ArticleCancer2019
Physicians' perspectives on medication adherence and health promotion among cancer survivors.
Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 25 citations in OpenAlex.
- Scalable Telehealth Cancer Care: integrated healthy lifestyle program to live well after cancer treatment.Journal of the National Cancer Institute. Monographs · 2024Trial
- Receipt of Preventive Care and Health Promotion Counseling in Early Stage Breast Cancer Survivors.The Journal of surgical research · 2026Article
- Designing for Autonomous Motivation: Qualitative Interview Study on Pre-Enrollment Preferences of Survivors of Cancer for Digital Health Behavior Change Programs.Journal of medical Internet research · 2026Article
- Low-Burden Electronic Health Record Strategies for Engaging Oncologists in Digital Health Behavior Change Interventions: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Speaking of survival: oncologists' approaches to risk behavior conversations with cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
- Cardiovascular Disease Incidence and Cardiovascular Health Among Diverse Women With Breast and Gynecologic Cancers.Oncology nursing forum · 2024Article
- Patients' views on health promotion and disease prevention services provided by healthcare workers in a South African tertiary hospital.BMC health services research · 2023Article
- Delivery of Cancer Survivorship Education to Community Healthcare Professionals.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Implementation barriers to integrating exercise as medicine in oncology: an ecological scoping review.Journal of cancer survivorship : research and practice · 2022Article
- Article
- Influence of physician's lifestyle on the prescription of healthy habits to breast cancer patients (LACOG 1218).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Exercise as a supportive care strategy in men with prostate cancer receiving androgen deprivation therapy at a regional cancer centre: a survey of patients and clinicians.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Observational
- Evidence-based prediction and prevention of cardiovascular morbidity in adults treated for cancer.Cardio-oncology (London, England) · 2021Review
- Cardiovascular Assessment Tool for Breast Cancer Survivors and Oncology Providers: Usability Study.JMIR cancer · 2021Article
- Exercise Cardio-Oncology: Exercise as a Potential Therapeutic Modality in the Management of Anthracycline-Induced Cardiotoxicity.Frontiers in cardiovascular medicine · 2021Review
- eHealth Practices in Cancer Survivors With BMI in Overweight or Obese Categories: Latent Class Analysis Study.JMIR cancer · 2020Article
- Rates of underuse of statins among cancer survivors versus controls: NHANES 2011-2016.Journal of cancer survivorship : research and practice · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundCancer survivors face an increased risk of cardiovascular events compared with the general population. Adopting a healthy lifestyle may reduce these risks, and guidelines encourage health-promotion counseling for cancer survivors, but the extent of physician adherence is unclear.
methodsThis mixed-method study surveyed 91 physicians, including 30 primary care physicians (PCPs), 30 oncologists, and 31 specialists (urologists, dermatologists, and gynecologists). Interviews also were conducted with 12 oncologists.
resultsMost PCPs (90%) reported recommending health promotion (eg, weight loss, smoking cessation) to at least some cancer survivors, whereas few oncologists (26.7%) and specialists (9.7%) said they ever did so (P < .001). Although most physicians believed that at least 50% of cancer survivors would be adherent to medication regimens to prevent cancer recurrence, they also believed that, if patients were trying to lose weight, they would not remain medication-adherent. In interviews, oncologists expressed fear that providing health-promotion advice would distress or overwhelm patients. Additional health-promotion barriers identified by thematic analysis included: identifying cancer as oncologists' focal concern, time pressure, insufficient behavior change training, and care coordination challenges. Facilitators included perceiving a patient benefit and having health-promotion resources integrated into the cancer care system.
conclusionsPhysicians often do not have the time, expertise, or resources to address health promotion with cancer survivors. Research is needed to evaluate whether health-promotion efforts compromise medical regimen adherence, as physicians' responses suggest.
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Registered trials
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.