Evidence map›Paper›PMID 31868912›Full record

ArticleJournal of the National Cancer Institute2020

Developing and Sustaining an Effective and Resilient Oncology Careforce: Opportunities for Action.

Samuel U Takvorian, Erin Balogh, Sharyl Nass, Virginia L Valentin, Lori Hoffman-Hogg, Randall A Oyer, Robert W Carlson, Neal J Meropol, Lisa Kennedy Sheldon, Lawrence N Shulman

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of the National Cancer Institute, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Beyond the patient: how providers perceive and experience non-medical barriers in gastrointestinal cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  8. Article
  9. Article
  10. Observational
  11. Review
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  16. Large-scale North American cancer survivorship surveys: 2011-2019 update.Journal of cancer survivorship : research and practice · 2022
    Review
  17. Article
  18. Long-Term Longitudinal Patterns of Patient-Reported Fatigue After Breast Cancer: A Group-Based Trajectory Analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    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

10 authors at 8 institutions in 1 country.

Samuel U TakvorianDivision of Hematology & Oncology, Perelman School of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Erin BaloghNational Cancer Policy Forum, National Academies of Sciences, Engineering, and Medicine, Washington DC, USA.
Sharyl NassNational Cancer Policy Forum and Board on Health Care Services, National Academies of Sciences, Engineering, and Medicine, Washington DC, USA.
Virginia L ValentinDivision of Physician Assistant Studies, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, USA.
Lori Hoffman-HoggOffice of Nursing Services, Department of Veterans Affairs, Prevention Policy National Center for Health Promotion and Disease Prevention, Veterans Health Administration, Washington DC, USA.
Randall A OyerLancaster General Health, Penn Medicine, Lancaster, PA, USA.
Robert W CarlsonNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Neal J MeropolFlatiron Health, New York City, NY, USA.
Lisa Kennedy SheldonOncology Nursing Society, Pittsburg, PA, USA.
Lawrence N ShulmanDivision of Hematology & Oncology, Perelman School of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
National Academies of Sciences, Engineering, and Medicine · USUniversity of Pennsylvania · USFlatiron Health (United States) · USLancaster General Hospital · USNational Comprehensive Cancer NetworkOncology Nursing Society · USUniversity of Utah · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in cancer care have led to improved survival, which, coupled with demographic trends, have contributed to rapid growth in the number of patients needing cancer care services. However, with increasing caseload, care complexity, and administrative burden, the current workforce is ill equipped to meet these burgeoning new demands. These trends have contributed to clinician burnout, compounding a widening workforce shortage. Moreover, family caregivers, who have unique knowledge of patient preferences, symptoms, and goals of care, are infrequently appreciated and supported as integral members of the oncology "careforce." A crisis is looming, which will hinder access to timely, high-quality cancer care if left unchecked. Stemming from the proceedings of a 2019 workshop convened by the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine, this commentary characterizes the factors contributing to an increasingly strained oncology careforce and presents multilevel strategies to improve its efficiency, effectiveness, and resilience. Together, these will enable today's oncology careforce to provide high-quality care to more patients while improving the patient, caregiver, and clinician experience.

Indexed as

AgedAge FactorsCarcinoma, Non-Small-Cell LungCaregiversHealth PersonnelHumansLung NeoplasmsMaleMedical OncologyNeoplasmsOncologistsOncology NursingOncology Service, HospitalQuality of Health CareUnited States

Identifiers

PMID31868912
PMCPMC7357321
OpenAlexW2997486154

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.