stepwise regression model, the difference in emotional functioning and the difference in dyspnoea showed an influence on the development of caregiver burden (explained variance of 19.3%). CONCLUSIONS: Patients' dyspnoea, feelings of depression and anxiety impacted on the perceived burden of family caregivers, but are manageable symptoms. Our results corroborate the need of regular assessment of patients' needs taking into account caregiver burden. In this way, general practice teams can intervene early and may more likely meet patients' needs in the end of life care process. TRIAL REGISTRATION: Current Controlled Trials ISRCTN78021852, assigned on 04/04/2007.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The moderate inverse correlation between caregiver burden and quality of life is consistent with other studies.
“se encuentra que la sobrecarga del cuidado tiene una correlación significativa moderada inversa con la calidad de vida del cuidador, lo cual esta acorde con otros estudios 7,11,28”
From Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos (2021) · cites this paper as [28]
The Background and Methods describe measuring patients’ quality of life and family caregivers’ burden, not caregivers’ quality of life. The Discussion reports no association between declining overall patient quality of life and increasing caregiver burden, but that does not establish or refute the claimed correlation with caregivers’ own quality of life. No passage found reports that correlation or its magnitude. (LLM, conf=0.76)
Experimental — accuracy not yet measuredLa sobrecarga del cuidado tiene una correlación significativa moderada inversa con la calidad de vida del cuidador.
“la sobrecarga del cuidado tiene una correlación significativa moderada inversa con la calidad de vida del cuidador”
From Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos (2021) · cites this paper as [28]
The Methods (Statistical analyses; page unavailable) describe measuring caregivers’ burden and patients’ quality of life, not caregivers’ quality of life. The Results report an inverse association between caregiver burden and patients’ emotional functioning, but do not report the claimed moderate, significant correlation with caregivers’ quality of life. The Discussion’s finding about overall quality of life also concerns patients, not caregivers. (LLM, conf=0.78)
Experimental — accuracy not yet measuredLa dimensión de bienestar espiritual es la que muestra el puntaje más bajo, lo que podría indicar el impacto espiritual y la necesidad de auto trascendencia y encontrar sentido a la experiencia.
“lo que podría indicar el impacto espiritual y la necesidad de auto trascendencia y encontrar sentido a la experiencia que se ha documentado en otros estudios28”
From Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos (2021) · cites this paper as [28]
The Methods (Data collection; page unavailable) list the quality-of-life scales but include no spiritual well-being dimension. The Results (Caregiver burden and patient quality of life; page unavailable) do not report a spiritual well-being score, and searches for spirituality, self-transcendence, and finding meaning found no passage supporting the cited point. (LLM, conf=0.77)
Experimental — accuracy not yet measuredLa necesidad de conexión con un ser supremo para mejorar la espiritualidad ha sido documentada en otros estudios.
“En otros estudios se ha documentado la necesidad de conexión con un ser supremo para mejorar la espiritualidad28”
From Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos (2021) · cites this paper as [28]
The Background discusses supportive relationships with family and social networks, while the Discussion and Conclusions address patient quality of life and caregiver burden. Searches for connection with a supreme being, spirituality, and religious needs found no passage documenting the claimed need. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Toxicity and response criteria of the Eastern Cooperative Oncology Group
Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., Mcfadden, E. T., & Carbone, P. P. (1982) · American Journal of Clinical Oncology · doi:10.1097/00000421-198212000-00014 · Cited by 11,607 · see citing works
Psychosomatic medicine in Germany: more timely than ever
Zipfel, S., Herzog, W., Kruse, J., & Henningsen, P. (2016) · Psychotherapy and Psychosomatics · doi:10.1159/000447701 · Cited by 2,323 · see citing works
Resolving the 50‐year debate around using and misusing Likert scales
Carifio, J., & Perla, R. J. (2008) · Medical Education · doi:10.1111/j.1365-2923.2008.03172.x · Cited by 1,047 · see citing works
Grunfeld, E. (2004) · Canadian Medical Association Journal · doi:10.1503/cmaj.1031205 · Cited by 963 · see citing works
Mansfield, E. R., & Helms, B. P. (1982) · The American Statistician · doi:10.1080/00031305.1982.10482818 · Cited by 576 · see citing works
Gomes, B., Higginson, I. J., Calanzani, N., Cohen, J., Deliëns, L., Daveson, B. A., Bechinger-English, D., Bausewein, C., Ferreira, P. L., Toscani, F., et al. (2012) · Annals of Oncology · doi:10.1093/annonc/mdr602 · Cited by 553 · see citing works
Bailey, P. H. (2004) · Qualitative Health Research · doi:10.1177/1049732304265973 · Cited by 275 · see citing works
Aoun, S. M., Bentley, B., Funk, L., Toye, C., Grande, G., & Stajduhar, K. J. (2013) · Palliative Medicine · doi:10.1177/0269216312455729 · Cited by 152 · cited 1× · see citing works
“a study with cancer patients [11] and a review on patients with motor neurone disease [12]), but also between unmet needs of patients and caregiver stress burden [13].”
BackgroundMurray, S. A., Kendall, M., Boyd, K. J., Grant, L., Highet, G., & Sheikh, A. (2010) · BMJ · doi:10.1136/bmj.c2581 · Cited by 149 · see citing works
Götze, H., Brähler, E., Gansera, L., Polze, N., & Köhler, N. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2257-5 · Cited by 143 · see citing works
Thoonsen, B., Engels, Y., van Rijswijk, E., Verhagen, S. C. A. H. H. V. M., van Weel, C., Groot, M. M., & Vissers, K. C. P. (2012) · British Journal of General Practice · doi:10.3399/bjgp12x654597 · Cited by 143 · see citing works
Cavers, D., Hacking, B., Erridge, S., Kendall, M., Morris, P. G., & Murray, S. A. (2012) · Canadian Medical Association Journal · doi:10.1503/cmaj.111622 · Cited by 138 · see citing works
O'Hara, R. E., Hull, J. G., Lyons, K. D., Bakitas, M. A., Hegel, M. T., Li, Z., & Ahles, T. A. (2010) · Palliative & Supportive Care · doi:10.1017/s1478951510000258 · Cited by 133 · see citing works
Lund, L., Ross, L., Petersen, M. A., & Grøenvold, M. (2014) · BMC Cancer · doi:10.1186/1471-2407-14-541 · Cited by 131 · see citing works
Butow, P. N., The Australian Ovarian Cancer Study Group, Price, M. A., Bell, M. L., Webb, P. M., deFazio, A., The Australian Ovarian Cancer Study Quality of Life Study Investigators, & Friedlander, M. (2014) · Gynecologic Oncology · doi:10.1016/j.ygyno.2014.01.002 · Cited by 119 · see citing works
Malik, F. A., Gysels, M., & Higginson, I. J. (2013) · Palliative Medicine · doi:10.1177/0269216313488812 · Cited by 110 · see citing works
Tang, S. T., Liu, T., Tsai, C., Wang, C., Chang, G., & Liu, L. (2008) · Psycho-Oncology · doi:10.1002/pon.1343 · Cited by 89 · see citing works
Korte-Verhoef, M. C. D., Pasman, H. R. W., Schweitzer, B. P. M., Francke, A. L., Onwuteaka-Philipsen, B. D., & Deliëns, L. (2014) · BMC Palliative Care · doi:10.1186/1472-684x-13-16 · Cited by 76 · see citing works
Chung, M. L., Lennie, T. A., Mudd‐Martin, G., Dunbar, S. B., Pressler, S. J., & Moser, D. K. (2014) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515114535329 · Cited by 70 · see citing works
Sherman, D. W., McGuire, D. B., Free, D., & Cheon, J. Y. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.09.006 · Cited by 70 · see citing works
Depression, anxiety and disease-related distress in couples affected by advanced lung cancer
Haun, M. W., Sklenarova, H., Villalobos, M., Thomas, M., Brechtel, A., Löwe, B., Herzog, W., & Hartmann, M. (2014) · Lung Cancer · doi:10.1016/j.lungcan.2014.09.009 · Cited by 59 · see citing works
Stress among care givers: The impact of nursing a relative with cancer
Kulkarni, P., Kulkarni, P., Ghooi, R. B., Bhatwadekar, M., Thatte, N., & Anavkar, V. (2014) · Indian Journal of Palliative Care · doi:10.4103/0973-1075.125554 · Cited by 45 · see citing works
Häusliche Pflege-Skala HPS zur Erfassung der Belastung bei betreuenden oder pflegenden Personen
Graessel, E., & Leutbecher, M. (1993) · Cited by 32 · see citing works
Weibull, A. S., Olesen, F., & Neergaard, M. A. (2008) · BMC Palliative Care · doi:10.1186/1472-684x-7-15 · Cited by 30 · see citing works
Health-related quality of life of family caregivers—Evidence from Hesse
Rösler-Schidlack, B., Stummer, H., & Ostermann, H. (2010) · Journal of Public Health · doi:10.1007/s10389-010-0369-z · Cited by 25 · see citing works
Rosemann, T. J., Hermann, K., Miksch, A., Engeser, P., & Szécsényi, J. (2007) · BMC Palliative Care · doi:10.1186/1472-684x-6-5 · Cited by 16 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- [19]Fayers PM Aaronson NK Bjordal K Groenvold M Curran D Bottomley A EORTC QLQ-C30 scoring manual (3rd edition) 2001 Brussels EORTC
Cited by
Sorted by citations
Sanders, J. J., Curtis, J. R., & Tulsky, J. A. (2017) · Journal of Palliative Medicine · doi:10.1089/jpm.2017.0459 · Cited by 318 · see citing works
Ullrich, A., Ascherfeld, L., Marx, G., Bokemeyer, C., Bergelt, C., & Oechsle, K. (2017) · BMC Palliative Care · doi:10.1186/s12904-017-0206-z · Cited by 215 · see citing works
Level of Burden and Health-Related Quality of Life in Caregivers of Palliative Care Patients
Perpiñá-Galvañ, J., Orts-Beneito, N., Fernández-Alcántara, M., García-Sanjuán, S., García-Caro, M. P., & Cabañero-Martínez, M. J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234806 · Cited by 140 · see citing works
Roest, B., Trappenburg, M. J., & Leget, C. J. W. (2019) · BMC Medical Ethics · doi:10.1186/s12910-019-0361-2 · Cited by 108 · see citing works
Ateş, G., Ebenau, A. F., Busa, C., Csikós, Á., Hasselaar, J. G. J., Jaspers, B., Menten, J. J., Payne, S. A., Beek, K. V., Varey, S., et al. (2018) · BMC Palliative Care · doi:10.1186/s12904-018-0291-7 · Cited by 82 · see citing works
Patient reported outcomes in oncology: changing perspectives—a systematic review
Silveira, A., Sequeira, T., Gonçalves, J. J., & Ferreira, P. L. (2022) · Health and Quality of Life Outcomes · doi:10.1186/s12955-022-01987-x · Cited by 71 · see citing works
Barlund, A. S., André, B., Sand, K., & Brenne, A. (2021) · BMC Palliative Care · doi:10.1186/s12904-020-00705-y · Cited by 55 · see citing works
Zhang, Y., Li, J., Zhang, Y., Chen, C., Guan, C., Zhou, L., Zhang, S., Chen, X., & Hu, X. (2024) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2024.102509 · Cited by 53 · see citing works
Care Burden and Quality of Life in Family Caregivers of Palliative Care Patients
Cengi̇z, Z., Turan, M., Olmaz, D., & Erce, Ç. (2021) · Journal of Social Work in End-of-Life & Palliative Care · doi:10.1080/15524256.2021.1888844 · Cited by 47 · see citing works
Treasure, J. L., & Cardi, V. (2017) · European Eating Disorders Review · doi:10.1002/erv.2511 · Cited by 41 · see citing works
Pet Grief: Tools to Assess Owners’ Bereavement and Veterinary Communication Skills
Testoni, I., Cataldo, L. D., Ronconi, L., Colombo, E. S., Stefanini, C., Zotto, B. D., & Zamperini, A. (2019) · Animals · doi:10.3390/ani9020067 · Cited by 36 · see citing works
Drageset, S., Austrheim, G., & Ellingsen, S. (2021) · Health Care For Women International · doi:10.1080/07399332.2021.1876063 · Cited by 34 · see citing works
Carrato, A., Cerezo, L., Feliú, J., Macarulla, T. M., Martín‐Pérez, E., Vera, R., Álvarez, J., & Botella-Carretero, J. I. (2021) · Clinical & Translational Oncology · doi:10.1007/s12094-021-02674-x · Cited by 32 · see citing works
Teixeira, M. J. C., Abreu, W., Costa, N., & Maddocks, M. M. (2020) · BMC Palliative Care · doi:10.1186/s12904-020-00583-4 · Cited by 31 · see citing works
Troschel, F. M., Ahndorf, F., Wille, L.-M., Brandt, R., Jost, J., Rekowski, S., Eich, H. T., Stummer, W., Wiewrodt, R. G., Jetschke, K., et al. (2021) · Cancers · doi:10.3390/cancers13061276 · Cited by 29 · see citing works
Comfort level of caregivers of cancer patients receiving palliative care
Gayoso, M. V., de Ávila, M. A. G., da Silva, T. A., & Alencar, R. A. (2018) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.2521.3029 · Cited by 29 · see citing works
Family Caregivers to Adults with Cancer: The Consequences of Caring
Williams, A.-L. (2017) · Recent results in cancer research/Recent Results in Cancer Research · doi:10.1007/978-3-319-64310-6_6 · Cited by 26 · see citing works
Challenges of caregiving to neurological patients
Ransmayr, G. N. (2021) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-021-00844-8 · Cited by 25 · see citing works
Palliative Care: Too Good to Be True?
1Geriatrics & Palliative Care & Pain Medicine, B. H. S., Senderovich, H., & McFadyen, K. (2020) · Rambam Maimonides Medical Journal · doi:10.5041/rmmj.10394 · Cited by 25 · see citing works
Koçak, N., Şenel, G., Oguz, G. T., Karaca, Ş., & Gökse, F. (2022) · Indian Journal of Cancer · doi:10.4103/ijc.ijc_671_19 · Cited by 24 · see citing works
Caregiver burden and related factors during active cancer treatment: A latent growth curve analysis
La, I. S., Johantgen, M., Storr, C. L., Zhu, S., Cagle, J. G., & Ross, A. C. (2021) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2021.101962 · Cited by 23 · see citing works
Chen, D. D., Zhang, H., Cui, N., Tang, L., Shao, J., Wang, X., Wang, D., Liu, N., & Ye, Z. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-048875 · Cited by 23 · see citing works
Dambi, J. M., Tapera, L., Chiwaridzo, M., Tadyanemhandu, C., & Nhunzvi, C. (2017) · Malawi Medical Journal · doi:10.4314/mmj.v29i2.3 · Cited by 22 · see citing works
Blackler, L. (2016) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0000000000000264 · Cited by 21 · see citing works
Feelings of Burden in Palliative Care
Rakic, M., Escher, M., Elger, B. S., Eckstein, S., Pacurari, N., Zwahlen, S., & Wienand, I. (2018) · Journal of Palliative Care · doi:10.1177/0825859717750522 · Cited by 21 · see citing works
Boyko, R. M., Sodhi, S. K., & Herman, D. J. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120968257 · Cited by 19 · see citing works
Soto-Guerrero, S., Palacios, J., Langer, P. D., Carrasco, C., Tupper-Satt, L., Otaiza, M. G., Rodríguez-Núñez, A., & Perez‐Cruz, P. E. (2023) · Palliative & Supportive Care · doi:10.1017/s1478951523000834 · Cited by 20 · see citing works
Informal Caregiver Burden in Palliative Care and the Role of the Family Doctor: A Scoping Review
Lapa, L., Cardoso, M. L. M., & Rêgo, F. M. P. D. S. (2025) · Healthcare · doi:10.3390/healthcare13080939 · Cited by 20 · see citing works
Self-Assessment Instruments for Supporting Family Caregivers: An Integrative Review
Benedetti, F. D., Hechinger, M., & Fringer, A. (2024) · Healthcare · doi:10.3390/healthcare12101016 · Cited by 23 · see citing works
Kim, Y., & Baek, W. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-021-06793-7 · Cited by 19 · see citing works
Kurtgöz, A., & Koç, Z. (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228221124643 · Cited by 17 · see citing works
Bittencourt, N. C. C. D. M., Santos, K. A., Mesquita, M. G. D. R., da Silva, V. G., Telles, A. C., & da Silva, M. M. (2021) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2020-0520 · Cited by 23 · see citing works
Narayanan, S. P., Mohanty, S., Mohanti, B. K., Rath, H., Atreya, S. Y., Rout, A., & Mahapatra, S. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03484-0 · Cited by 17 · see citing works
Ortega‐Galán, Á. M., Fernández, M. D. R., Carmona‐Rega, M. I., Cabrera‐Troya, J., Amo, R. O., & Ibáñez‐Masero, O. (2018) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909118816662 · Cited by 17 · see citing works
Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos
de Antioquia, U., Arias-Rojas, M., Carreño Moreno, S., Sepúlveda García, A., & Romero Ballesteros, I. (2021) · Revista Cuidarte · doi:10.15649/cuidarte.1248 · Cited by 16 · see citing works
Avaliação da Qualidade de Vida de Pacientes Oncológicos em Cuidados Paliativos
da Silva, I. B. S., Júnior, J. D. R. M. L., Almeida, J. D. S., Cutrim, D. S. P., & Sardinha, A. H. D. L. (2020) · Revista Brasileira de Cancerologia · doi:10.32635/2176-9745.rbc.2020v66n3.1122 · Cited by 16 · see citing works
Bień‐Barkowska, K., Doroszkiewicz, H., & Bień, B. (2017) · Clinical Interventions in Aging · doi:10.2147/cia.s125664 · Cited by 16 · see citing works
Soares, L. G., Japiassú, A. M., Gomes, L. C., Pereira, R., Peçanha, C., & Goldgaber, T. (2018) · Annals of Palliative Medicine · doi:10.21037/apm.2018.05.06 · Cited by 14 · see citing works
Wu, L., Lin, C. S., Hung, Y.-C., Chang, L., Ho, C., & Pan, H.-H. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05449-2 · Cited by 14 · see citing works
Wen, F. S. J., Teo, I., Malhotra, C., & COMPASS Study Group (2022) · Psycho-Oncology · doi:10.1002/pon.5904 · Cited by 14 · see citing works
Prajitha, K. C., Subbaraman, M. R., Raman, S. R. S., Sharahudeen, A., Chandran, D., Sawyer, J. M., Kumar, S., & Anish, T. S. (2023) · Palliative Care and Social Practice · doi:10.1177/26323524231196315 · Cited by 14 · see citing works
Scaratti, C., Leonardi, M., Saladino, A., Anghileri, E., Broggi, M., Lamperti, E., Fariselli, L., Ayadi, R., Tringali, G., & Schiavolin, S. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3619-6 · Cited by 13 · see citing works
Instruments to assess the burden of care for family caregivers of adult palliative care patients
Pop, R. S., Payne, S. A., Ţînţ, D., Pop, C. P., & Mosoiu, D. V. (2022) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2022.28.2.80 · Cited by 13 · see citing works
Goldberg, K. J. (2019) · Veterinary Clinics of North America Small Animal Practice · doi:10.1016/j.cvsm.2019.01.006 · Cited by 13 · see citing works
What do we know about experiencing end-of-life in burn intensive care units? A scoping review
Ribeiro, A. F., Pereira, S. M., Nunes, R., & Hernández‐Marrero, P. (2022) · Palliative & Supportive Care · doi:10.1017/s1478951522001389 · Cited by 11 · see citing works
Lee, K.-C., Chao, Y.-F. C., Lin, Y.-P., & Wang, H.-C. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000870 · Cited by 11 · see citing works
Effects of clown activities on patients eligible for palliative care in primary health care
dos Santos, F. R., Pinto, S., Pessalácia, J. D. R., Luchesi, B. M., da Silva, L. A., & Marinho, M. R. (2021) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2020-0431 · Cited by 12 · see citing works
Stiel, S., Stelzer, E., Schneider, N., & Herbst, F. A. (2018) · BMC Palliative Care · doi:10.1186/s12904-018-0322-4 · Cited by 10 · see citing works
Family caregiver workload with the oncologic patient and nursing
Abreu, A. I. S. C. D. S., & Costa, Á. L. (2018) · Revista de Enfermagem UFPE on line · doi:10.5205/1981-8963-v12i4a234371p976-986-2018 · Cited by 10 · see citing works
Blütgen, S., Pralong, A., Wilharm, C., Eisenmann, Y., Voltz, R., & Simon, S. T. (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01670-0 · Cited by 10 · see citing works
Gagnon, M.-C., & Hébert, J. (2023) · Canadian Oncology Nursing Journal · doi:10.5737/2368807633146 · Cited by 9 · see citing works
Saygılı, M. (2019) · Ağrı - The Journal of The Turkish Society of Algology · doi:10.14744/agri.2019.95770 · Cited by 9 · see citing works
Deng, X. M., Hounsri, K., López, V., & Tam, W. (2025) · JMIR Cancer · doi:10.2196/71596 · Cited by 9 · see citing works
Haroen, H., Juniarti, N., Sari, C. W. M., Sari, S. P., Arovah, N. I., Pardosi, J. F., & Wibowo, D. A. (2025) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s533067 · Cited by 8 · see citing works
Kochuvilayil, A., & Varma, R. P. (2020) · Journal of Palliative Medicine · doi:10.1089/jpm.2020.0477 · Cited by 8 · see citing works
Camargo, J. C. M., Hernández‐Martínez, A., Rodríguez‐Almagro, J., Parra-Fernández, M. L., Prado-Laguna, M. D. C., & Martı́n, M. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10214900 · Cited by 8 · see citing works
Knop, J., Dust, G., Kasdorf, A., Schippel, N., Rietz, C., Strupp, J., & Voltz, R. (2022) · Palliative & Supportive Care · doi:10.1017/s1478951522000165 · Cited by 8 · see citing works
Macedo, L. T., FERNANDES, L. G. B., Palmeira, H. M., Tanios, B. S., Gaspar, K. C., & Lima, C. S. P. (2022) · Palliative & Supportive Care · doi:10.1017/s1478951522000967 · Cited by 7 · see citing works
Sousa, M. S., Davis, W., Blanchard, M. B., Razmovski‐Naumovski, V., Agar, M. R., Daveson, B. A., Dip, H. S. M., & Currow, D. C. (2022) · Journal of Palliative Medicine · doi:10.1089/jpm.2021.0462 · Cited by 7 · see citing works
Bratches, R. W. R., Freundlich, N. Z., Dionne-Odom, J. N., O’Malley, A. J., & Barr, P. J. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-051154 · Cited by 7 · see citing works
Chow, A. Y. M., Zhang, A. Y., Chan, I. K. N., Fordjour, G. A., Lui, J. N. M., LOU, V. W. Q., & Chan, C. (2023) · Journal of Palliative Care · doi:10.1177/08258597231215137 · Cited by 6 · see citing works
Symptom assessment in the dying: family members versus healthcare professionals
Martinsson, L., Brännström, M., & Andersson, S. (2023) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2023-004382 · Cited by 6 · see citing works
Wang, C., Bi, S., Lu, Y., Li, Y., Han, B., Xu, M., Meng, G., & Zhou, Q. (2024) · BMC Palliative Care · doi:10.1186/s12904-024-01475-7 · Cited by 6 · see citing works
Translation, Face and Content Validity of Burden Scale for Family Caregivers
Jamali, A. R., Mehraban, A. H., & Amini, M. (2018) · Middle East Journal of Rehabilitation and Health Studies · doi:10.5812/mejrh.62424 · Cited by 6 · see citing works
Instrumentos para avaliar a sobrecarga e a qualidade de vida de cuidadores
Oliveira, S. G., de Mello, F. E., Dias, L. V., Cordeiro, F. R., Porto, A. R., & Hartmann, M. (2021) · Avances en Enfermería · doi:10.15446/av.enferm.v39n1.84428 · Cited by 9 · see citing works
Matsunuma, R., Yamaguchi, T., Mori, M., Ikari, T., Suzuki, K., Matsuda, Y., Matsumoto, Y., Watanabe, H., Amano, K., Kamura, R., et al. (2021) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091211028817 · Cited by 6 · see citing works
Burden, quality of life and coping strategies of palliative care patients’ caregivers
Timur, Ö., Gündüz, N., Altaş, H., TURAN, H., Karaşahin, Ö., Taşar, P. T., & BİNİCİ, D. N. (2021) · Ege Tıp Dergisi · doi:10.19161/etd.915677 · Cited by 6 · see citing works
Validation of the Spanish Versions of FACIT-PAL and FACIT-PAL-14 in Palliative Patients
Ballesteros, E. M., Llamas‐Ramos, I., Calvo-Arenillas, J. I., Cusi, O., & Llamas‐Ramos, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710731 · Cited by 6 · see citing works
Kes, D., Özcan, A., & Adahan, D. (2025) · Chronic Illness · doi:10.1177/17423953251322261 · Cited by 5 · see citing works
Palyatif Bakım Hastalarına Bakım Veren Bireylerin Bakım Yüklerinin Yaşam Kaliteleri Üzerine Etkisi
Bulut, H., Bozkurt, C., & SAKAR, D. D. (2023) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.1225687 · Cited by 5 · see citing works
Guirimand, F., Bouleuc, C., d’Izarn, M. S., Martel, P., Guy-Coichard, C., Picard, S., Devalois, B., Ghadi, V., Aegerter, P., Abel, A., et al. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.09.025 · Cited by 5 · see citing works
McGraw, C., Vogel, R., Redmond, D., Pekarek, J., Tanner, A. H., Lynch, N., & Bar‐Or, D. (2020) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0000000000002983 · Cited by 5 · see citing works
Rossi, P. D., Crippa, M., & Scaccabarozzi, G. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18158081 · Cited by 5 · see citing works
Hospital utilisation in home palliative care: caregiver health, preparedness and burden associations
Nguyen, H. Q., Haupt, E. C., Duan, L., Hou, A. C., Wang, S. E., Mariano, J. D. C., Lee, J., & McMullen, C. K. (2022) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2021-003455 · Cited by 5 · see citing works
Social Support and Quality of Life in Cancer Patients
Rahayuwati, L., Pahria, T., Ibrahim, K., Nurhidayah, I., & Agustina, H. S. (2022) · Matrix Science Medica · doi:10.4103/mtsm.mtsm_58_20 · Cited by 5 · see citing works
Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
Lee, J., Kim, E.-Y., Chung, M. L., & Yeom, I. (2023) · Scientific Reports · doi:10.1038/s41598-023-35084-w · Cited by 5 · see citing works
YILDIZ, F. T., Avcı, O., & Yıldız, İ. (2023) · Cumhuriyet Tıp Dergisi/Cumhuriyet Üniversitesi Tıp Fakültesi dergisi · doi:10.7197/cmj.1353837 · Cited by 4 · see citing works
Gonçalves, F., Gaudêncio, M., Paiva, I., Semedo, V., Rêgo, F. M. P. D. S., & Nunes, R. (2024) · Healthcare · doi:10.3390/healthcare12232487 · Cited by 4 · see citing works
Perawatan Paliatif terhadap Kualitas Hidup Pasien Kanker Payudara
Amalia, I. N., & Listia, M. (2020) · Jurnal Keperawatan Silampari · doi:10.31539/jks.v4i1.1328 · Cited by 4 · see citing works
Instrumentos para avaliar a sobrecarga e a qualidade de vida de cuidadores
Oliveira, S. G., de Mello, F. E., Dias, L. V., Cordeiro, F. R., Porto, A. R., & Hartmann, M. (2021) · Avances en Enfermería · doi:10.15446/avenferm.v39n1.84428 · Cited by 4 · see citing works
Ray, S., McLorie, E. V., & Downie, J. (2023) · Healthcare · doi:10.3390/healthcare11172438 · Cited by 4 · see citing works
Watson, G. A., Saunders, J. A., & Coate, L. E. (2018) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909118775066 · Cited by 4 · see citing works
Complicated grief in caregivers of patients in a palliative care unit
Pérez, Y. L., & Cruzado, J. A. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-10029-3 · Cited by 3 · see citing works
Şahin, M., & Demirkıran, F. (2024) · Cancer Nursing · doi:10.1097/ncc.0000000000001410 · Cited by 3 · see citing works
Paranagama, D. C., Shreekant, P., Jing-bo, Y., Lindsey, L., & Mesa, R. A. (2018) · International Archives of Nursing and Health Care · doi:10.23937/2469-5823/1510108 · Cited by 3 · see citing works
Suárez-Rayo, A., Apolinar‐Jiménez, E., MANDUJANO, M. C. L., Lara-Pompa, N. E., Portilla-Segura, J., & MARTÍNEZ, J. M. C. (2021) · Medicina Paliativa · doi:10.20986/medpal.2021.1157/2020 · Cited by 3 · see citing works
Şener, A., Kurtgöz, A., & Koç, Z. (2022) · Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi · doi:10.34087/cbusbed.974401 · Cited by 3 · see citing works
BEBAN FAMILY CAREGIVER DALAM MERAWAT PASIEN KANKER STADIUM LANJUT
Rizka, Y., Erwin, E., Hasneli, Y., & Putriana, N. (2021) · Jurnal Ners Indonesia · doi:10.31258/jni.12.1.22-28 · Cited by 3 · see citing works
The epidemiology of death and symptoms
Seah, D. S. E., Marco, D. J. T., Philip, J. A. M., & Sands, M. B. (2021) · doi:10.1093/med/9780198821328.003.0007 · Cited by 3 · see citing works
Sa’ari, C. Z., Chik, H., Muhsin, S. B. S., Zainuddin, S. I., Aziz, N. A. A., Jodi, K. H. M., Saari, C. Z., Shukri, A. S. M., Karman, S. B., & Surip, A. G. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02073-w · Cited by 2 · see citing works
Lafuenti, L., Belella, D., Paola, R. D., Sani, L., Massaroni, V., Malta, E., Vannuccini, S., Ricciotti, M. A., Meloni, E., Dispenza, S., et al. (2025) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228251363091 · Cited by 2 · see citing works
Palliative care competence among medical students
Guirro, Ú. B. D. P., Corradi-Perini, C., Fileno, L. O. Z., Fioravanti, G. B., & de Siqueira, J. E. (2023) · Revista Bioética · doi:10.1590/1983-803420233363en · Cited by 2 · see citing works
Ghorbani, A., Salami, M., & Rajabi, M. M. (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01731-4 · Cited by 2 · see citing works
Biesmans, J. M. A., Bolt, S., Hameleers, N., Schols, J. M. G. A., van der Steen, J. T., Zwakhalen, S. M. G., Janssen, D. J. A., & Meijers, J. M. M. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13063-3 · Cited by 2 · see citing works
Palliative and end of life care in idiopathic pulmonary fibrosis
Newell, K. A., Smith, K., & Russell, A. (2018) · Primary Health Care · doi:10.7748/phc.2018.e1387 · Cited by 2 · see citing works
Caregiving Burden among Family Caregivers of People with Advanced Cancer: A Literature Review
Liu, Z. (2021) · Nursing & Healthcare International Journal · doi:10.23880/nhij-16000240 · Cited by 1 · see citing works
Clinical psychology in palliative care
Strada, E. A. (2021) · doi:10.1093/med/9780198821328.003.0026 · Cited by 2 · see citing works
Importance of multidisciplinary approach in palliative care, world practice and reality of Georgia
Bulia, T., Beruchashvili, T., Abesadze, I., & Dzotsenidze, P. (2024) · Health Policy Economics and Sociology · doi:10.52340/healthecosoc.2023.07.02.13 · Cited by 1 · see citing works
Marx, Y., Bauer, A., Frese, T., & Unverzagt, S. (2024) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_551_24 · Cited by 1 · see citing works
- Authors
- Krug, K., Miksch, A., Peters-Klimm, F., Engeser, P., & Szecsenyi, J.
- Affiliations
- University Hospital Heidelberg (DE)
- Corresponding author
- Krug, Katja
- Venue
- BMC Palliative Care
- Published
- 2016-01-15
- Volume
- 15
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1472-684X (ISSN-L)
- PMC
- PMC4714452
- OpenAlex
- W2239477274
- Cited by
- 139
- References
- 26
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 11 · 2023: 15 · 2022: 21 · 2021: 24 · 2020: 14 · 2019: 7 · 2018: 12 · 2017: 7 · 2016: 2
- FWCI
- 9.26
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Palliative Care (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- heiDOK (Heidelberg University) (acceptedVersion, other-oa)
- Funders
- Deutsche Forschungsgemeinschaft
- Universität Heidelberg
- Bundesministerium für Bildung und Forschung (01GK0601)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- patient quality of life, family caregiver burden, home-based palliative care, cancer patients, end-of-life care, dyspnea, emotional functioning, anxiety and depression, pain and fatigue, primary care
- MeSH terms
- Aged, Aged, 80 and over, Fatigue, Female, Home Care Services, Humans, Longitudinal Studies, Male, Middle Aged, Palliative Care, Prospective Studies, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Cohort Studies, Caregivers, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
