Evidence map›Paper›PMID 30138956›Full record

ArticleEuropean journal of cancer care2019

Correspondence between primary and secondary care about patients with cancer: A qualitative mixed-methods analysis.

Mariken E Stegmann, Jiska M Meijer, Janine Nuver, Klaas Havenga, Thijo J N Hiltermann, John H Maduro, Jan Schuling, Annette J Berendsen

Open access · hybridAbstract read
In one paragraph

Article in European journal of cancer care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  2. Article
  3. "Ultimately, You Realize You're on Your Own": The Impact of Prostate Cancer on Gay and Bisexual Men Couples.International journal of environmental research and public health · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Correspondence between primary and secondary care about patients with cancer: a Delphi consensus study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  8. Article
  9. 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

8 authors at 1 institution in 1 country.

Mariken E StegmannUniversity of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands.ORCID http://orcid.org/0000-0001-8491-1407
Jiska M MeijerUniversity of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands.
Janine NuverUniversity of Groningen, University Medical Center Groningen, Department of Medical Oncology, Groningen, The Netherlands.
Klaas HavengaUniversity of Groningen, University Medical Center Groningen, Department of Abdominal Surgery, Groningen, The Netherlands.
Thijo J N HiltermannUniversity of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases, Groningen, The Netherlands.
John H MaduroUniversity of Groningen, University Medical Center Groningen, Department of Radiation Oncology, Groningen, The Netherlands.
Jan SchulingUniversity of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands.
Annette J BerendsenUniversity of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands.
University Medical Center Groningen · NL

Funding

Stoffels-Hornstra Foundation, Coevorden, the Netherlands
6 · The paper itself

Abstract

Cancer care is complex and involves many different healthcare providers, especially during diagnosis and initial treatment, and it has been reported that both general practitioners and oncology specialists experience difficulties with interdisciplinary communication. The aim of this qualitative study was to explore information sharing between primary and secondary care for patients with lung, breast or colorectal cancer. A qualitative content analysis of 50 medical files (419 documents) was performed, which identified 70 correspondence-related items. Six main topics were identified in most referral letters from primary to secondary care, but it was particularly notable that highly relevant information regarding the past medical history was often mixed with less relevant information. To lesser extents, the same held true for the medication list and presenting history. In the letters from specialists, nine topics were identified in most letters. Although information about actual treatment was always present, only limited detail, if any, was given about the intent of the treatment (curative or palliative) or the treatment alternatives. Interviews with nine healthcare providers confirmed these issues. These findings indicate that neither the initial referral nor the specialist correspondence is tailored to the needs of the recipient.

Indexed as

General PractitionersInformation DisseminationInterdisciplinary CommunicationOncologistsPhysicians, Primary CareAgedBreast NeoplasmsColorectal NeoplasmsCorrespondence as TopicFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasmsPrimary Health Carecancer patientscorrespondenceprimary care-secondary care interfacequalitative designreferral lettersspecialist letters

Identifiers

PMID30138956
PMCPMC6588262
OpenAlexW2888469120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.