Evidence map›Paper›PMID 39543763›Full record

ArticleTrials2024

The BrEasT cancer afTER-CARE (BETTER-CARE) programme to improve breast cancer follow-up: design and feasibility study results of a cluster-randomised complex intervention trial.

Anna Schäfer, Julia Wendel, Isabella Franke, Armin Bauer, Harald Baumeister, Eileen Bendig, Sara Y Brucker, Thomas M Deutsch, Patricia Garatva, Kirsten Haas and 12 more

Erratum issuedAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

22 authors.

Anna SchäferInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany. anna.schaefer@uni-wuerzburg.de.ORCID http://orcid.org/0000-0003-0494-6090
Julia WendelInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0001-8405-2825
Isabella FrankeDepartment of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany.
Armin BauerInstitute Women's Health GmbH, Tübingen, Germany.
Harald BaumeisterDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0002-2040-661X
Eileen BendigDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0001-6727-1751
Sara Y BruckerDepartment of Women's Health, University Women's Hospital Tübingen, Tübingen, Germany.
Thomas M DeutschUniversity Hospital Heidelberg, Heidelberg, Germany.
Patricia GaratvaDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0001-6539-2656
Kirsten HaasInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Lorenz HeilFaculty of Business Management and Economics, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Klemens HügenUniversity Hospital Würzburg, Clinical Trial Center Würzburg, Würzburg, Germany.
Helena MangerFaculty of Business Management and Economics, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Rüdiger PryssInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Viktoria RückerInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Jessica SalmenDepartment of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany.
Andrea SzczesnyFaculty of Business Management and Economics, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Carsten VogelInstitute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Markus WallwienerUniversity Women's Hospital Halle, Halle, Germany.
Achim Wöckel *Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany.
Peter U Heuschmann *Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
BETTER-CARE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of breast cancer patients for long-term side effects of therapy such as neurotoxicity and cardiotoxicity as well as late effects regarding comorbidities varies from individual to individual. Personalised follow-up care concepts that are tailored to individual needs and the risk of recurrences, side effects and late effects are lacking in routine care in Germany.

methodsWe describe the methodology of BETTER-CARE, a parallel-arm cluster-randomised controlled trial conducted at 15 intervention and 15 control centres, aiming to recruit 1140 patients, and the results of the pilot phase. The needs- and risk-adapted complex intervention, based on existing development frameworks, includes a multidisciplinary network and digital platforms for symptom and need documentation and just-in-time adaptive interventions. The control group comprises usual care according to clinical guidelines. The primary outcome is health-related quality of life (EORTC QLQ-C30 global health), and secondary outcomes include treatment adherence.

resultsThe 2-month pilot phase comprising 16 patients in one intervention and one control pilot centre demonstrated the feasibility of the BETTER-CARE approach. DISCUSSION: BETTER-CARE is a feasible intervention and study concept, investigating individualised needs- and risk-adapted breast cancer follow-up care in Germany. If successful, the approach could be implemented in German routine care.

trial registrationGerman Clinical Trial Register DRKS00028840. Registered on April 2022.

Indexed as

Breast NeoplasmsFeasibility StudiesQuality of LifeAftercareFemaleGermanyHumansMiddle AgedPilot ProjectsRandomized Controlled Trials as TopicBreast cancerComplex interventionFollow-up carePilot studyStudy protocol

Identifiers

PMID39543763
PMCPMC11566082

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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.