Evidence map›Paper›PMID 40710212›Full record

ReviewCurrent oncology (Toronto, Ont.)2025

Optimizing Adjuvant Care in Early Breast Cancer: Multidisciplinary Strategies and Innovative Models from Canadian Centers.

Angela Chan, Nancy Nixon, Muna Al-Khaifi, Alain Bestavros, Christine Blyth, Winson Y Cheung, Caroline Hamm, Thomas Joly-Mischlich, Mita Manna, Tom McFarlane and 5 more

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 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. Guideline
  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

15 authors.

Angela ChanFaculty of Medicine, BC Cancer, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Nancy NixonDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2T8, Canada.
Muna Al-KhaifiOdette Cancer Centre, Sunnybrook Health Science Centre, University of Toronto, Toronto, ON M4N 3M5, Canada.ORCID 0000-0001-8387-7075
Alain BestavrosFaculté de Médecine, Université de Montréal, Montreal, QC H3T 1J4, Canada.
Christine BlythArthur J.E. Child Comprehensive Cancer Centre, Calgary, AB T2N 5G2, Canada.
Winson Y CheungDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2T8, Canada.
Caroline HammDepartment of Medical Oncology, Windsor Regional Hospital, Windsor, ON N8W 1L9, Canada.ORCID 0000-0003-1326-2088
Thomas Joly-MischlichUniversité de Sherbrooke Cancer Research Institute (IRCUS), Université de Sherbrooke, Sherbrooke, QC J1E 4K8, Canada.ORCID 0000-0002-8745-7286
Mita MannaDepartment of Medical Oncology, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada.ORCID 0000-0003-4344-7913
Tom McFarlaneSchool of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, Canada.ORCID 0000-0003-0871-8773
Laura V MinardDepartment of Pharmacy, Nova Scotia Health, QEII Health Sciences Centre, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0002-1545-3470
Sarah NaujokaitisLondon Health Sciences Centre, London, ON N6A 5W9, Canada.ORCID 0009-0004-6329-7128
Christine PeragineOdette Cancer Centre, Sunnybrook Health Science Centre, University of Toronto, Toronto, ON M4N 3M5, Canada.
Cindy RailtonArthur J.E. Child Comprehensive Cancer Centre, Calgary, AB T2N 5G2, Canada.
Scott EdwardsFaculty of Medicine and School of Pharmacy, Memorial University of Newfoundland, St John's, NL A1B 3V6, Canada.

Funding

Novartis (Canada) Unrestricted Grant from Novartis
6 · The paper itself

Abstract

The adjuvant treatment landscape for hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) early breast cancer (EBC) is rapidly evolving, with a diverse range of therapeutic options-including endocrine therapies, bisphosphonates, ovarian function suppression, olaparib, CDK4/6 inhibitors, and emerging agents such as immunotherapy. While these advances have markedly improved patient outcomes, they also introduce challenges related to implementation, monitoring, and resource allocation. Notably, therapies like CDK4/6 inhibitors require particularly close monitoring, creating logistical and capacity challenges for medical oncologists, whose workloads are already stretched due to rising cancer incidence and treatment complexities. These challenges underscore the need for innovative care delivery solutions to ensure patients with EBC continue to receive optimal care. This paper offers a comprehensive guide-a playbook-of multidisciplinary-team-based care models designed to optimize adjuvant treatment delivery in EBC. Drawing on real-world evidence and successful applications across Canadian centers, we explore models led by nurses, nurse practitioners (NPs), general practitioners in oncology (GPO), and pharmacists. Each model leverages the unique expertise of its team to manage treatment toxicities, facilitate adherence, and enhance patient education, thereby promoting effective and sustainable care delivery. Importantly, these models are not intended to compete with one another, but rather to serve as a flexible recipe book from which breast cancer care teams can draw strategies tailored to their local resources and patient needs. By detailing implementation strategies, benefits, and challenges-in many instances supported by quantitative metrics and economic evaluations-this work aims to inspire care teams nationwide to optimize the adjuvant management of patients with HR+, HER2- EBC.

Indexed as

Breast NeoplasmsCanadaChemotherapy, AdjuvantFemaleHumansPatient Care Teamadherence managementCDK4/6 inhibitorsearly breast cancerGPO-led careHR+, HER2–multidisciplinary care modelsNP-led carenurse-led careoncology care optimizationpatient-centered carepharmacist-led careteam-based caretoxicity management

Identifiers

PMID40710212
PMCPMC12293295

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.