Evidence map›Paper›PMID 39893313›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Exploring patient experience of rehabilitation within the surgical pathway for lower limb soft tissue sarcoma in the UK: a single-centre study.

Lucy Dean, Siobhan Cowan-Dickie, Dirk C Strauss, Pauline Humphrey, Fiona Cramp

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Lucy DeanPhysiotherapy Department, The Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK. lucy.dean@rmh.nhs.uk.ORCID http://orcid.org/0009-0009-4531-690X
Siobhan Cowan-DickiePhysiotherapy Department, The Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK.ORCID http://orcid.org/0000-0002-6029-873X
Dirk C StraussSarcoma Unit, Department of Academic Surgery, The Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK.ORCID http://orcid.org/0000-0003-2413-0697
Pauline HumphreyCollege of Health, Science and Society, University of the West of England, Blackberry Hill, Bristol, BS16 1DD, UK.ORCID http://orcid.org/0000-0003-1313-7113
Fiona CrampCollege of Health, Science and Society, University of the West of England, Blackberry Hill, Bristol, BS16 1DD, UK.ORCID http://orcid.org/0000-0001-8035-9758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary treatment for localised soft tissue sarcoma (STS) is surgery. Surgery for lower limb sarcoma is associated with poorer functional outcomes than other anatomical sites. Rehabilitation is essential, yet provision is not standardised, and patient experience of current service delivery is unknown. This study therefore aimed to explore patients' experiences of rehabilitation in the surgical pathway for lower limb STS at a United Kingdom (UK) specialist centre.

methodsA qualitative, descriptive phenomenological study was undertaken to explore patients' rehabilitation experiences. Eight patients who had undergone lower limb STS surgery at a specialist centre were purposively sampled. Data were collected through semi-structured interviews and analysed using thematic analysis.

resultsThree main themes were identified: (1) Accessing the right services at the right time. Participants described good access to inpatient rehabilitation post-operatively but delays and challenges in accessing local services affected continuity of care. Rehabilitation gaps pre-operatively, and in facilitating return to meaningful activities, were described; (2) "Communication is key" - providing knowledge and support to navigate uncertainty. Unclear and unrealistic expectations of recovery were challenging. Communication was key to patients feeling supported and facilitating access to rehabilitation; (3) The importance of person-centred rehabilitation. Collaborative, person-centred rehabilitation optimised motivation and engagement.

conclusionParticipants experienced good access to inpatient rehabilitation post-operatively. In contrast, gaps and delays at other timepoints led to missed opportunities to support preparation for, and recovery from, surgery. A multidisciplinary approach across settings from diagnosis, to deliver person-centred rehabilitation, may improve access, expectation management and continuity of care.

Indexed as

SarcomaSoft Tissue NeoplasmsAdultAgedCommunicationContinuity of Patient CareFemaleHealth Services AccessibilityHumansInterviews as TopicLower ExtremityMaleMiddle AgedQualitative ResearchUnited KingdomLower limbPatient experienceRehabilitationSarcoma

Identifiers

PMID39893313
PMCPMC11787157

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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.