Evidence map›Paper›PMID 35107796›Full record

ArticleJournal of cancer survivorship : research and practice2022

Informing the delivery of cancer survivorship care in rural primary care practice.

J R Klemp, C J Knight, B Lowry, T Long, C Bush, K Alsman, H Krebill, D Peereboom, L Overholser, K A Greiner

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Identifying Patients with Breast Cancer History Using Epic Electronic Health Record.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cancer Prevention Perspective: The University of Kansas Cancer Center.Cancer prevention research (Philadelphia, Pa.) · 2023
    Review
  8. Article
  9. 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
    Article
  10. Survivorship care plans and information for rural cancer survivors.Journal of cancer survivorship : research and practice · 2023
    Article
  11. Article
  12. Article
  13. Research contributions from the First Cancer Center Survivorship Research Forum.Journal of cancer survivorship : research and practice · 2022
    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

10 authors at 5 institutions in 1 country.

J R KlempUniversity of Kansas Cancer Center, University of Kansas Medical Center, Kansas City, KS, USA. jklemp@kumc.edu.
C J KnightUniversity of Kansas Cancer Center, University of Kansas Medical Center, Kansas City, KS, USA.
B LowryDepartment of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
T LongMasonic Cancer Alliance, The University of Kansas Cancer Center, Kansas City, KS, USA.
C BushAscension, Wichita, KS, USA.
K AlsmanMasonic Cancer Alliance, The University of Kansas Cancer Center, Kansas City, KS, USA.
H KrebillMasonic Cancer Alliance, The University of Kansas Cancer Center, Kansas City, KS, USA.
D PeereboomJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
L OverholserUniversity of Colorado School of Medicine, Aurora, CO, USA.
K A GreinerDepartment of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center · USThe University of Kansas Cancer Center · USAscension Via Christi · USJohns Hopkins University · USUniversity of Colorado Denver · US

Funding

KanSurvive 2.0U01CA290664 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI K ALLEN GREINER, Jennifer Rose Klemp · 2024 to 2026
$2.7M
KanSurvive: Testing a model for improving cancer survivorship care in rural practiceR01CA240103 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GREINER, K ALLEN, KLEMP, JENNIFER ROSE · 2019 to 2023
$2.2M
CDC HHS U58DP006113-01NCI NIH HHS R01 CA240103NCI NIH HHS U01 CA290664
6 · The paper itself

Abstract

purposeThe cancer survivor population is projected to increase to 22.2 million by 2030, requiring improved collaboration between oncology and primary care practices (PCP). PCPs may feel ill-equipped to provide cancer survivorship care to patients without input from cancer specialists. Compared with nonrural cancer survivors, rural cancer survivors report experiencing worse treatment-related symptoms. The goal of this study was to gain a better understanding of the perspectives of PCP teams towards survivorship care and to develop and test an interdisciplinary training program to improve cancer survivorship care in rural practice.

methodsThis study was conducted in two phases. First, focus groups were conducted with rural PCP teams to gather information regarding beliefs, practices, and barriers related to cancer survivorship care delivery. A thematic analysis was completed using an iterative process of reviewing transcripts. Results from phase 1 were used to inform the development of a pilot intervention tested within seven rural PCPs (phase 2). Pre- and post-intervention knowledge changes were compared, and post-session interviews assessed planned or sustained practice changes.

resultsSeven PCPs participated in focus groups (phase 1). Cross-cutting themes identified included (1) organizational barriers affecting the delivery of cancer survivorship care, (2) challenges of role delineation with specialists and patients, (3) difficulty accessing survivorship care and resources, and (4) providers' lack of knowledge of cancer survivorship care. For phase 2, seven practices participated in four case-based educational sessions. Within and between practice changes were identified.

conclusionThis project explored cancer survivorship perspectives among PCP teams. Lack of familiarity with evidence-based guidelines and the inability to identify cancer survivors was apparent during discussions and led to the implementation of the phase 2 intervention, iSurvive. As a result, PCPs either changed or planned changes to improve the identification and evidence-based care of cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Address barriers to access cancer survivorship care in rural primary care practices.

Indexed as

Cancer SurvivorsNeoplasmsHumansMedical OncologyPrimary Health CareRural PopulationSurvivorshipCancer survivorshipRural primary care

Identifiers

PMID35107796
PMCPMC8881424
OpenAlexW4210618472

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.