Evidence map›Paper›PMID 34028618›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.

Wendy Gifford, Margo Rowan, Peggy Dick, Shokoufeh Modanloo, Maggie Benoit, Zeina Al Awar, Liquaa Wazni, Viviane Grandpierre, Roanne Thomas, Lindsey Sikora and 1 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
10.6field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Article
  7. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  8. Article
  9. Supportive care needs and assessment tools for family caregivers of Indigenous people with cancer: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  10. Article
  11. Living with and beyond gynecologic cancer: A summary of current trends and perspectives.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  12. Article
  13. Increasing Lung Cancer Screening for High-Risk Smokers in a Frontier Population.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. 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

11 authors at 1 institution in 1 country.

Wendy GiffordSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada. wgifford@uottawa.ca.ORCID http://orcid.org/0000-0002-0841-3219
Margo RowanRowan Research and Evaluation, Ottawa, Ontario, Canada.
Peggy DickAlgonquins of Pikwakanagan Health Services and Family Health Team, Pikwakanagan, Ontario, Canada.
Shokoufeh ModanlooSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Maggie BenoitAlgonquins of Pikwakanagan Health Services and Family Health Team, Pikwakanagan, Ontario, Canada.
Zeina Al AwarSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Liquaa WazniSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Viviane GrandpierreSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Roanne ThomasSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Lindsey SikoraHealth Sciences Library, University of Ottawa, Ottawa, Ontario, Canada.
Ian D GrahamSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
University of Ottawa · CA

Funding

CANADIAN INSTITUTE OF HEALTH RESEARCH (CIHR) 414335Ontario Ministry of Health and Long-Term Care 417
6 · The paper itself

Abstract

purposeThe purpose of this systematic review is to synthesize the evidence on the types of interventions that have been utilized by Indigenous Peoples living with cancer, and report on their relevance to Indigenous communities and how they align with holistic wellness.

methodsA systematic review with narrative synthesis was conducted.

resultsThe search yielded 7995 unique records; 27 studies evaluating 20 interventions were included. The majority of studies were conducted in USA, with five in Australia and one in Peru. Study designs were cross-sectional (n=13); qualitative (n=5); mixed methods (n=4); experimental (n=3); and quasi-experimental (n=2). Relevance to participating Indigenous communities was rated moderate to low. Interventions were diverse in aims, ingredients, and outcomes. Aims involved (1) supporting the healthcare journey, (2) increasing knowledge, (3) providing psychosocial support, and (4) promoting dialogue about cancer. The main ingredients of the interventions were community meetings, patient navigation, arts, and printed/online/audio materials. Participants were predominately female. Eighty-nine percent of studies showed positive influences on the outcomes evaluated. No studies addressed all four dimensions of holistic wellness (physical, mental, social, and spiritual) that are central to Indigenous health in many communities.

conclusionStudies we found represented a small number of Indigenous Nations and Peoples and did not meet relevance standards in their reporting of engagement with Indigenous communities. To improve the cancer survivorship journey, we need interventions that are relevant, culturally safe and effective, and honoring the diverse conceptualizations of health and wellness among Indigenous Peoples around the world.

Indexed as

NeoplasmsSurvivorshipCross-Sectional StudiesDelivery of Health CareFemaleHumansIndigenous PeoplesPopulation GroupsCancer survivorshipHealthcare interventionsIndigenous PeoplesSystematic review

Identifiers

PMID34028618
PMCPMC8464576
OpenAlexW3165112162

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.