{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T03:20:52Z","timestamp":1783999252851,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"17","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 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\u2010structured interviews were analyzed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Casemanagers are well\u2010positioned to lead ACP conversations in oncology care, offering trust, continuity, and expertise. Despite some concerns regarding responsibility and medical decision\u2010making, their role can improve the quality of ACP, supporting more personalized and timely palliative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71195","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T10:48:41Z","timestamp":1756982921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Casemanagers Positioned as Key Advance Care Planning Conversationalists in Oncology Care: A Qualitative Interview Study on the Perspectives of Healthcare Professionals and Patients"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8933-3344","authenticated-orcid":false,"given":"Anouk","family":"Putker","sequence":"first","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marieke","family":"Perry","sequence":"additional","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelmer","family":"Chalkiopoulos","sequence":"additional","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Piek","sequence":"additional","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Engels","sequence":"additional","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien","family":"Kuip","sequence":"additional","affiliation":[{"name":"Radboudumc  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_11_3_1","unstructured":"Integraal Kankercentrum Nederland (IKNL) PZNL \u201cKerncijfers Palliatieve Zorg \u201d(2019) https:\/\/prd04177pznlst01.blob.core.windows.net\/mediacontainer\/pznl\/media\/themabestanden\/onderzoek%20\u2010%20ervaringen%20pati%C3%ABnten%20en%20naasten\/kerncijfers_pznl_v4.pdf."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.21.02229"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2023-076625","article-title":"Illness Trajectories of Incurable Solid Cancers","volume":"384","author":"Geijteman E. C. T.","year":"2024","journal-title":"BMJ"},{"key":"e_1_2_11_6_1","volume-title":"Primer of Palliative Care","author":"Quill T.","year":"2019"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-04888-4"},{"key":"e_1_2_11_8_1","unstructured":"World Health Organization (WHO) \u201cFact Sheets Palliative Care \u201d(2020) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/palliative\u2010care."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.331"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119848148"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.43.6055"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(17)30582-X"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2023.05.005"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-019-0358-x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2023.05.003"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2023.06.003"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.01.011"},{"issue":"5","key":"e_1_2_11_18_1","first-page":"1263","article-title":"Experiences of Patients With Advanced Cancer and Their Involved Healthcare Professionals With Patient\u2010Context Inclusive Shared Decision\u2010Making: A Qualitative Interview Study","volume":"22","author":"Poelman S. W.","year":"2024","journal-title":"Journal of Palliative Medicine"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.1040589"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12240-8"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.08.002"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314526272"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_24_1","unstructured":"Pallialine Richtlijn Proactieve Zorgplanning (2023) https:\/\/palliaweb.nl\/getmedia\/01259d0a\u20100be7\u20104896\u2010b6b0\u20104c7fef384f16\/12317\u2010Proactieve\u2010Zorgplanning\u201020230915105151.pdf."},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/13576275.2022.2107424"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01230-4"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmz089"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0872-6"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119836238"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2014.20.1.9"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.2196\/38561"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09593-3"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000715"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0423"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000373"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-021-02001-y"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909121995416"},{"key":"e_1_2_11_38_1","article-title":"Nurse\u2010Led Advance Care Planning in Adults in the U.S.\u2014A Scoping Review","volume":"42","author":"Agyei K. G.","year":"2024","journal-title":"American Journal of Hospice and Palliative Care"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00543-y"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2000.3.27"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol31030092"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clon.2015.11.011"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2013.854590"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01052-w"},{"key":"e_1_2_11_45_1","volume-title":"Gender Equity in the Health Workforce: Analysis of 104 Countries","author":"Boniol M.","year":"2019"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/haschl\/qxae149"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119848987"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002302"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71195","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:31:46Z","timestamp":1761129106000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":47,"journal-issue":{"issue":"17","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/cam4.71195"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71195","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71195"}}