Evidence map›Paper›PMID 39306697›Full record

ArticleCancer2025

Proximity to cancer rehabilitation and exercise oncology by geography, race, and socioeconomic status.

Kathryn H Schmitz, Kathryn Demanelis, Mary E Crisafio, Mary A Kennedy, Anna L Schwartz, Anna Campbell, Jessica Gorzelitz, Kelley C Wood, Christopher M Wilson, Raymond L Scalise and 1 more

Abstract read
In one paragraph

Article in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Oncology Rehabilitation in Australia: A National Survey Update.Asia-Pacific journal of clinical oncology · 2026
    Article
  4. If Exercise Were a Pill, We'd All Prescribe It to Patients With Cancer. But It's Not.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Exercise oncology comes of age.Journal of the National Cancer Institute. Monographs · 2025
    Article
  10. Article
  11. Article
  12. Urban-rural differences in the age of US physicians.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Cancer treatment and survivorship statistics, 2025.CA: a cancer journal for clinicians
    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

11 authors.

Kathryn H SchmitzDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-2400-2935
Kathryn DemanelisDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-1477-562X
Mary E CrisafioDepartment of Health and Exercise Science, Colorado State University, Fort Collins, Colorado, USA.ORCID https://orcid.org/0000-0003-2939-5707
Mary A KennedyNutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, West Australia, Australia.ORCID https://orcid.org/0000-0002-1411-539X
Anna L SchwartzCollege of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Anna CampbellSchool of Applied Science, Edinburgh Napier University, Edinburgh, Scotland, UK.
Jessica GorzelitzDepartment of Health and Human Physiology, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa, USA.
Kelley C WoodReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, Pennsylvania, USA.
Christopher M WilsonPhysical Therapy Program, School of Health Sciences, Oakland University, Rochester, Michigan, USA.
Raymond L ScaliseDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alex VincentDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

American Cancer Society CRP-22-081-01-CTPS
6 · The paper itself

Abstract

backgroundCancer rehabilitation and exercise oncology (CR/EO) have documented benefits for people living with and beyond cancer. The authors examined proximity to CR/EO programs across the United States with respect to population density, race and ethnicity, socioeconomic status, and cancer incidence and mortality rates.

methodsThis cross-sectional study was conducted in 2022-2023. Online searches were initiated to identify CR/EO programs. Geocoding was used to obtain latitudinal and longitudinal geospatial coordinates. Demographic data were abstracted from the 2020 5-year American Community Survey. Cancer incidence and mortality data were obtained from the Centers for Disease Control and Prevention. US 2013 Rural-Urban Continuum Code (RUCC) classification was used to define counties as either urban (RUCC 1-3) or rural (RUCC 4-9). Multivariable logistic regression was used to evaluate the association between being far from a program and census-tract level factors.

resultsIn total, 2133 CR/EO programs were identified nationwide. The distance from a program increased with decreasing population density: rural tracts were 17.68 ± 0.24 miles farther from a program compared with urban tracts (p < .001). Program proximity decreased as the neighborhood deprivation index increased (p < .001). Exercise oncology programs were less common than cancer rehabilitation programs in tracts with a larger proportion of minority residents (p < .001).

conclusionsPrior research has documented that underrepresented populations have worse cancer-related symptoms and higher cancer mortality. Herein, the authors document their findings that these same populations are less likely to have proximity to CR/EO programs, which are associated with improved cancer-related symptoms and cancer mortality outcomes. To realize the positive outcomes from CR/EO programming, efforts must focus on supporting expanded programming and sustainable payment for these services.

Indexed as

NeoplasmsSocial ClassCross-Sectional StudiesExercise TherapyFemaleHumansIncidenceMaleRural PopulationUnited Statesequality, health equity, oncology, rehabilitationexercisesocial determinants of health

Identifiers

PMID39306697
PMCPMC11694168

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.