Evidence map›Paper›PMID 41214573›Full record

Observational studyBMC cancer2025

The Transdiagnostic Oncology Program (TOP): a multidomain lifestyle intervention to improve the quality of life of cancer survivors - a before-and-after pilot study in primary care.

Sanne H Booij, Amy Pieper, Christianne D Wester, Ute Bültmann, Elkana C Waarsenburg, H J Rogier Hoenders

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06809452 (The Transdiagnostic Oncology Program), which is not on this 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.

NCT06809452 completednot on this map

The Transdiagnostic Oncology Program (TOP): a Combined Lifestyle Intervention to Improve the Quality of Life of Cancer Survivors - a Before-and-after Pilot Study in Primary Care

TypeobservationalSponsorLentis Psychiatric InstituteRan2019 to 2020Enrolled35ConditionsCancer SurvivorArmsTransdiagnostic Oncologic Program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Sanne H BooijCenter for Integrative Psychiatry, Lentis Groningen, Hereweg 76, Groningen, 9725 AG, The Netherlands. s.h.booij@rug.nl.
Amy PieperCenter for Integrative Psychiatry, Lentis Groningen, Hereweg 76, Groningen, 9725 AG, The Netherlands.
Christianne D WesterCenter for Integrative Psychiatry, Lentis Groningen, Hereweg 76, Groningen, 9725 AG, The Netherlands.
Ute BültmannDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands.
Elkana C WaarsenburgPrimary Care Facility Kloosterveen, Transportweg 8, Assen, 9405 PR, The Netherlands.
H J Rogier HoendersCenter for Integrative Psychiatry, Lentis Groningen, Hereweg 76, Groningen, 9725 AG, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need for interdisciplinary primary care-led aftercare programs for the common (transdiagnostic) problems cancer survivors experience to increase their quality of life. The aim of this before-and-after (pre-post) pilot study was to examine the feasibility and preliminary effectiveness of a transdiagnostic, family doctor-led interdisciplinary program to increase quality of life in a heterogeneous group of cancer survivors.

methodsCancer survivors (n = 19) followed a 12-month interdisciplinary aftercare program in the primary care setting, consisting of: family doctor consultation, exercise, mind-body therapy, sleep hygiene, nutrition recommendations, and optional psychological therapy. Eligible cancer survivors who declined participation, were recruited as controls (n = 16). Feasibility and acceptance were assessed through attendance and attrition rates, and an evaluation form. The primary outcome was the change in quality of life from baseline (T0) to post-intervention (T2; 12 months from baseline), as measured with the EORTC QOL-C30, covering global health status, various functional domains, and symptoms. Secondary outcomes included assessments of changes in fatigue (Multidimensional Fatigue Inventory), psychological symptoms (Depression, Anxiety and Stress scale), happiness (Happiness Index), and work ability (Work Ability Index). Intention-to-treat multilevel analyses were conducted.

resultsDropout (n = 3) during the program was related to personal and health issues, and attendance rates and satisfaction scores were satisfactory. At baseline, the intervention group scored significantly worse on several quality-of-life indices, and on secondary outcomes, compared to controls. The intervention group showed significantly larger increases at T2 in physical and social functioning, and decreases in fatigue and anxiety, compared to the control group.

conclusionsThe results suggest that this primary care-led aftercare program is feasible and acceptable. Due to the small sample size and non-randomized design, improvements in quality of life and related outcomes should be interpreted with caution. A randomized controlled trial is warranted.

trial registrationThis study was retrospectively registered at clinicaltrials.gov (NCT06809452).

Indexed as

Cancer SurvivorsLife StyleNeoplasmsQuality of LifeSurvivorsAdultAftercareAgedFemaleHumansMaleMiddle AgedPilot ProjectsPrimary Health CareAftercareCancer survivorFeasibilityPrimary-careTransdiagnostic

Identifiers

PMID41214573
PMCPMC12604275

What OpenQuestion holds

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Registered trials

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.