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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Lack of Standard Definitions in the Supportive and Palliative Oncology Literature</title>
<author><name sortKey="Hui, David" sort="Hui, David" uniqKey="Hui D" first="David" last="Hui">David Hui</name>
</author>
<author><name sortKey="Mori, Masanori" sort="Mori, Masanori" uniqKey="Mori M" first="Masanori" last="Mori">Masanori Mori</name>
</author>
<author><name sortKey="Parsons, Henrique A" sort="Parsons, Henrique A" uniqKey="Parsons H" first="Henrique A." last="Parsons">Henrique A. Parsons</name>
</author>
<author><name sortKey="Kim, Sun Hyun" sort="Kim, Sun Hyun" uniqKey="Kim S" first="Sun Hyun" last="Kim">Sun Hyun Kim</name>
</author>
<author><name sortKey="Li, Zhijun" sort="Li, Zhijun" uniqKey="Li Z" first="Zhijun" last="Li">Zhijun Li</name>
</author>
<author><name sortKey="Damani, Shamsha" sort="Damani, Shamsha" uniqKey="Damani S" first="Shamsha" last="Damani">Shamsha Damani</name>
</author>
<author><name sortKey="Bruera, Eduardo" sort="Bruera, Eduardo" uniqKey="Bruera E" first="Eduardo" last="Bruera">Eduardo Bruera</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22104619</idno>
<idno type="pmc">3818788</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818788</idno>
<idno type="RBID">PMC:3818788</idno>
<idno type="doi">10.1016/j.jpainsymman.2011.04.016</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">003816</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003816</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Lack of Standard Definitions in the Supportive and Palliative Oncology Literature</title>
<author><name sortKey="Hui, David" sort="Hui, David" uniqKey="Hui D" first="David" last="Hui">David Hui</name>
</author>
<author><name sortKey="Mori, Masanori" sort="Mori, Masanori" uniqKey="Mori M" first="Masanori" last="Mori">Masanori Mori</name>
</author>
<author><name sortKey="Parsons, Henrique A" sort="Parsons, Henrique A" uniqKey="Parsons H" first="Henrique A." last="Parsons">Henrique A. Parsons</name>
</author>
<author><name sortKey="Kim, Sun Hyun" sort="Kim, Sun Hyun" uniqKey="Kim S" first="Sun Hyun" last="Kim">Sun Hyun Kim</name>
</author>
<author><name sortKey="Li, Zhijun" sort="Li, Zhijun" uniqKey="Li Z" first="Zhijun" last="Li">Zhijun Li</name>
</author>
<author><name sortKey="Damani, Shamsha" sort="Damani, Shamsha" uniqKey="Damani S" first="Shamsha" last="Damani">Shamsha Damani</name>
</author>
<author><name sortKey="Bruera, Eduardo" sort="Bruera, Eduardo" uniqKey="Bruera E" first="Eduardo" last="Bruera">Eduardo Bruera</name>
</author>
</analytic>
<series><title level="j">Journal of pain and symptom management</title>
<idno type="ISSN">0885-3924</idno>
<idno type="eISSN">1873-6513</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Context</title>
<p id="P1">Multiple organizations have raised concerns about the lack of standard definitions for terminology in the supportive and palliative oncology literature.</p>
</sec>
<sec id="S2"><title>Objectives</title>
<p id="P2">We aimed to determine: 1) the frequency of 10 commonly used terms in the supportive and palliative oncology literature; 2) the proportion of articles that provided definitions for each term; and 3) how each term was defined.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">We systematically searched MEDLINE, PubMed, PsycINFO, the Cochrane Library, Embase, ISI Web of Science, and CINAHL for original studies, review articles and systematic reviews related to palliative care and cancer in the first six months of 2004 and 2009. We counted the number of occurrences for “palliative care,” “supportive care,” “best supportive care,” “hospice care,” “terminal care,” “end-of-life,” “terminally ill,” “goals of care,” “actively dying,” and “transition of care” in each article, reviewed them for the presence of definitions, and documented the journal characteristics.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Among the 1213 articles found, 678 (56%) were from 2009. “Palliative care” and “end-of-life” were the most frequently used terms. “Palliative care,” “end-of-life” and “terminally ill” appeared more frequently in palliative care journals, while “supportive care” and “best supportive care” were used more often in oncology journals (<italic>P</italic>
<0.001). Among 35 of 601 (6%) articles with a definition for “palliative care,” there were 16 different variations (21 of 35 articles used the World Health Organization definition). “Hospice care” had 13 definitions among 13 of 151 (9%) articles. “Supportive care” and other terms were rarely defined (less than 5% of articles that used the term).</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Our findings highlight the lack of definitional clarity for many important terms in the supportive and palliative oncology literature. Standard definitions are needed to improve administrative, clinical and research operations.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8605836</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4849</journal-id>
<journal-id journal-id-type="nlm-ta">J Pain Symptom Manage</journal-id>
<journal-id journal-id-type="iso-abbrev">J Pain Symptom Manage</journal-id>
<journal-title-group><journal-title>Journal of pain and symptom management</journal-title>
</journal-title-group>
<issn pub-type="ppub">0885-3924</issn>
<issn pub-type="epub">1873-6513</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22104619</article-id>
<article-id pub-id-type="pmc">3818788</article-id>
<article-id pub-id-type="doi">10.1016/j.jpainsymman.2011.04.016</article-id>
<article-id pub-id-type="manuscript">NIHMS521687</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Lack of Standard Definitions in the Supportive and Palliative Oncology Literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Hui</surname>
<given-names>David</given-names>
</name>
<degrees>MD, MSc, MSc, FRCPC</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Mori</surname>
<given-names>Masanori</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Parsons</surname>
<given-names>Henrique A.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Sun Hyun</given-names>
</name>
<degrees>MD, PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Zhijun</given-names>
</name>
<degrees>MS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Damani</surname>
<given-names>Shamsha</given-names>
</name>
<degrees>MSLS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Bruera</surname>
<given-names>Eduardo</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff id="A1">Department of Palliative Care and Rehabilitation Medicine (D.H., S.H.K., Z.L., E.B.),Department of Investigational Cancer Therapeutics (H.A.P.), and Research Medical Library (S.D.), The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA; Division of Hematology and Oncology (M.M.), Fletcher Allen Health Care/University of Vermont College of Medicine, Burlington, Vermont, USA; and Department of Family Medicine (S.H.K.), Myong Ji Hospital, Kwandong University, College of Medicine, Gyeonggi, Korea</aff>
</contrib-group>
<author-notes><corresp id="CR1">Address correspondence to: David Hui, MD, MSc, MSc, Department of Palliative Care & Rehabilitation Medicine, Unit 008, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, USA 77030, <email>dhui@mdanderson.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>31</day>
<month>10</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>11</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>06</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>43</volume>
<issue>3</issue>
<elocation-id>10.1016/j.jpainsymman.2011.04.016</elocation-id>
<permissions><copyright-statement>© 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><sec id="S1"><title>Context</title>
<p id="P1">Multiple organizations have raised concerns about the lack of standard definitions for terminology in the supportive and palliative oncology literature.</p>
</sec>
<sec id="S2"><title>Objectives</title>
<p id="P2">We aimed to determine: 1) the frequency of 10 commonly used terms in the supportive and palliative oncology literature; 2) the proportion of articles that provided definitions for each term; and 3) how each term was defined.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">We systematically searched MEDLINE, PubMed, PsycINFO, the Cochrane Library, Embase, ISI Web of Science, and CINAHL for original studies, review articles and systematic reviews related to palliative care and cancer in the first six months of 2004 and 2009. We counted the number of occurrences for “palliative care,” “supportive care,” “best supportive care,” “hospice care,” “terminal care,” “end-of-life,” “terminally ill,” “goals of care,” “actively dying,” and “transition of care” in each article, reviewed them for the presence of definitions, and documented the journal characteristics.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Among the 1213 articles found, 678 (56%) were from 2009. “Palliative care” and “end-of-life” were the most frequently used terms. “Palliative care,” “end-of-life” and “terminally ill” appeared more frequently in palliative care journals, while “supportive care” and “best supportive care” were used more often in oncology journals (<italic>P</italic>
<0.001). Among 35 of 601 (6%) articles with a definition for “palliative care,” there were 16 different variations (21 of 35 articles used the World Health Organization definition). “Hospice care” had 13 definitions among 13 of 151 (9%) articles. “Supportive care” and other terms were rarely defined (less than 5% of articles that used the term).</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Our findings highlight the lack of definitional clarity for many important terms in the supportive and palliative oncology literature. Standard definitions are needed to improve administrative, clinical and research operations.</p>
</sec>
</abstract>
<kwd-group><kwd>Palliative care</kwd>
<kwd>supportive care</kwd>
<kwd>neoplasms</kwd>
<kwd>literature</kwd>
<kwd>terminology</kwd>
<kwd>definitions</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Nursing Research : NINR</funding-source>
<award-id>R01 NR010162 || NR</award-id>
</award-group>
<award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R01 CA124481 || CA</award-id>
</award-group>
<award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R01 CA122292 || CA</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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