Evidence map›Paper›PMID 34766199›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Factors influencing utilization of cancer rehabilitation services among older breast cancer survivors in the USA: a qualitative study.

Rachelle Brick, Kathleen Doyle Lyons, Catherine Bender, Rachel Eilers, Robert Ferguson, Mackenzi Pergolotti, Pamela Toto, Elizabeth Skidmore, Natalie E Leland

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
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  3. Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
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  12. Looking back: a review of policy implications for exercise oncology.Journal of the National Cancer Institute. Monographs · 2023
    Article
  13. Predictors of cancer rehabilitation medicine referral and utilization based on the Moving Through Cancer physical activity screening assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  14. Article
  15. Perspectives of Participation in Daily Life From Cancer Survivors: A Qualitative Analysis.Archives of rehabilitation research and clinical translation · 2022
    Article
  16. 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

9 authors at 2 institutions in 1 country.

Rachelle BrickDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA. rsb50@pitt.edu.ORCID http://orcid.org/0000-0001-7099-7799
Kathleen Doyle LyonsDepartment of Occupational Therapy, Massachusetts General Hospital Institute of Health Professions, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8895-4612
Catherine BenderSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Rachel EilersDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Robert FergusonDivision of Hematology/Oncology, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Mackenzi PergolottiReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, PA, USA.ORCID http://orcid.org/0000-0001-6493-6965
Pamela TotoDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-8561-5068
Elizabeth SkidmoreDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-8287-7193
Natalie E LelandDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-0329-3772
University of Pittsburgh · USMGH Institute of Health Professions · US

Funding

american occupational therapy association Dr. Gary Kielhofner Doctoral Research Scholarshipschool of health and rehabilitation sciences, university of pittsburgh Research Development Fund
6 · The paper itself

Abstract

purposeMany older breast cancer survivors experience long-term disability due to cancer and cancer-related treatments. However, less than 20% of older breast cancer survivors utilize cancer rehabilitation services to address cancer-related disability. Further understanding of survivor experiences may reveal strategies to improve uptake cancer rehabilitation services in the USA.

methodsOlder breast cancer survivors were recruited from university-based registries, previous breast cancer research studies at our institution, community support groups, and geriatric oncology clinics. Participants completed a brief online survey to capture demographic and clinical characteristics. Semi-structured telephone-based interviews were recorded, transcribed, and thematically analyzed. Interviews facilitated conversation about access to rehabilitation and indications for cancer rehabilitation.

resultsParticipants (n = 14) were, on average, 71 years old, primarily White, and an average of 36.5 months post-diagnosis. Five participants had formally received rehabilitation for a cancer-related concern. Participants described seven factors that influenced utilization of cancer rehabilitation services: (1) emerging awareness of disability; (2) coping styles; (3) comparison of cancer experience with others; (4) provider interaction; (5) perceptions of cancer diagnosis; (6) social support; and (7) cost of rehabilitation.

conclusionsOlder breast cancer survivors consider multiple factors when determining utilization of cancer rehabilitation services. Development of shared decision-making tools addressing the seven described factors may enhance communication and referral to cancer rehabilitation services. Intervention research should adopt frameworks that enhance healthcare accessibility to improve relevance of intervention content and delivery features for older breast cancer survivors.

Indexed as

Breast NeoplasmsCancer SurvivorsAgedCommunity SupportFemaleHumansQualitative ResearchSurvivorsAccessibilityBreast cancerCancer rehabilitationNeoplasmOlder adultQualitative

Identifiers

PMID34766199
OpenAlexW3211472306

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.