Evidence map›Paper›PMID 28973067›Full record

ArticleJAMA internal medicine2017

Cancer Survivorship Care in Advanced Primary Care Practices: A Qualitative Study of Challenges and Opportunities.

Ellen B Rubinstein, William L Miller, Shawna V Hudson, Jenna Howard, Denalee O'Malley, Jennifer Tsui, Heather Sophia Lee, Alicja Bator, Benjamin F Crabtree

Open access · greenAbstract read
In one paragraph

Article in JAMA internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 3% 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.

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

81 citing papers in PubMed, 5 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Patient-reported outcome measurement implementation in cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2024
    Pooled it
  3. Impact of treatment summaries for cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2020
    Pooled it
  4. Health care services use among long-term breast cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2019
    Pooled it
  5. Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Psychological distress in cancer survivors: a population-based analysis and machine learning-based risk stratification.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Article
  12. Article
  13. Identifying Patients with Breast Cancer History Using Epic Electronic Health Record.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  14. Stakeholder perspectives on the use of patient-reported outcome measures in colorectal cancer survivorship care in general practice: qualitative study using interviews.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Patient Advocacy Group Leaders' Perceptions on Primary Care's Role in Caring for Patients With a History of Breast Cancer.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ellen B RubinsteinResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
William L MillerLehigh Valley Health Network, Allentown, Pennsylvania.
Shawna V HudsonResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Jenna HowardResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Denalee O'MalleyResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Jennifer TsuiRutgers Cancer Institute of New Jersey, New Brunswick.
Heather Sophia LeeResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Alicja BatorResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Benjamin F CrabtreeResearch Division, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Rutgers, The State University of New Jersey · USJohnson University · USLehigh Valley Health Network · USRutgers Cancer Institute of New Jersey

Funding

PCMH Implementation Strategies: Implications for Cancer Survivor CareR01CA176545 · NCI · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI CRABTREE, BENJAMIN F · 2014 to 2016
$2.3M
NCI NIH HHS R01 CA176545
6 · The paper itself

Abstract

Importance: Despite a decade of effort by national stakeholders to bring cancer survivorship to the forefront of primary care, there is little evidence to suggest that primary care has begun to integrate comprehensive services to manage the care of long-term cancer survivors. Objective: To explain why primary care has not begun to integrate comprehensive cancer survivorship services. Design, Setting, and Participants: Comparative case study of 12 advanced primary care practices in the United States recruited from March 2015 to February 2017. Practices were selected from a national registry of 151 workforce innovators compiled for the Robert Wood Johnson Foundation. Practices were recruited to include diversity in policy context and organizational structure. Researchers conducted 10 to 12 days of ethnographic data collection in each practice, including interviews with practice personnel and patient pathways with cancer survivors. Fieldnotes, transcripts, and practice documents were analyzed within and across cases to identify salient themes. Main Outcomes and Measures: Description of cancer survivorship care delivery in advanced patient-centered medical homes, including identification of barriers and promotional factors related to that care. Results: The 12 practices came from multiple states and policy contexts and had a mix of clinicians trained in family or internal medicine. All but 3 were recognized as National Committee on Quality Assurance level 3 patient-centered medical homes. None of the practices provided any type of comprehensive cancer survivorship services. Three interdependent explanatory factors emerged: the absence of a recognized, distinct clinical category of survivorship in primary care; a lack of actionable information to treat this patient population; and current information systems unable to support survivorship care. Conclusions and Relevance: To increase the potential for primary care transformation efforts to integrate survivorship services into routine care, survivorship must become a recognized clinical category with actionable care plans supported by a functional information system infrastructure.

Indexed as

SurvivorshipComprehensive Health CareHumansModels, OrganizationalNeoplasmsPrimary Health CareQualitative ResearchQuality of Health CareUnited States

Identifiers

PMID28973067
PMCPMC5820731
OpenAlexW2759630049

What OpenQuestion holds

Textmetadata
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.