Evidence map›Paper›PMID 32393555›Full record

ArticleAnnals of family medicine2020

Cancer Survivorship Care Roles for Primary Care Physicians.

Benjamin F Crabtree, William L Miller, Jenna Howard, Ellen B Rubinstein, Jennifer Tsui, Shawna V Hudson, Denalee O'Malley, Jeanne M Ferrante, Kurt C Stange

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Synthesis of clinical practice guidelines and recommendations for breast cancer survivorship care: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  9. Patient Advocacy Group Leaders' Perceptions on Primary Care's Role in Caring for Patients With a History of Breast Cancer.Health expectations : an international journal of public participation in health care and health policy · 2025
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  12. The implementation of a novel adult cancer survivorship curriculum in a family medicine residency program: a mixed methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  19. It's Not Always Easy: Cancer Survivorship Care in Primary Care Settings.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
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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 6 institutions in 1 country.

Benjamin F CrabtreeRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey benjamin.crabtree@rutgers.edu.
William L MillerLehigh Valley Health Network, Allentown, Pennsylvania.
Jenna HowardRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Ellen B RubinsteinNorth Dakota State University, Fargo, North Dakota.
Jennifer TsuiRutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.
Shawna V HudsonRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Denalee O'MalleyRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Jeanne M FerranteRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Kurt C StangeCase Western Reserve University, Cleveland, Ohio.
Rutgers Cancer Institute of New JerseyCase Western Reserve University · USJohnson University · USLehigh Valley Health Network · USNorth Dakota State University · USRutgers, The State University of New Jersey · US

Funding

PCMH Implementation Strategies: Implications for Cancer Survivor CareR01CA176545 · NCI · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI CRABTREE, BENJAMIN F · 2014 to 2016
$2.3M
NCI NIH HHS R01 CA176545
6 · The paper itself

Abstract

purposeDespite a burgeoning population of cancer survivors and pending shortages of oncology services, clear definitions and systematic approaches for engaging primary care in cancer survivorship are lacking. We sought to understand how primary care clinicians perceive their role in delivering care to cancer survivors.

methodsWe conducted digitally recorded interviews with 38 clinicians in 14 primary care practices that had national reputations as workforce innovators. Interviews took place during intense case study data collection and explored clinicians' perspectives regarding their role in cancer survivorship care. We analyzed verbatim transcripts using an inductive and iterative immersion-crystallization process.

resultsDivergent views exist regarding primary care's role in cancer survivor care with a lack of coherence about the concept of survivorship. A few clinicians believed any follow-up care after acute cancer treatment was oncology's responsibility; however, most felt cancer survivor care was within their purview. Some primary care clinicians considered cancer survivors as a distinct population; others felt cancer survivors were like any other patient with a chronic disease. In further interpretative analysis, we discovered a deeply ingrained philosophy of whole-person care that creates a professional identity dilemma for primary care clinicians when faced with rapidly changing specialized knowledge.

conclusionsThis study exposes an emerging identity crisis for primary care that goes beyond cancer survivorship care. Facilitated national conversations might help specialists and primary care develop knowledge translation platforms to support the prioritizing, integrating, and personalizing functions of primary care for patients with highly complicated issues requiring specialized knowledge.

Indexed as

Cancer SurvivorsAdultAftercareAgedAttitude of Health PersonnelFemaleHumansMaleMiddle AgedPhysicians, Primary CarePhysician's RolePrimary Health CareQuality of Health CareSurvivorshipcancer survivorspatient-centered medical homeprimary careprofessional identityqualitative research

Identifiers

PMID32393555
PMCPMC7213992
OpenAlexW3023990316

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.