Evidence map›Paper›PMID 31797198›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2021

The Oncology and Sexuality, Intimacy, and Survivorship Program Model: An Integrated, Multi-disciplinary Model of Sexual Health Care within Oncology.

Lauren M Walker, Ericka Wiebe, Jill Turner, Amy Driga, Elisha Andrews-Lepine, Ashley Ayume, Joanne Stephen, Sarah Glaze, Reanne Booker, Corinne Doll and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Sexual health of patients with lung cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. State of the science of sexual health among older cancer survivors: an integrative review.Journal of cancer survivorship : research and practice · 2025
    Review
  12. Article
  13. Sexual dysfunction in patients with cancer, a challenge in oncology practice: results of the CLARIFY project.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Observational
  14. Overview of sexual dysfunction in patients with cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Review
  15. Article
  16. Perspectives of health care providers referring patients to a newly implemented sexual health program in a Canadian cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  17. Article
  18. Response: Author reply.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    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

13 authors at 2 institutions in 1 country.

Lauren M WalkerUniversity of Calgary, Calgary, AB, Canada. Lauren.walker@albertahealthservices.ca.ORCID http://orcid.org/0000-0001-9548-0999
Ericka WiebeUniversity of Alberta, Edmonton, AB, Canada.
Jill TurnerUniversity of Alberta, Edmonton, AB, Canada.
Amy DrigaUniversity of Alberta, Edmonton, AB, Canada.
Elisha Andrews-LepineCross Cancer Institute, Edmonton, AB, Canada.
Ashley AyumeCross Cancer Institute, Edmonton, AB, Canada.
Joanne StephenUniversity of Calgary, Calgary, AB, Canada.
Sarah GlazeUniversity of Calgary, Calgary, AB, Canada.
Reanne BookerTom Baker Cancer Centre, Calgary, AB, Canada.
Corinne DollUniversity of Calgary, Calgary, AB, Canada.
Tien PhanUniversity of Calgary, Calgary, AB, Canada.
Kerrie BrennanTom Baker Cancer Centre, Calgary, AB, Canada.
John W RobinsonUniversity of Calgary, Calgary, AB, Canada.
University of Calgary · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer-related sexual dysfunction is documented as one of the most distressing and long-lasting survivorship concerns of cancer patients. Canadian cancer patients routinely report sexuality concerns and difficulty getting help. In response to this gap in care, clinical practice guidelines were recently published in the Journal of Clinical Oncology. A sweeping trend is the creation of specialized clinics for patients' sexual health concerns. However, this much-needed attempt to address this service gap can be difficult to sustain without addressing the cancer care system from a broader perspective. Herein, we describe the implementation of a tiered systemic model of cancer-related sexual health programming in a tertiary cancer center. This program follows the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model, used previously for guiding individual practitioners. Visually, the model resembles a pyramid. The top 2 levels, corresponding to Intensive Therapy and Specific Suggestions, are comprised of group-based interventions for common cancer-related sexual concerns and a multi-disciplinary clinic for patients with complex concerns. The bottom 2 levels, corresponding to Permission and Limited Information, consist of patient education and provider education and consultation services. We describe lessons learned during the development and implementation of this program, including the necessity for group-based services to prevent inundation of referrals to the specialized clinic, and the observation that creating specialized resources also increased the likelihood that providers would inquire about patients' sexual concerns. Such lessons suggest that successful sexual health programming requires services from a systemic approach to increase sustainability.

Indexed as

Sexual HealthCanadaHumansMedical OncologySexualitySurvivorshipHealth care provider educationMulti-disciplinary careOncologyPatient educationProgram developmentProgram evaluationProgram modelSexual health servicesSexualitySurvivorship

Identifiers

PMID31797198
OpenAlexW2992666109

What OpenQuestion holds

Textmetadata
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.