Evidence map›Paper›PMID 40186756›Full record

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

Utilization outcomes of a cancer rehabilitation (CRNav) program: getting to the quadruple aim in cancer care.

Shana E Harrington, Nicole L Stout, Ashley W Perry, Mindi R Manes, Meryl J Alappattu, Kailyn Horn

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Bridging Oncology and Rehabilitation: A High School Curriculum Model for Early Exposure to Interdisciplinary Cancer Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    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

6 authors.

Shana E HarringtonDepartment of Exercise Science, Physical Therapy Program, Arnold School of Public Health, University of South Carolina, 1300 Wheat Street, Blatt PE Center, 101H, Columbia, SC, 29208, USA. sharring@mailbox.sc.edu.
Nicole L StoutDepartment of Hematology/Oncology, School of Medicine, West Virginia University, Morgantown, WV, USA.
Ashley W PerryHalifax Health|Brooks Rehabilitation, Daytona Beach, FL, USA.
Mindi R ManesBrooks Rehabilitation, Jacksonville, FL, USA.
Meryl J AlappattuBrooks Rehabilitation, Jacksonville, FL, USA.
Kailyn HornDepartment of Exercise Science, Physical Therapy Program, Arnold School of Public Health, University of South Carolina, 1300 Wheat Street, Blatt PE Center, 101H, Columbia, SC, 29208, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA cancer rehabilitation navigation (CRNav) program is an evidence-based care delivery model that uses a rehabilitation professional in the navigation role to support oncology care delivery, provide functional screening for early identification of impairment, and coordinate care delivery services to optimize early rehabilitation. There is limited research showing how a CRNav impacts healthcare utilization. The objective of this study was to assess utilization data for a CRNav Program and demonstrate how the program influences the effectiveness of cancer care delivery and patient and provider satisfaction.

methodsData was collected from the electronic health record of the Brooks Rehabilitation/Halifax systems at a community cancer center to assess program and service utilization over 3.2 years using a retrospective design.

resultsOver 3.2 years, the CRNav program received 1585 referrals and screened 1447 (91.3%) patients. Of the 1447 screenings performed, 73.6% were recommended to receive outpatient rehabilitation (n = 1065). Among patients screened, breast cancer was the most common cancer diagnosis (47%) followed by head and neck cancers (14%). There were 638 total rehabilitation visits identified for patients who were seen for services within the health system, with physical therapy encounters accounting for the greatest number (n = 462). The most common reasons for receiving physical therapy services included lymphedema (27%), pain (25%), and limited range of motion (12%). Patients reported high satisfaction (≥ 95.4%) in the areas of how well rehabilitation met expectations and overall satisfaction with the rehabilitation experience.

conclusionsUsing a CRNav in a community cancer center resulted in efficient care of patients with cancer, improved patient satisfaction and patient outcomes, and an enhanced clinician experience. This program provides a value-based approach to care supporting the quadruple aim and improving the identification and management of cancer-related functional morbidity.

Indexed as

NeoplasmsPatient Acceptance of Health CarePatient NavigationAdultAgedAged, 80 and overDelivery of Health CareFemaleHumansMaleMiddle AgedPatient SatisfactionRetrospective StudiesChronic diseaseIntegrated delivery systemsPatient assessment/satisfactionPatient outcomes/functional status/ADLs/IADLsQuadruple aimRehabilitation services

Identifiers

PMID40186756
PMCPMC11972230

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Registered trials

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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.