Evidence map›Paper›PMID 24247164›Full record

ReviewNature reviews. Clinical oncology2014

The role of primary care in early detection and follow-up of cancer.

Jon D Emery, Katie Shaw, Briony Williams, Danielle Mazza, Julia Fallon-Ferguson, Megan Varlow, Lyndal J Trevena

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03935282 (Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors), which is not on this map. Cited by 131 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 11 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03935282 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors (AH-HA)

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2025Enrolled645ConditionsBreast Neoplasm, Prostatic Neoplasm, Colorectal Neoplasms, Endometrial NeoplasmsArmsAH-HA Tool in the EPIC EHR
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 11 syntheses or guidelines pooled it, 248 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. The role of the GP in follow-up cancer care: a systematic literature review.Journal of cancer survivorship : research and practice · 2016
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Article
  19. Review
  20. Review

71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Jon D Emery1] General Practice and Primary Care Academic Centre, University of Melbourne, 200 Berkeley Street, Carlton, Victoria 3053, Australia. [2] University of Western Australia, General Practice, M706, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.
Katie ShawUniversity of Western Australia, General Practice, M706, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.
Briony WilliamsUniversity of Western Australia, General Practice, M706, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.
Danielle MazzaMonash University, School of Primary Health Care, Building 1270 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia.
Julia Fallon-FergusonUniversity of Western Australia, General Practice, M706, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.
Megan VarlowCancer Institute of New South Wales, PO Box 41, Alexandria, New South Wales 1435, Australia.
Lyndal J TrevenaSydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, New South Wales 2006, Australia.
University of Western Australia · AUCancer Institute of New South Wales · AUMonash University · AUUniversity of Melbourne · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary care providers have important roles across the cancer continuum, from encouraging screening and accurate diagnosis to providing care during and after treatment for both the cancer and any comorbid conditions. Evidence shows that higher cancer screening participation rates are associated with greater involvement of primary care. Primary care providers are pivotal in reducing diagnostic delay, particularly in health systems that have long waiting times for outpatient diagnostic services. However, so-called fast-track systems designed to speed up hospital referrals are weakened by significant variation in their use by general practitioners (GPs), and affect the associated conversion and detection rates. Several randomized controlled trials have shown primary care-led follow-up care to be equivalent to hospital-led care in terms of patient wellbeing, recurrence rates and survival, and might be less costly. For primary care-led follow-up to be successful, appropriate guidelines must be incorporated, clear communication must be provided and specialist care must be accessible if required. Finally, models of long-term cancer follow-up are needed that provide holistic care and incorporate management of co-morbid conditions. We discuss all these aspects of primary care, focusing on the most common cancers managed at the GP office-breast, colorectal, prostate, lung and cervical cancers.

Indexed as

Professional-Patient RelationsContinuity of Patient CareEarly Detection of CancerFamily PracticeFemaleHumansMaleMonitoring, PhysiologicNeoplasmsPatient Care TeamSurveys and Questionnaires

Identifiers

PMID24247164
OpenAlexW1978348741

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.