Evidence map›Paper›PMID 36242021›Full record

SynthesisBMC health services research2022

The effectiveness of case management for cancer patients: an umbrella review.

Nina Wang, Jia Chen, Wenjun Chen, Zhengkun Shi, Huaping Yang, Peng Liu, Xiao Wei, Xiangling Dong, Chen Wang, Ling Mao and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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.

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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Advancing oncology care excellence through timely, multidisciplinary-navigation models for non-palliative breast and colorectal cancer.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
  6. A qualitative approach to understanding quality symptom management in routine oncology outpatient care: phase 1 of the symptom pathways project.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  8. Review
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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.

Nina WangDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.
Jia ChenXiangya School of Nursing, Central South University, Changsha, China.
Wenjun ChenSchool of Nursing, University of Ottawa, Ottawa, Canada. wchen140@uottawa.ca.ORCID https://orcid.org/0000-0001-5398-8508
Zhengkun ShiDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.
Huaping YangDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.
Peng LiuIntensive Care Unit of Cardiovascular Surgery Department, Xiangya Hospital, Central South University, Changsha, China.
Xiao WeiThe 956th Army Hospital, Linzhi, China.
Xiangling DongIntensive Care Unit of Cardiovascular Surgery Department, Xiangya Hospital, Central South University, Changsha, China.
Chen WangXiangya School of Nursing, Central South University, Changsha, China.
Ling MaoSchool of Nursing, Changsha Medical University, Changsha, China.
Xianhong LiXiangya School of Nursing, Central South University, Changsha, China.

Funding

Changsha Science and Technology Department kq2202365Hunan Provincial Science and Technology Department 2017TP1004Management research foundation of Xiangya Hospital 2021GL12
6 · The paper itself

Abstract

backgroundCase management (CM) is widely utilized to improve health outcomes of cancer patients, enhance their experience of health care, and reduce the cost of care. While numbers of systematic reviews are available on the effectiveness of CM for cancer patients, they often arrive at discordant conclusions that may confuse or mislead the future case management development for cancer patients and relevant policy making. We aimed to summarize the existing systematic reviews on the effectiveness of CM in health-related outcomes and health care utilization outcomes for cancer patient care, and highlight the consistent and contradictory findings.

methodsAn umbrella review was conducted followed the Joanna Briggs Institute (JBI) Umbrella Review methodology. We searched MEDLINE (Ovid), EMBASE (Ovid), PsycINFO, CINAHL, and Scopus for reviews published up to July 8th, 2022. Quality of each review was appraised with the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses. A narrative synthesis was performed, the corrected covered area was calculated as a measure of overlap for the primary studies in each review. The results were reported followed the Preferred reporting items for overviews of systematic reviews checklist.

resultsEight systematic reviews were included. Average quality of the reviews was high. Overall, primary studies had a slight overlap across the eight reviews (corrected covered area = 4.5%). No universal tools were used to measure the effect of CM on each outcome. Summarized results revealed that CM were more likely to improve symptom management, cognitive function, hospital (re)admission, treatment received compliance, and provision of timely treatment for cancer patients. Overall equivocal effect was reported on cancer patients' quality of life, self-efficacy, survivor status, and satisfaction. Rare significant effect was reported on cost and length of stay.

conclusionsCM showed mixed effects in cancer patient care. Future research should use standard guidelines to clearly describe details of CM intervention and its implementation. More primary studies are needed using high-quality well-powered designs to provide solid evidence on the effectiveness of CM. Case managers should consider applying validated and reliable tools to evaluate effect of CM in multifaced outcomes of cancer patient care.

Indexed as

NeoplasmsQuality of LifeCase ManagementHumansPalliative CareSystematic Reviews as TopicCancer patientsCase managementHealth careOutcome assessmentQuality of lifeUmbrella review

Identifiers

PMID36242021
PMCPMC9562054

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.