Evidence map›Paper›PMID 38517579›Full record

ArticleJournal of cancer survivorship : research and practice2025

Figure it out on your own: a mixed-method study on pelvic health survivorship care after gynecologic cancer treatments.

Stéphanie Bernard, Ericka Wiebe, Alexandra Waters, Sabrina Selmani, Jill Turner, Sinéad Dufour, Puneeta Tandon, Donna Pepin, Margaret L McNeely

Open access · hybridAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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 5 institutions in 1 country.

Stéphanie BernardÉcole des sciences de la réadaptation, Faculté de médecine, Université Laval, Pavillon Ferdinand-Vandry (L-4467), 1050 avenue de la Médecine, Québec, (QC), G1V 0A6, Canada. stephanie.bernard@fmed.ulaval.ca.ORCID 0000-0003-1454-8555
Ericka WiebeFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0003-2720-5076
Alexandra WatersDépartement de radio-oncologie, Centre Intégré de Santé et de Services Sociaux du Bas-St-Laurent, Québec, Rimouski, Canada.
Sabrina SelmaniDépartement de radio-oncologie, Centre Intégré de Santé et de Services Sociaux du Bas-St-Laurent, Québec, Rimouski, Canada.
Jill TurnerCross Cancer Institute, Alberta Health Services, Edmonton, Alberta, Canada.
Sinéad DufourSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Puneeta TandonDepartment of Medicine, Division of Gastroenterology (Liver Unit), University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0003-0486-0174
Donna PepinPatient Partner in Research, Ovarian Cancer Canada, Ontario, Canada.
Margaret L McNeelyDepartment of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0003-4376-4847
Alberta Health Services · CACentre Intégré de Santé et de Services Sociaux du Bas-Saint-Laurent · CAUniversity of Alberta · CAMcMaster University · CAOvarian Cancer Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePelvic health issues after treatment for gynecological cancer are common. Due to challenges in accessing physiotherapy services, exploring virtual pelvic healthcare is essential. This study aims to understand needs, preferences, barriers, and facilitators for a virtual pelvic healthcare program for gynecological cancer survivors.

methodsA multi-center, sequential mixed-methods study was conducted. An anonymous online survey (N=50) gathered quantitative data on pelvic health knowledge, opportunities, and motivation. Focus groups (N=14) explored patient experiences and consensus on pelvic health interventions and virtual delivery. Quantitative data used descriptive statistics, and focus group analyses employed inductive thematic analysis. Findings were mapped to the capability, opportunity, and motivation (COM-B) behavior change model.

resultsParticipants reported lacking knowledge about pelvic health interventions and capability related to the use of vaginal dilators and continence care. Barriers to opportunity included lack of healthcare provider-initiated pelvic health discussions, limited time in clinic with healthcare providers, finding reliable information, and cost of physical therapy pelvic health services. Virtual delivery was seen favorably and may help to address motivational barriers related to embarrassment and frustration with care.

conclusionAwareness of pelvic healthcare is lacking among people treated for gynecological cancer. Virtual delivery of pelvic health interventions is perceived as a solution to enhance access while minimizing travel, cost, embarrassment, and exposure risks. IMPLICATIONS FOR CANCER SURVIVORS: A better understanding of the pelvic health needs of individuals following gynecological cancer treatments enables the development of tailored virtual pelvic health rehabilitation interventions which may improve access to pelvic health survivorship care.

Indexed as

Cancer SurvivorsGenital Neoplasms, FemaleAdultAgedFemaleFocus GroupsHumansMiddle AgedSurveys and QuestionnairesSurvivorshipGynecologic cancerPelvic floorPelvic healthSexual dysfunctionTelerehabilitationUrinary incontinence

Identifiers

PMID38517579
OpenAlexW4393095990

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.