Evidence map›Paper›PMID 38838278›Full record

Trial reportJCO oncology practice2024

Impact of a Multidisciplinary Supportive Care Model Using Distress Screening at an Asian Ambulatory Cancer Center: A Cluster Randomized Controlled Trial.

Yu Ke, Patricia Soek Hui Neo, Grace Meijuan Yang, Shirlyn Hui-Shan Neo, Yung Ying Tan, Yee Pin Tan, Mothi Babu Ramalingam, Kiley Wei-Jen Loh, Daniel Song Chiek Quah, Lita Chew and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JCO oncology practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Models, outcomes, barriers, and facilitators of supportive care in cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. 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

14 authors.

Yu KeDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0000-0001-7587-3015
Patricia Soek Hui NeoDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0000-0003-2936-1187
Grace Meijuan YangDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0000-0002-0915-6007
Shirlyn Hui-Shan NeoDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0000-0003-2811-1661
Yung Ying TanDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Yee Pin TanDepartment of Psychosocial Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Mothi Babu RamalingamDepartment of Rehabilitation Medicine, Singapore General Hospital, Singapore, Singapore.
Kiley Wei-Jen LohDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Daniel Song Chiek QuahDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Lita ChewDepartment of Pharmacy, National Cancer Centre Singapore, Singapore, Singapore.
Phebe En Hui SiDepartment of Pharmacy, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0009-0008-2802-3737
Raymond Javan ChanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
William Ying Khee HwangDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID 0000-0003-0248-7046
Alexandre ChanDuke-NUS Medical School Singapore, Singapore, Singapore.ORCID 0000-0003-4391-4219

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
NCI NIH HHS P30 CA062203
6 · The paper itself

Abstract

purposeThe Accessible Cancer Care to Enable Support for Cancer Survivors (ACCESS) program adopts a multidisciplinary supportive care model with routine distress screening to triage newly diagnosed cancer survivors for additional support on the basis of distress levels. This study aimed to evaluate the clinical impact of ACCESS over 1 year.

methodsWe performed cluster random assignment at the oncologist level in a 1:1 ratio to receive ACCESS or usual care. Participants 21 years and older, newly diagnosed with breast or gynecologic cancer, and receiving care at National Cancer Centre Singapore were included. Outcomes assessed every 3 months for 1 year included quality of life (QoL) (primary), functioning, physical and psychological symptom burden, and activity levels. Data were analyzed using mixed-effects models.

resultsParticipants from 16 clusters (control = 90, intervention = 83) were analyzed. The ACCESS program did not significantly improve QoL (primary outcome). However, compared with usual care recipients, ACCESS recipients reported higher physical functioning (

conclusionCompared with usual care, participation in the ACCESS program did not yield QoL improvement but showed earlier functioning recovery related to activities of daily living and reduced psychological distress. Routine distress screening is a promising mechanism to identify survivors with poorer health for more intensive supportive care.

Indexed as

Quality of LifeAdultAgedCancer SurvivorsFemaleHumansMaleMiddle AgedPsychological DistressSingaporeStress, Psychological

Identifiers

PMID38838278
PMCPMC11398295

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.