Evidence map›Paper›PMID 39918006›Full record

ReviewFamily practice2025

Are we ready? assessing effectiveness and implementation of cancer control strategies in primary care: a comprehensive review of systematic reviews.

Javiera Martinez-Gutierrez, María Gabriela Soto, Andrea Rioseco, Catalina Bienzobas, Madeline Fowler, Gonzalo Ulloa, Mauricio Soto, Jon David Emery, Klaus Puschel

Abstract readReview
In one paragraph

Review in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Javiera Martinez-GutierrezDepartment of Family and Community Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Región Metropolitana, 7820436, Chile.ORCID 0000-0002-2493-9974
María Gabriela SotoDepartment of Family and Community Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Región Metropolitana, 7820436, Chile.
Andrea RiosecoDepartment of Family and Community Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Región Metropolitana, 7820436, Chile.
Catalina BienzobasCenter for Cancer Prevention and Control (CECAN), ANID FONDAP ID 152220002, Avda. Libertador Bernando O'Higgins 340, Santiago, 3580000 Chile.
Madeline FowlerCenter for Cancer Prevention and Control (CECAN), ANID FONDAP ID 152220002, Avda. Libertador Bernando O'Higgins 340, Santiago, 3580000 Chile.
Gonzalo UlloaCenter for Cancer Prevention and Control (CECAN), ANID FONDAP ID 152220002, Avda. Libertador Bernando O'Higgins 340, Santiago, 3580000 Chile.
Mauricio SotoDepartment of Family and Community Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Región Metropolitana, 7820436, Chile.
Jon David EmeryCentre for Cancer Research and Department of General Practice, University of Melbourne, 780 Elizabeth St, Melbourne Victoria 3010, Australia.ORCID 0000-0002-5274-6336
Klaus PuschelDepartment of Family and Community Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, Macul, Santiago, Región Metropolitana, 7820436, Chile.

Funding

Centre for Cancer Prevention and Control FONDAP 152220002
6 · The paper itself

Abstract

backgroundCancer is a major global cause of death, and primary care is crucial for cancer prevention and early detection. However, there is conflicting information on the effectiveness, implementation, and sustainability of cancer control interventions in primary care.

objectiveThis study aimed to summarize the evidence for cancer control in primary care, focussing on identifying relevant factors for implementation and sustainability. STUDY SETTING AND

designWe conducted a narrative, mixed-methods review of systematic reviews, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Four databases were screened, and two independent reviewers selected studies reporting on cancer prevention, screening, or early detection in primary or community settings. We analysed findings using the extended Reach-Effectiveness-Adopt-Implementation-Maintenance (RE-AIM) Framework. PRINCIPAL

findingsFrom the 37 reviews that met the inclusion criteria, 6 focussed on primary prevention, 23 on screening, and 12 on early detection. Most reviews (78%) addressed intervention effectiveness, such as HPV vaccination, tobacco cessation, and cervical, breast, and colorectal screening. One-third of the reviews mentioned adoption and implementation factors, including barriers and facilitators to the implementation of cancer screening programs. Only one review addressed maintenance and sustainability factors, exploring continuous resources and funding strategies.

conclusionWhile numerous interventions are effective for cancer prevention and detection in primary care, literature on implementation and sustainability strategies is lacking. Focusing on continuous resources and funding for cancer strategies in primary care may aid sustainability. Future research should prioritize reporting on implementation and sustainability factors to enhance cancer prevention and control in primary care settings.

Indexed as

Early Detection of CancerNeoplasmsPrimary PreventionHumansPrimary Health CareSystematic Reviews as Topiccancer preventionearly detectionimplementationprimary carescreening

Identifiers

PMID39918006
PMCPMC11803426

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.