Evidence map›Paper›PMID 38753418›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2024

Rural comprehensive cancer care: Qualitative analysis of current challenges and opportunities.

Sydney Evans, Aaron T Seaman, Erin C Johnson, Jacklyn M Engelbart, Xiang Gao, Praveen Vikas, Sneha Phadke, Mary C Schroeder, Ingrid M Lizarraga, Mary E Charlton

Abstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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  5. Review
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.

Sydney EvansDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0009-0008-7538-6004
Aaron T SeamanDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Erin C JohnsonTippie College of Business, University of Iowa, Iowa City, Iowa, USA.
Jacklyn M EngelbartDepartment of Surgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Xiang GaoDepartment of Surgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Praveen VikasDepartment of Internal Medicine, Division of Hematology, Oncology and Bone Marrow Transplantation, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Sneha PhadkeDepartment of Internal Medicine, Division of Hematology, Oncology and Bone Marrow Transplantation, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Mary C SchroederDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-1043-8140
Ingrid M LizarragaHolden Comprehensive Cancer Center, University of Iowa, Iowa City, Iowa, USA.
Mary E CharltonHolden Comprehensive Cancer Center, University of Iowa, Iowa City, Iowa, USA.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
University of Iowa Surgical Oncology Training GrantT32CA148062 · NCI · UNIVERSITY OF IOWA · PI WEIGEL, RONALD J · 2010 to 2020
$3.8M
Effectiveness and implementation of a health system intervention to improve quality of cancer care for rural, underserved patientsR01CA254628 · NCI · UNIVERSITY OF IOWA · PI CHARLTON, MARY E. · 2021 to 2025
$3.6M
EVALUATION OF IOWA CANCER REGISTRY DATA LINKAGE WITH AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) CANCERLINQ. POP 9/10/19 - 9/9/20.75N91019P00729 · NCI · UNIVERSITY OF IOWA · PI BOEGLIN, DIANA · 2019 to 2019
$25k
Iowa Institute of Public Health Research and PolicyNCI NIH HHS HHSN261201800012CNCI NIH HHS HHSN261201800012INCI NIH HHS P30 CA086862NCI NIH HHS R01 CA254628NCI NIH HHS T32 CA148062NIH/NCI 75N91019P00729NIH/NCI HHSN26100001NIH/NCI R01CA254628
6 · The paper itself

Abstract

purposeWhile limited resources can make high-quality, comprehensive, coordinated cancer care provision challenging in rural settings, rural cancer patients often rely on local hospitals for care. To develop resources and strategies to support high-quality local cancer care, it is critical to understand the current experiences of rural cancer care physicians, including perceived strengths and challenges of providing cancer care in rural areas. 

methodsSemi-structured interviews were conducted with 13 cancer providers associated with all 12 non-metropolitan/rural Iowa hospitals that diagnose or treat >100 cancer patients annually. Iterative thematic analysis was conducted to develop domains.

findingsParticipants identified geographic proximity and sense of community as strengths of local care. They described decision-making processes and challenges related to referring patients to larger centers for complex procedures, including a lack of dedicated navigators to facilitate and track transfers between institutions and occasional lack of respect from academic physicians. Participants reported a desire for strengthening collaborations with larger urban/academic cancer centers, including access to educational opportunities, shared resources and strategies to collect and monitor data on quality, and clinical trials.

conclusionsRural cancer care providers are dedicated to providing high-quality care close to home for their patients and would welcome opportunities to increase collaboration with larger centers to improve coordination and comprehensiveness of care, collect and monitor data on quality of care, and access continuing education opportunities. Further research is needed to develop implementation approaches that will extend resources, services, and expertise to rural providers to facilitate high-quality cancer care for all cancer patients.

Indexed as

NeoplasmsQualitative ResearchRural Health ServicesRural PopulationComprehensive Health CareFemaleHealth Services AccessibilityHumansInterviews as TopicIowaMalecancercommunityqualitative researchrural hospitals

Identifiers

PMID38753418
PMCPMC11502280

What OpenQuestion holds

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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.