Evidence map›Paper›PMID 27727446›Full record

SynthesisCA: a cancer journal for clinicians2017

The primary care provider (PCP)-cancer specialist relationship: A systematic review and mixed-methods meta-synthesis.

Lesly A Dossett, Janella N Hudson, Arden M Morris, M Catherine Lee, Richard G Roetzheim, Michael D Fetters, Gwendolyn P Quinn

Abstract readSystematic Review
In one paragraph

Synthesis in CA: a cancer journal for clinicians, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Synthesis of clinical practice guidelines and recommendations for breast cancer survivorship care: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Facilitators and barriers to shared primary and specialist cancer care: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
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41 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.

Lesly A DossettAssistant Professor, Department of Surgery, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI.
Janella N HudsonPostdoctoral Fellow, Department of Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, FL.
Arden M MorrisAssociate Professor, Department of Surgery and Center for Health Outcomes and Policy, University of Michigan Health System, Ann Arbor, MI.
M Catherine LeeAssociate Member, Comprehensive Breast Program, Moffitt Cancer Center and Research Institute, Tampa, FL.
Richard G RoetzheimProfessor, Department of Family Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.
Michael D FettersProfessor, Department of Family Medicine, University of Michigan Health System, Ann Arbor, MI.
Gwendolyn P QuinnSenior Member, Department of Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, FL.

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentR25CA090314 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI BRANDON, THOMAS H · 2003 to 2018
$4.0M
NCI NIH HHS P30 CA076292NCI NIH HHS R25 CA090314
6 · The paper itself

Abstract

Although they are critical to models of coordinated care, the relationship and communication between primary care providers (PCPs) and cancer specialists throughout the cancer continuum are poorly understood. By using predefined search terms, the authors conducted a systematic review of the literature in 3 databases to examine the relationship and communication between PCPs and cancer specialists. Among 301 articles identified, 35 met all inclusion criteria and were reviewed in-depth. Findings from qualitative, quantitative, and disaggregated mixed-methods studies were integrated using meta-synthesis. Six themes were identified and incorporated into a preliminary conceptual model of the PCP-cancer specialist relationship: 1) poor and delayed communication between PCPs and cancer specialists, 2) cancer specialists' endorsement of a specialist-based model of care, 3) PCPs' belief that they play an important role in the cancer continuum, 4) PCPs' willingness to participate in the cancer continuum, 5) cancer specialists' and PCPs' uncertainty regarding the PCP's oncology knowledge/experience, and 6) discrepancies between PCPs and cancer specialists regarding roles. These data indicate a pervasive need for improved communication, delineation, and coordination of responsibilities between PCPs and cancer specialists. Future interventions aimed at these deficiencies may improve patient and physician satisfaction and cancer care coordination. CA Cancer J Clin 2017;67:156-169. © 2016 American Cancer Society.

Indexed as

Continuity of Patient CareInterprofessional RelationsMedical OncologyPrimary Health CareAttitude of Health PersonnelClinical CompetenceHumansPhysician's Rolecancercancer carecancer specialistcommunicationgeneral practitionermodels of careoncologistprimary care provider (PCP)shared care

Identifiers

PMID27727446
PMCPMC5342924

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.