Evidence map›Paper›PMID 37915009›Full record

ArticleBMC cancer2023

Test, evidence, transition projects in Scotland: developing the evidence needed for transition of effective interventions in cancer care from innovation into mainstream practice.

Erica Wirrmann Gadsby, Carson Brown, Claire Crawford, Glen Dale, Edward Duncan, Linda Galbraith, Karen Gold, Carina Hibberd, Agi McFarland, Jennifer McGlashan and 6 more

Abstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

16 authors.

Erica Wirrmann GadsbyFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK. e.j.gadsby@stir.ac.uk.
Carson BrownFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Claire CrawfordFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Glen DalePatient/public representative, University of Stirling, Stirling, FK9 4LA, UK.
Edward DuncanFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Linda GalbraithPatient/public representative, University of Stirling, Stirling, FK9 4LA, UK.
Karen GoldPatient/public representative, University of Stirling, Stirling, FK9 4LA, UK.
Carina HibberdFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Agi McFarlandFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Jennifer McGlashanFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Melanie McInnesFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Joanne McNaughtonFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Juliette MurrayNHS Forth Valley, 33 Spittal Street, Stirling, FK8 1DX, UK.
Esme RadinPatient/public representative, University of Stirling, Stirling, FK9 4LA, UK.
Piotr TeodorowskiFaculty of Health Sciences and Sport, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, UK.
Jane ThomsonNHS Fife, Victoria Hospital, Hayfield Road, Kirkcaldy, KY2 5AH, UK.

Funding

Cancer Research UK PICATR-2022/100014Cancer Research UK PICATR-2022/100023 and PICATR-2022/100014
6 · The paper itself

Abstract

backgroundA robust evidence base is required to assist healthcare commissioners and providers in selecting effective and sustainable approaches to improve cancer diagnosis and treatment. Such evidence can be difficult to build, given the fast-paced and highly pressured nature of healthcare delivery, the absence of incentives, and the presence of barriers in conducting pragmatic yet robust research evaluations. Cancer Research UK (CRUK) has played an active part in building the evidence base through its funding of programmes to identify, evaluate and scale-up innovative approaches across the UK. The aim of this paper is to describe and explain the research design and intended approach and activities for two cancer services improvement projects in Scotland funded by CRUK.

methodsA hybrid effectiveness-implementation study design will assess both the efficiency of the new pathways and their implementation strategies, with the aim of generating knowledge for scale-up. A range of implementation, service and clinical outcomes will be assessed as determined by the projects' Theories of Change (ToCs). A naturalistic case study approach will enable in-depth exploration of context and process, and the collection and synthesis of data from multiple sources including routine datasets, patient and staff surveys, in-depth interviews and observational and other data. The evaluations are informed throughout by a patient/public representatives' group, and by small group discussions with volunteer cancer patients. DISCUSSION: Our approach has been designed to provide a holistic understanding of how (well) the improvement projects work (in relation to their anticipated outcomes), and how they interact with their wider contexts. The evaluations will help identify barriers, facilitators, and unanticipated consequences that can impact scalability, sustainability and spread. By opting for a pragmatic, participatory evaluation research design, we hope to inform strategies for scaling up successful innovations while addressing challenges in a targeted manner.

Indexed as

Delivery of Health CareNeoplasmsHumansScotlandSurveys and QuestionnairesBreast cancerCancer diagnosisEvaluationImplementation scienceProstate cancerScotland

Identifiers

PMID37915009
PMCPMC10619322

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.