Evidence map›Paper›PMID 37544977›Full record

ArticleJournal of cancer survivorship : research and practice2024

A descriptive study of policy and system-level interventions to address cancer survivorship issues across six United States health systems.

Martha Quinn, Nathan Wright, Marylee Scherdt, Debra L Barton, Marita Titler, Julie S Armin, Michelle J Naughton, Jennifer Wenzel, Sanja Percac-Lima, Pooja Mishra and 2 more

Abstract read
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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Martha QuinnSchool of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA. marthaq@umich.edu.
Nathan WrightSchool of Nursing, University of Michigan, Ann Arbor, MI, 48109, USA.
Marylee ScherdtSchool of Nursing, University of Michigan, Ann Arbor, MI, 48109, USA.
Debra L BartonSchool of Nursing, University of Michigan, Ann Arbor, MI, 48109, USA.
Marita TitlerSchool of Nursing, University of Michigan, Ann Arbor, MI, 48109, USA.
Julie S ArminCollege of Medicine, The University of Arizona, Tucson, AZ, 85711, USA.
Michelle J NaughtonCollege of Medicine, The Ohio State University, Columbus, OH, 43201, USA.
Jennifer WenzelSchools of Nursing and Medicine, Johns Hopkins University, Baltimore, MD, 21205, USA.
Sanja Percac-LimaHarvard Medical School, Boston, MA, 02115, USA.
Pooja MishraGrady Health System, Atlanta, GA, 30303, USA.
Sankirtana M DannerNorthwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
Christopher R FrieseSchool of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe policy and system-level interventions with potential to improve cancer care at six sites.

methodsIn 2016, six institutions received foundation support to develop unique multi-component interventions aimed at improving cancer care for underserved populations. These organizations, located across the United States, participated in a cross-site evaluation to assess the overall initiative impact and to identify potentially promising policy and system-level solutions for dissemination and broader implementation. A health system and policy tracking tool was developed to collect data from each site and included a description of their efforts, strategies employed, and changes achieved (e.g., new policies, clinical protocols). Tracking tool data were analyzed using rapid qualitative analyses and a matrix approach. Semi-structured interviews were conducted with site leaders (N = 65) and were analyzed by thematic analysis.

resultsSites reported 20 system and policy efforts, which resulted in improvements to electronic health records and telehealth strategies, changes to hospital/health system policies, and standardized clinical protocols/guidelines, among others. Efforts were aimed at: (1) coordinating care across multiple providers, supported by patient navigators; (2) expanding psychosocial and supportive care; (3) improving patient-provider communication; and (4) addressing barriers to accessing care. Interview analyses provided insights into successful strategies, challenges, and implications of the COVID-19 pandemic on cancer care. CONCLUSIONS AND IMPLICATIONS FOR CANCER SURVIVORS: Despite advances in diagnosis and treatment, cancer care remains inequitable. System-level improvements aimed at eliminating common barriers faced by underserved populations offer opportunities to improve the delivery of equitable, effective, and efficient care.

Indexed as

Cancer SurvivorsNeoplasmsSurvivorshipCOVID-19Delivery of Health CareHealth PolicyHumansTelemedicineUnited StatesCancer careCare coordinationHealth equityPatient-centered careSurvivorship careSystem-level interventions

Identifiers

PMID37544977

What OpenQuestion holds

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Registered trials

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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.