Evidence map›Paper›PMID 29486730›Full record

ArticleBMC cancer2018

Centralising specialist cancer surgery services in England: survey of factors that matter to patients and carers and health professionals.

Mariya Melnychuk, Cecilia Vindrola-Padros, Michael Aitchison, Caroline S Clarke, Naomi J Fulop, Claire Levermore, Satish B Maddineni, Caroline M Moore, Muntzer M Mughal, Catherine Perry and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. What is the impact of hospital and surgeon volumes on outcomes in rectal cancer surgery?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Variation in receipt of therapy and survival with provider volume for medical oncology in non-curative esophago-gastric cancer: a population-based analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2020
    Article
  12. Article
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

15 authors.

Mariya MelnychukDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.
Cecilia Vindrola-PadrosDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK. c.vindrola@ucl.ac.uk.
Michael AitchisonRoyal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, UK.
Caroline S ClarkeResearch Department of Primary Care & Population Health, Royal Free Campus, University College London, Rowland Hill St, London, NW3 2PF, UK.
Naomi J FulopDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.
Claire LevermoreUniversity College London Hospital NHS Foundation Trust, 47 Wimpole Street, London, W1G 8SE, UK.
Satish B MaddineniDepartments of Urology, Salford Royal NHS Foundation Trust, Stott Lane, Salford, M6 8HD, UK.
Caroline M MooreDivision of Surgical & Interventional Science, University College London, Gower Street, London, WC1E 6BT, UK.
Muntzer M MughalUniversity College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Catherine PerryAlliance Manchester Business School, University of Manchester, Booth Street East, Manchester, M13 9SS, UK.
Kathy Pritchard-JonesUCLPartners Cancer Programme, 170 Tottenham Court Road, London, W1T 7HA, UK.
Angus I G RamsayDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.
David ShackleyGreater Manchester Cancer, A Block, Christie NHS Foundation Trust, 550 Wilmslow Rd, Manchester, M20 4BX, UK.
Jonathan VickersSalford Royal NHS Foundation Trust, Stott Lane, Salford, M6 8HD, UK.
Stephen MorrisDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.

Funding

Department of Health 14/46/19Health Services and Delivery Research Programme 14/46/19
6 · The paper itself

Abstract

backgroundThe centralisation of specialist cancer surgical services across London Cancer and Greater Manchester Cancer, England, may significantly change how patients experience care. These centres are changing specialist surgical pathways for several cancers including prostate, bladder, kidney, and oesophago-gastric cancers, increasing the specialisation of centres and providing surgery in fewer hospitals. While there are potential benefits related to centralising services, changes of this kind are often controversial. The aim of this study was to identify factors related to the centralisation of specialist surgical services that are important to patients, carers and health care professionals.

methodsThis was a questionnaire-based study involving a convenience sample of patient and public involvement (PPI) and cancer health care professional (HCP) sub-groups in London and Greater Manchester (n = 186). Participants were asked to identify which of a list of factors potentially influenced by the centralisation of specialist cancer surgery were important to them and to rank these in order of importance. We ranked and shortlisted the most important factors.

resultsWe obtained 52 responses (28% response rate). The factors across both groups rated most important were: highly trained staff; likelihood and severity of complications; waiting time for cancer surgery; and access to staff members from various disciplines with specialised skills in cancer. These factors were also ranked as being important separately by the PPI and HCP sub-groups. There was considerable heterogeneity in the relative ordering of factors within sub-groups and overall.

conclusionsThis study examines and ranks factors important to patients and carers, and health care professionals in order to inform the implementation of centralisation of specialist cancer surgical services. The most important factors were similar in the two stakeholder sub-groups. Planners should consider the impact of reorganising services on these factors, and disseminate this information to patients, the public and health care professionals when deciding whether or not and how to centralise specialist cancer surgical services.

Indexed as

CaregiversHealth PersonnelPatientsEnglandHumansMalePatient PreferenceSurgical OncologySurveys and QuestionnairesCancer surgeryCentralisationDeterminantsImplementationPreferencesService reorganisationSurvey

Identifiers

PMID29486730
PMCPMC6389051

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.