Evidence map›Paper›PMID 40382523›Full record

SynthesisBritish journal of cancer2025

Systematic review of clinical practice guidelines for long-term breast cancer survivorship: assessment of quality and evidence-based recommendations.

Gustavo Adolfo Pimentel-Parra, Cristina García-Vivar, Paula Escalada-Hernández, Leticia San Martín-Rodríguez, Nelia Soto-Ruiz

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Synthesis of clinical practice guidelines and recommendations for breast cancer survivorship care: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Trial
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  5. Review
  6. Article
  7. Evaluating the Performance of Large Language Models for Breast Cancer Patient Education: A Comparative Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  8. Article
  9. Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  10. Article
  11. Article
  12. Article
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  15. Review
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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.

Gustavo Adolfo Pimentel-ParraDepartment of Health Sciences, Public University of Navarre and Navarra Institute for Health Research, Pamplona, Spain.ORCID http://orcid.org/0000-0003-1395-7285
Cristina García-VivarDepartment of Health Sciences, Public University of Navarre and Navarra Institute for Health Research, Pamplona, Spain. cristina.garciavivar@unavarra.es.ORCID http://orcid.org/0000-0002-6022-559X
Paula Escalada-HernándezDepartment of Health Sciences, Public University of Navarre and Navarra Institute for Health Research, Pamplona, Spain.
Leticia San Martín-RodríguezDepartment of Health Sciences, Public University of Navarre and Navarra Institute for Health Research, Pamplona, Spain.
Nelia Soto-RuizDepartment of Health Sciences, Public University of Navarre and Navarra Institute for Health Research, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the most common cancer among women, with improved survival rates due to advances in early diagnosis and therapies. However, long-term survivors (≥5 years post-treatment, disease-free) face persistent physical, psychological, and social challenges requiring tailored, evidence-based care. Despite the growing survivor population, no systematic evaluation of Clinical Practice Guidelines (CPGs) for this group has been conducted. This study assesses the quality of CPGs and their evidence-based recommendations.

methodsA systematic review was conducted in PubMed, CINAHL, and Cochrane Library (2015-2023), including guidelines from major oncology organisations. The AGREE II instrument evaluated CPG quality across six domains, and recommendations were classified using a Primary Care survivorship framework: prevention, surveillance, care coordination, and long-term effect management.

resultsTen CPGs met inclusion criteria, with 7 classified as high quality. Most recommendations focused on prevention (adjuvant therapy, alcohol) and surveillance (follow-up, mammography), while gaps remained in lifestyle guidance, psychosocial support, and management of complications (lymphedema, osteoporosis, cognitive dysfunction). Care coordination and psychosocial interventions were inconsistently addressed.

conclusionsCurrent CPGs inadequately cover the complex needs of long-term survivors, particularly in psychosocial care. Evidence-based, patient-centred guidelines are urgently needed to optimise long-term outcomes and quality of life.

Indexed as

Breast NeoplasmsCancer SurvivorsPractice Guidelines as TopicSurvivorshipEvidence-Based MedicineFemaleHumans

Identifiers

PMID40382523
PMCPMC12304102

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.