Evidence map›Paper›PMID 42115496›Full record

ArticleJournal of cancer survivorship : research and practice2026

Patient-reported duplication and missed breast cancer survivorship care more than 5 years after initial treatment.

Lauren P Wallner, Allison K C Furgal, Christine M Veenstra, Allison W Kurian, Ann S Hamilton, Kevin C Ward, Sarah T Hawley, Steven J Katz, Archana Radhakrishnan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Lauren P WallnerDepartment of Internal Medicine and Rogel Cancer Center, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 447E, USA. lwallner@med.umich.edu.
Allison K C FurgalDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, USA.
Christine M VeenstraDepartment of Internal Medicine and Rogel Cancer Center, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 447E, USA.
Allison W KurianDepartments of Medicine and Epidemiology and Population Health, Stanford University School of Medicine, Stanford, USA.
Ann S HamiltonDepartment of Population and Public Health Sciences, Keck School of Medicine, Los Angeles, USA.
Kevin C WardDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Sarah T HawleyDepartment of Internal Medicine and Rogel Cancer Center, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 447E, USA.
Steven J KatzDepartment of Internal Medicine and Rogel Cancer Center, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 447E, USA.
Archana RadhakrishnanDepartment of Internal Medicine and Rogel Cancer Center, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 447E, USA.

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 HOFER, TIMOTHY P. · 2012 to 2016
$13.4M
NCI NIH HHS HHSN261201800003CNCI NIH HHS HHSN261201800009CNCI NIH HHS HHSN261201800009INCI NIH HHS HHSN261201800015CNCI NIH HHS HHSN261201800015INCI NIH HHS HHSN261201800032CNCI NIH HHS HHSN261201800032INCI NIH HHS P01 CA163233NCI NIH HHS P30 CA046592
6 · The paper itself

Abstract

purposeLittle is known about the long-term coordination of breast cancer survivorship care, including duplicated and/or missed care and whether disparities exist. We investigated patients' perceptions of survivorship care coordination more than 5 years post-initial treatment, and examined differences by survivorship care delivery model, and patient characteristics.

methodsThe iCanCare study is a longitudinal study of women diagnosed with early-stage breast cancer in 2014-2015 identified in the Los Angeles and Georgia Surveillance, Epidemiology and End Results registries. Women were surveyed during initial treatment and again 6-7 years later (2021-2022) (N = 1412, 60% response rate). Respondents were asked how often survivorship services were ordered twice (duplication) or key aspects of care were missed, and who led their care delivery. Associations of participant characteristics and survivorship care delivery model with duplication and missed care were estimated using multivariable logistic regression.

resultsOverall, 29% of participants reported duplication, and 30% reported missed survivorship care. Latina women (vs. white) and those with 2 or more comorbidities (vs. 0) were more likely to report duplicated care (aOR: 1.71, 95% CI: 1.04-2.80, comorbidities aOR: 2.04, 1.27, 3.26). Women who reported oncologist-led care (vs. PCP-led) were more likely to report duplicated care (aOR: 2.17, 1.40-3.35) but were less likely to report missed care (aOR: 0.62, 0.42, 0.93).

conclusionA notable proportion of long-term breast cancer survivors reported duplicated and/or missed survivorship care, with Latina women more often reporting duplicated care. IMPLICATIONS FOR CANCER SURVIVORS: These findings highlight persistent challenges of coordinating long-term survivorship care and the need for scalable strategies and incentives to promote coordination across oncology and primary care teams.

Indexed as

Cancer survivorship careCoordinationDisparitiesDuplication

Identifiers

PMID42115496
PMCPMC13602151

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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.