Evidence map›Paper›PMID 31388974›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2020

Primary Care Providers' Knowledge, Attitudes, Beliefs, and Practices Regarding Their Preparedness to Provide Cancer Survivorship Care.

Emily M Geramita, Ira R Parker, Jill W Brufsky, Brenda Diergaarde, G J van Londen

Abstract read
In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. 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
  2. Primary care providers and their needs caring for cancer survivors: a qualitative study.Journal of cancer survivorship : research and practice · 2026
    Article
  3. How Much Do Healthcare Practitioners Know About Sarcoma?Current oncology (Toronto, Ont.) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Barriers and facilitators to integrated cancer care between primary and secondary care: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Myths and Presumptions About Cancer Survivorship.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Use of Cancer Survivorship Care Guidelines by Primary Care Providers in the United States.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
  17. Article
  18. Current practice patterns and gaps in guideline-concordant breast cancer survivorship care.Journal of cancer survivorship : research and practice · 2023
    Article
  19. Article
  20. 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

5 authors.

Emily M GeramitaDivision of General Internal Medicine, Magee Womens' Hospital, University of Pittsburgh Medical Center, 300 Halket Street, Room 3526, Pittsburgh, PA, USA. geramitae@upmc.edu.ORCID 0000-0001-6387-4950
Ira R ParkerGeriatric Oncology Solutions, La Jolla, CA, USA.
Jill W BrufskyDivision of Hematology/Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Brenda DiergaardeGraduate School of Public Health, UPMC Hillman Cancer Center, University of Pittsburgh, Pittsburgh, PA, USA.
G J van LondenDivision of Hematology/Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
University of Pittsburgh Clinical and Translational Science InstituteTL1TR000145 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$872k
NCATS NIH HHS TL1 TR000145NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

Recent cancer care delivery models and clinical practice guidelines have expanded the role of primary care providers (PCPs) in routine follow-up of cancer survivors. We conducted a cross-sectional survey of PCPs affiliated with a large healthcare system to (1) examine practices, attitudes, and beliefs regarding preparedness to provide survivorship care and (2) explore predictors of confidence managing cancer survivors. We distributed a self-administered online survey to 1069 clinical affiliates providing primary care services within the University of Pittsburgh Medical Center system. Associations between PCPs' professional characteristics and attitudes and preparedness were evaluated. Multiple logistic regression explored predictors of confidence monitoring common cancer treatment-related symptoms. One hundred twenty-seven eligible PCPs responded. The sample was split between academic and community practice (48.0% vs. 52.0%, respectively), predominantly comprised of physicians (81.8%), and 64.6% had > 15 years direct patient care experience. The majority agreed that PCPs play a valuable role in surveillance and adverse event monitoring in survivors, though less than 25% felt their professional training prepared them to perform each of these domains. Physicians were significantly more likely than advanced practice providers to be among the 65% of PCPs who were confident monitoring ≥ 1 symptom in each of the 5 evaluated symptom clusters (OR 3.6, 95% CI 1.2-10.8). PCPs appear willing to assume an enhanced role in cancer survivorship care but feel unprepared to do so. Enhanced training and dissemination of clinical practice guidelines are needed to facilitate effective implementation of PCP-delivered survivorship care.

Indexed as

Health Knowledge, Attitudes, PracticeSurvivorshipAttitude of Health PersonnelCancer SurvivorsCross-Sectional StudiesDelivery of Health CareHumansNeoplasmsPhysicians, Primary CarePractice Guidelines as TopicSurveys and QuestionnairesCancer survivorshipPrimary care

Identifiers

PMID31388974
PMCPMC8266289

What OpenQuestion holds

Textmetadata
LicenceTDM
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.