Evidence map›Paper›PMID 30950216›Full record

ArticleCancer medicine2019

Determinants of quality prostate cancer survivorship care across the primary and specialty care interface: Lessons from the Veterans Health Administration.

Archana Radhakrishnan, Jennifer Henry, Kevin Zhu, Sarah T Hawley, Brent K Hollenbeck, Timothy Hofer, Daniela A Wittmann, Anne E Sales, Ted A Skolarus

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors at 3 institutions in 1 country.

Archana RadhakrishnanDivision of General Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0001-7689-6390
Jennifer HenryVA Health Service Research & Development Center for Clinical Management Research, Ann Arbor, Michigan.
Kevin ZhuVA Health Service Research & Development Center for Clinical Management Research, Ann Arbor, Michigan.
Sarah T HawleyDivision of General Medicine, University of Michigan, Ann Arbor, Michigan.
Brent K HollenbeckDivision of Oncology, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Timothy HoferDivision of General Medicine, University of Michigan, Ann Arbor, Michigan.
Daniela A WittmannDivision of Oncology, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Anne E SalesVA Health Service Research & Development Center for Clinical Management Research, Ann Arbor, Michigan.
Ted A SkolarusVA Health Service Research & Development Center for Clinical Management Research, Ann Arbor, Michigan.
University of Michigan · USMichigan Medicine · USVA Center for Clinical Management Research · US

Funding

De-implementation of low value castration for men with prostate cancerR37CA222885 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SAINI, SAMEER DEV, SKOLARUS, TED ALBERT · 2018 to 2023
$3.6M
NCI NIH HHS R37 CA222885
6 · The paper itself

Abstract

backgroundWith over 3 million US prostate cancer survivors, ensuring high-quality, coordinated cancer survivorship care is important. However, implementation of recommended team-based cancer care has lagged, and determinants of quality care across primary and specialty care remain unclear. Guided by the theoretical domains framework (TDF), we explored multidisciplinary determinants of quality survivorship care in an integrated delivery system.

methodsWe conducted semistructured interviews with primary (4) and specialty (7) care providers across 6 Veterans Health Administration clinic sites. Using template analysis, we coded interview transcripts into the TDF, mapping statements to specific constructs within each domain. We assessed whether each construct was perceived a barrier or facilitator, examining results for both primary care providers (PCPs) and prostate cancer specialists.

resultsCancer specialists and PCPs identified 2 primary TDF domains impacting their prostate cancer survivorship care: Knowledge and Environmental context and resources. Both groups noted knowledge (about survivorship care) and procedural knowledge (about how to deliver survivorship care) as positive determinants or facilitators, whereas resources/material resources (to deliver survivorship care) was noted as a negative determinant or barrier to care. Additional domains more commonly referenced by cancer specialists included Social/professional role and identity and Goals, while PCPs reported the domain Beliefs about capabilities as relevant.

conclusionsWe used the TDF to identify several behavioral domains acting as determinants of high-quality, team-based prostate cancer survivorship care. These results can inform prostate cancer survivorship care plan content, and may guide tailored, multidisciplinary implementation strategies to improve survivorship care across the primary and specialty care interface.

Indexed as

Cancer SurvivorsDelivery of Health Care, IntegratedHumansInterviews as TopicMalePractice Guidelines as TopicProstatic NeoplasmsQuality of Health CareSurvivorshipUnited StatesUnited States Department of Veterans AffairsVeteransbehavior changecancer specialistsimplementation scienceprimary carequalitysurvivorshiptheoretical domains framework (TDF)

Identifiers

PMID30950216
PMCPMC6536973
OpenAlexW2935589358

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.