ArticleCancer2015
Are primary care providers prepared to care for survivors of breast cancer in the safety net?
Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Primary care physicians' knowledge and confidence in providing cancer survivorship care: a systematic review.Journal of cancer survivorship : research and practice · 2024Pooled it
- Outcomes of cancer survivorship education and training for primary care providers: a systematic review.Journal of cancer survivorship : research and practice · 2022Pooled it
- (Not) Lost in Transition-Enhancing Patient-Reported Care Coordination by Bridging Oncology and Primary Care for Breast and Colorectal Cancer Survivors.JCO oncology practice · 2026Article
- What are the Barriers and Enablers of Survivorship Care Plan Use by Breast and Colorectal Cancer Survivors?Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026Article
- Article
- Applying Implementation Science to Identify Primary Care Providers' Enablers and Barriers to Using Survivorship Care Plans.Current oncology (Toronto, Ont.) · 2024Article
- It's Not Always Easy: Cancer Survivorship Care in Primary Care Settings.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Primary and mental health service use in community health center patients before and after cancer diagnosis.Cancer medicine · 2022Article
- Article
- Standardized versus personalized survivorship care plans for breast cancer survivors: A program evaluation.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- Development and evaluation of a bladder Cancer specific survivorship care plan by patients and clinical care providers: a multi-methods approach.BMC health services research · 2020Article
- Healthcare professionals' perspectives of barriers and facilitators in implementing physical activity programmes delivered to cancer survivors in a shared-care model: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Design of a randomized controlled trial on the efficacy of a reproductive health survivorship care plan in young breast cancer survivors.Contemporary clinical trials · 2019Article
- Barriers to implementation of stratified care in primary biliary cholangitis: a scoping exercise.BMJ open gastroenterology · 2019Review
- Breast cancer survivor's perspectives on the role different providers play in follow-up care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Factors associated with imaging in patients with early breast cancer after initial treatment.Current oncology (Toronto, Ont.) · 2018Article
- Article
- Bridging the gap from the oncology setting to community care through a cross-Canada environmental scan.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2018Article
- Article
- Empowering cancer survivors to meet their physical and psychosocial needs: An implementation evaluation.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2018Article
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundWith the growing number of survivors of breast cancer outpacing the capacity of oncology providers, there is pressure to transition patients back to primary care. Primary care providers (PCPs) working in safety-net settings may have less experience treating survivors, and little is known about their knowledge and views on survivorship care. The current study was performed to determine the knowledge, attitudes, and confidence of PCPs in the safety net at delivering care to survivors of breast cancer.
methodsA modified version of the National Cancer Institute's Survey of Physician Attitudes Regarding Care of Cancer Survivors was given to providers at 2 county hospitals and 5 associated clinics (59 providers). Focus groups were held to understand barriers to survivorship care.
resultsAlthough the majority of providers believed PCPs have the skills necessary to provide cancer-related follow-up, the vast majority were not comfortable providing these services themselves. Providers were adherent to American Society of Clinical Oncology recommendations for mammography (98%) and physical examination (87%); less than one-third were guideline-concordant for laboratory testing and only 6 providers (10%) met all recommendations. PCPs universally requested additional training on clinical guidelines and the provision of written survivorship care plans before transfer. Concerns voiced in qualitative sessions included unfamiliarity with the management of endocrine therapy and confusion regarding who would be responsible for certain aspects of care.
conclusionsSafety-net providers currently lack knowledge of and confidence in providing survivorship care to patients with breast cancer. Opportunities exist for additional training in evidence-based guidelines and improved coordination of care between PCPs and oncology specialists.
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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.