Evidence map›Paper›PMID 41264308›Full record

ArticleCancer2025

Changes in patient-reported primary care engagement in and communication about survivorship care from initial breast cancer treatment to longer-term survivorship.

Megan A Mullins, Tianci Wang, Allison Furgal, Ann S Hamilton, Kevin C Ward, Sarah T Hawley, Archana Radhakrishnan, Lauren P Wallner

Abstract read
In one paragraph

Article 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. 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

8 authors.

Megan A MullinsDepartment of Health Economics, Systems, and Policy, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-2753-9068
Tianci WangBurnett School of Medicine at Texas Christian University, Fort Worth, Texas, USA.
Allison FurgalDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-8081-2444
Ann S HamiltonDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Kevin C WardDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Sarah T HawleyDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Archana RadhakrishnanDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-7689-6390
Lauren P WallnerDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-1279-8617

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric R. Fearon · 1988 to 2026
$178.2M
The Challenge of Individualizing Treatments for Patients with Breast CancerP01CA163233 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAWLEY, SARAH T · 2012 to 2016
$13.4M
Engaging PCPs to optimize active surveillance of low-risk prostate cancerK08CA245237 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RADHAKRISHNAN, ARCHANA · 2019 to 2023
$1.2M
American Cancer Society RSG-19-015-01California Department of Public Health 5NU58DP006344NCI NIH HHS HHSN261201800003INCI NIH HHS HHSN261201800015INCI NIH HHS HHSN261201800032INCI NIH HHS P01 CA163233NCI NIH HHS P30CA046592NIH HHS K08 CA245237Texas Health Resources Clinical Scholar Award
6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate changes in primary care physicians' (PCPs') engagement and communication from initial breast cancer treatment through longer term survivorship and the patient characteristics associated with low PCP engagement and communication during longer term survivorship.

methodsThe iCanCare study is a longitudinal study of women who were diagnosed with breast cancer in 2014-2015 in the Los Angeles and Georgia Surveillance, Epidemiology and End Results registries. Women were surveyed during initial treatment (baseline) and again approximately 6 years later in survivorship (follow-up; overall N = 1412; 60% response rate; n = 825 after exclusions). Respondents were asked how informed their PCP was about their breast cancer care (engagement) and how often they talked with their PCP about their breast cancer care (communication). The authors evaluated changes in PCP engagement and communication from baseline to follow-up and identified patient characteristics associated with low engagement and communication at follow-up using weighted, multivariable-adjusted logistic regression.

resultsIn this population-based sample of 825 women, 39.5% reported worse PCP communication and 37.9% reported worse PCP engagement during longer term survivorship compared with initial treatment. Women who reported high baseline PCP engagement and communication were one half as likely to report low engagement and communication during longer term survivorship (adjusted odds ratio, 0.50 [95% confidence interval, 0.37-0.68] and 0.43 [95% confidence interval, 0.32-0.58], respectively) compared with women who reported low baseline PCP engagement and communication.

conclusionsMany breast cancer survivors experienced worsening PCP engagement and communication from initial treatment to longer term survivorship despite initially high reports. Promoting sustained PCP engagement and communication could be a promising strategy for improving survivorship care delivery.

Indexed as

Breast NeoplasmsCancer SurvivorsCommunicationPhysician-Patient RelationsPrimary Health CareSurvivorshipAdultAgedFemaleHumansLongitudinal StudiesMiddle AgedPhysicians, Primary CareSEER Programbreast neoplasmscancer survivorsphysician engagement, physician's roleprimary health care, survivorship

Identifiers

PMID41264308
PMCPMC13224145

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.