Evidence map›Paper›PMID 33440059›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

Improving the experience of older people with colorectal and breast cancer in patient-centred cancer care pathways using experience-based co-design.

Albine Moser, Inge Melchior, Marja Veenstra, Esther Stoffers, Elvira Derks, Kon-Siong Jie

Registry-linked trialAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06933823 (Dietary Modification Intervention Involving Family Support), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT06933823 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Dietary Modification Intervention Involving Family Support (FamNUTRI) for Managing Sarcopenic Obesity Among Community-dwelling Older Adults: a Pilot Randomized Controlled Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2025 to 2026Enrolled72ConditionsSarcopenic ObesityArmsDietary modification intervention involving family support, Dietary modification intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Enablers and Barriers to an Experience-Based Co-Design Process to Develop Service Improvements in Enhanced Community Care in Ireland: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  3. Reflections on the opportunities and challenges of applying experience-based co-design (EBCD) to phase 1 clinical trials in oncology.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  4. The Perspectives of Healthcare Professionals and Managers on Patient Involvement in Care Pathway Development: A Discourse Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
  6. Current oncology (Toronto, Ont.) · 2022
    Article
  7. Article
  8. Article
  9. Improving the experience of older people with colorectal and breast cancer in patient-centred cancer care pathways using experience-based co-design.Health expectations : an international journal of public participation in health care and health policy · 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

6 authors.

Albine MoserResearch Centre for Autonomy and Participation of Chronically Ill People, Zuyd University of Applied Sciences, Heerlen, The Netherlands.ORCID 0000-0003-4073-2890
Inge MelchiorDepartment of Internal Medicine, Zuyderland Medical Centre, Sittard, The Netherlands.ORCID 0000-0002-7585-0988
Marja VeenstraBurgerkracht Limburg (Citizin Power Limburg), Sittard, The Netherlands.ORCID 0000-0002-2786-3776
Esther StoffersBurgerkracht Limburg (Citizin Power Limburg), Sittard, The Netherlands.
Elvira DerksDepartment of Quality Improvement, Zuyderland Medical Centre, Sittard, The Netherlands.
Kon-Siong JieDepartment of Internal Medicine, Zuyderland Medical Centre, Sittard, The Netherlands.ORCID 0000-0002-7471-0094

Funding

Development, Implementation and AssessMent of Novel Training in Domain-based Competencies (DIAMOND)U01TR002013 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLINGROD, VICKI L, JONES, CAROLYNN THOMAS · 2017 to 2019
$2.3M
NCATS NIH HHS U01 TR002013
6 · The paper itself

Abstract

backgroundPatient and public involvement (PPI) in quality improvement of oncological care pathways for older patients are rare.

objectivesImprove the care pathway experience of older cancer patients and explore lessons learned regarding how to engage this vulnerable group.

designExperience-Based Co-Design. SETTING AND

participantsOlder cancer patients, their caregivers and healthcare professionals within colorectal and breast cancer care pathways.

interventionsCo-design quality improvement teams.

main outcome measuresColorectal cancer care pathway touchpoints were (a) availability of a contact person during diagnostic, treatment and aftercare phases; (b) collaboration between physicians and different hospital departments; (c) continuous relationship with same physician; (d) respectful treatment; (e) and information transfer with primary care. Breast cancer care pathway touchpoints were (a) comprehensive information package and information provision, (b) care planning based on patient preferences, (c) continuity of patient-professional relationship and (d) specialized care in case of vulnerability. Challenges related to PPI included (a) ability of older cancer patients to be reflective, critical and think at a collective level; (b) gaining support and commitment of professionals; (d) overcoming cultural differences and power inequalities; and (e) involving researchers and facilitators with appropriate expertise and position.

conclusionThis multidisciplinary quality improvement project revealed several challenges of PPI with older cancer patients and their caregivers. Research teams themselves need to assume the role of facilitator to enable meaningful PPI of older cancer patients. PATIENT OR PUBLIC CONTRIBUTION: Patient and caregiver representatives and advocates were involved in the design, conduct, analysis, interpretation of the data and preparation of this manuscript.

Indexed as

Breast NeoplasmsColorectal NeoplasmsAgedFemaleHumansPatient-Centered CarePatient ParticipationQuality Improvementbreast cancercancer care pathwayscaregiverscolorectal cancerexperience-based co-designolder cancer patientspatient and public involvement

Identifiers

PMID33440059
PMCPMC8077111

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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.