Evidence map›Paper›PMID 33706258›Full record

ArticleJournal of the National Comprehensive Cancer Network : JNCCN2021

Status of Cancer Care at Network Sites of the Nation's Academic Cancer Centers.

Stanton L Gerson, Kate Shaw, Louis B Harrison, Randall F Holcombe, Laura Hutchins, Carrie B Lee, Patrick J Loehrer, Daniel Mulkerin, W Thomas Purcell, Lois Teston and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

12 authors at 10 institutions in 1 country.

Stanton L Gerson1Case Comprehensive Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Kate Shaw2Association of American Cancer Institutes, Pittsburgh, Pennsylvania.
Louis B Harrison3Moffitt Cancer Center, Tampa, Florida.
Randall F Holcombe4University of Hawaii Cancer Center, University of Hawaii at Manoa, Honolulu, Hawaii.
Laura Hutchins5UAMS Winthrop P. Rockefeller Cancer Institute, Little Rock, Arkansas.
Carrie B Lee6UNC Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Patrick J Loehrer7Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Daniel Mulkerin8University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.
W Thomas Purcell9University of Colorado Cancer Center, Denver, Colorado.
Lois Teston10Seidman Cancer Center, University Hospitals Cleveland Medical Center and Case Comprehensive Cancer Center, Cleveland, Ohio.
Louis M Weiner11Georgetown Lombardi Comprehensive Cancer Center, Washington, DC; and.
George J Weiner12Holden Comprehensive Cancer Center, University of Iowa, Iowa City, Iowa.
Case Comprehensive Cancer CenterAssociation of American Cancer Institutes · USIndiana University Health · USMoffitt Cancer Center · USUniversity of Colorado Denver · USUniversity of Hawaii Cancer CenterUniversity of North Carolina at Chapel Hill · USUniversity of Wisconsin Carbone Cancer Center · USVince Lombardi Cancer Clinic · USWinthrop Rockefeller Foundation · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

backgroundCancer care coordination across major academic medical centers and their networks is evolving rapidly, but the spectrum of organizational efforts has not been described. We conducted a mixed-methods survey of leading cancer centers and their networks to document care coordination and identify opportunities to improve geographically dispersed care.

methodsA mixed-methods survey was sent to 91 cancer centers in the United States and Canada. We analyzed the number and locations of network sites; access to electronic medical records (EMRs); clinical research support and participation at networks; use of patient navigators, care paths, and quality measures; and physician workforce. Responses were collected via Qualtrics software between September 2017 and December 2018.

resultsOf the 69 responding cancer centers, 74% were NCI-designated. Eighty-seven percent of respondents were part of a matrix health system, and 13% were freestanding. Fifty-six reported having network sites. Forty-three respondents use navigators for disease-specific populations, and 24 use them for all patients. Thirty-five respondents use ≥1 types of care path. Fifty-seven percent of networks had complete, integrated access to their main center's EMRs. Thirty-nine respondents said the main center provides funding for clinical research at networks, with 22 reporting the main center provides all funding. Thirty-five said the main center provided pharmacy support at the networks, with 15 indicating the main center provides 100% pharmacy support. Certification program participation varied extensively across networks.

conclusionsThe data show academic cancer centers have extensive involvement in network cancer care, often extending into rural communities. Coordinating care through improved clinical trial access and greater use of patient navigation, care paths, coordinated EMRs, and quality measures is likely to improve patient outcomes. Although it is premature to draw firm conclusions, the survey results are appropriate for mapping next steps and data queries.

Indexed as

NeoplasmsPatient NavigationPhysiciansCertificationElectronic Health RecordsHumansSurveys and QuestionnairesUnited States

Identifiers

PMID33706258
PMCPMC8805108
OpenAlexW3135800774

What OpenQuestion holds

Textmetadata
LicenceTDM
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.