Evidence map›Paper›PMID 40519218›Full record

ArticleBMJ oncology2025

A systematic review comparing surveillance recommendations for the detection of recurrence following surgery across 16 common cancer types.

Hannah Harrison, Bhumi K Shah, Faris Khan, Carley Batley, Chiara Re, Sabrina H Rossi, Georgia Stimpson, Eamonn Gilmore, Eleanor White, Sofia Kler-Sangha and 13 more

Abstract read
In one paragraph

Article in BMJ oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Healthcare professionals' perceived barriers and facilitators of risk-stratified follow-up care in lung cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. A cross-sectional retrospective and prospective service evaluation of head and neck cancer patients' swallowing and quality of life concerns: are we doing enough?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. 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

23 authors.

Hannah HarrisonDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0001-8952-852X
Bhumi K ShahSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Faris KhanSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Carley BatleyDepartment of Oncology, University of Cambridge, Cambridge, UK.
Chiara ReDepartment of Surgery, University of Cambridge, Cambridge, UK.
Sabrina H RossiDepartment of Surgery, University of Cambridge, Cambridge, UK.
Georgia StimpsonDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Eamonn GilmoreSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.ORCID 0009-0005-7042-3169
Eleanor WhiteSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Sofia Kler-SanghaSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Aufia EspressivoIndependent Researcher.ORCID 0000-0001-7027-8081
Z Sienna PanDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Tanzil RujeedawaSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Benjamin W LambDepartment of Urology, Barts Health NHS Trust, London, UK.
Laura SucconyDepartment of Thoracic Oncology, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Shi LamHepato-Pancreato-Bilary Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Bincy M ZachariaHepato-Pancreato-Bilary Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Rebecca LuceyPrecision Breast Cancer Institute, Department of Oncology, University of Cambridge, Cambridge, UK.
Alexander J P FultonPrecision Breast Cancer Institute, Department of Oncology, University of Cambridge, Cambridge, UK.
Dimana KaludovaDepartment of Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Anita BalakrishnanDepartment of Surgery, University of Cambridge, Cambridge, UK.
Juliet A Usher-Smith *Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8501-2531
Grant D Stewart *Department of Surgery, University of Cambridge, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Identify and compare guidelines making recommendations for surveillance to detect recurrence in 16 common solid cancers after initial curative treatment in asymptomatic patients. Methods and analysis: We conducted a systematic review, combining search results from two electronic databases, one guideline organisation website (NICE), expert consultation and manual searching. Screening and data extraction were carried out by multiple reviewers. We collected data from each guideline on recommendations for surveillance and the use of risk stratification. Findings were compared between cancer types and regions. Text mining was used to extract statements on the evidence for surveillance. A protocol was published on PROSPERO in 2021 (CRD42021289625). Results: We identified 123 guidelines across 16 cancer types. Almost all guidelines (n Conclusion: Although specific details of follow-up schedules vary, common challenges were identified across cancer types. These include heterogenous recommendations, vague or non-specific guidance and a lack of cited evidence supporting the use of surveillance to improve outcomes. Evidence generation in this area is challenging; however, increased availability to linked health records may provide a way forward. PROSPERO registration number: CRD42021289625.

Indexed as

Health economicsMedical oncology

Identifiers

PMID40519218
PMCPMC12164354

What OpenQuestion holds

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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.