{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:59:58Z","timestamp":1790222398968,"version":"4.1.0"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"unspecified","delay-in-days":266,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103587_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Bereavement care is integral to oncology but seldom formalized in residency curricula. We assessed bereavement education, self-perceived preparedness, and emotional burden among oncology residents, and explored associations between formal training and preparedness.&gt;<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103587_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted an anonymous web-based cross-sectional survey of 165 oncology residents from 25 countries. Items assessed demographics, training characteristics, formal bereavement education, caregiver interactions, preparedness, challenges, and emotional consequences. Associations between formal training and 4-level preparedness used \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      ; a binary contrast (\u2265\u201cSomewhat prepared\u201d vs &lt;\u201cSomewhat prepared\u201d) estimated odds ratios (ORs). Pearson\u2019s assessed correlation between caregiver-interaction frequency and preparedness.r\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103587_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Respondents were 55.2% female; 47.9% worked in academic centers; 44.2% had \u22655 years of training. Formal bereavement education was uncommon (17.0%). Preparedness was \u201cSomewhat\/Very\u201d in 53.3% and \u201cNot very\/Not at all\u201d in 46.7%. Training was associated with higher preparedness (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      =13.03, df=3, =0.0046); being at least \u201cSomewhat prepared\u201d was more likely with training (OR 3.94, 95% CI 1.51\u201310.33). Interaction frequency correlated weakly with preparedness (=0.15). Common challenges were emotional fatigue (64.8%), fear of overstepping professional boundaries (56.4%), lack of training (53.3%), and time constraints (50.3%). Emotional consequences were frequent: 54.5% occasionally and 27.3% deeply affected; 36.6% had considered leaving residency. Nearly all endorsed bereavement education as integral to oncology training (99.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103587_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Training gaps co-exist with substantial emotional burden. Structured bereavement curricula, mentorship, and reflective practice may strengthen preparedness and resilience and improve caregiver support. Prospective studies should evaluate implementation strategies and effects on clinician well-being and care delivery.&gt;<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103587","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:09:31Z","timestamp":1790219371000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Global gaps in bereavement education and emotional burden among oncology residents: A 25-country cross-sectional survey"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4592-8868","authenticated-orcid":false,"given":"Raffaele","family":"Giusti","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02be6w209","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Clinical and Molecular Medicine, Sapienza University of Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotios","family":"Loupakis","sequence":"additional","affiliation":[{"name":"KISS No profit Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirella","family":"Moro","sequence":"additional","affiliation":[{"name":"Oncologia Medica Toracica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Mariniello","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02be6w209","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical Oncology Unit, Sant\u2019Andrea Hospital of Rome, Sapienza University of Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Liotta","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02be6w209","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical Oncology Unit, Sant\u2019Andrea Hospital of Rome, Sapienza University of Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Filetti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00rg70c39","id-type":"ROR","asserted-by":"publisher"}],"name":"Phase 1 Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8463-7161","authenticated-orcid":false,"given":"Maria Anna","family":"Siciliano","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0530bdk91","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical Oncology Unit, Azienda Ospedaliero Universitaria Renato Dulbecco di Cata"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampiero","family":"Porzio","sequence":"additional","affiliation":[{"name":"Tuscany Tumors Association, Home Care Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"S1478951526103587_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.282081"},{"key":"S1478951526103587_ref6","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"S1478951526103587_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15709"},{"key":"S1478951526103587_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2022.100623"},{"key":"S1478951526103587_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2022.11.008"},{"key":"S1478951526103587_ref4","doi-asserted-by":"publisher","DOI":"10.1200\/GO.23.00277"},{"key":"S1478951526103587_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.5.453"},{"key":"S1478951526103587_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.1426"},{"key":"S1478951526103587_ref9","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00937"},{"key":"S1478951526103587_ref10","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.24.00542"},{"key":"S1478951526103587_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224325"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:09:35Z","timestamp":1790219375000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103587\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":11,"alternative-id":["S1478951526103587"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103587","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e234"}}