Evidence map›Paper›PMID 42570155›Full record

ArticleCancer causes & control : CCC2026

Barriers and facilitators to implementing the European code of cancer practice in a rural and coastal setting: a qualitative study.

Shanice Thomas, Hannah Cumberland Keeble, Erica Brown, Sarah R Baker, Samuel Cooke, Mark Lawler, Kathie McPeake, Kathy Oliver, Peter Selby, David Nelson

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In one paragraph

Article in Cancer causes & control : CCC, 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
–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

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

10 authors.

Shanice ThomasLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK.ORCID http://orcid.org/0000-0003-2769-5239
Hannah Cumberland KeebleLincoln Medical School, Universities of Nottingham and Lincoln, Lincoln, UK.ORCID http://orcid.org/0009-0002-1413-3050
Erica BrownLincoln Medical School, Universities of Nottingham and Lincoln, Lincoln, UK.ORCID http://orcid.org/0009-0001-9532-3528
Sarah R BakerLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK.ORCID http://orcid.org/0000-0002-2861-451X
Samuel CookeLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK.ORCID http://orcid.org/0000-0002-3027-7807
Mark LawlerJohnston Cancer Research Centre, Queen's University Belfast, Belfast, UK.ORCID http://orcid.org/0000-0002-3930-8470
Kathie McPeakeLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK.ORCID http://orcid.org/0009-0007-4647-7516
Kathy OliverInternational Brain Tumour Alliance, Surrey, UK.ORCID http://orcid.org/0000-0002-8317-2881
Peter SelbyLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK.ORCID http://orcid.org/0000-0002-3782-069X
David NelsonLincoln Institute for Rural and Coastal Health, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK. dnelson@lincoln.ac.uk.ORCID http://orcid.org/0000-0002-2173-683X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe European Code of Cancer Practice (ECCP) is a patient-centred framework for good clinical cancer practice, to improve outcomes for all of Europe's patients [1]. Given challenges with applications to rural regions, the study aimed to explore the barriers and facilitators to implementing the ECCP in a rural, coastal, and urban context.

methodsWe conducted semi-structured individual and group interviews with nine acute cancer professionals; nine non-clinical professionals; and four people with lived experience of cancer. Interviews were analysed using reflexive thematic analysis, underpinned by a constructivist approach.

resultsThree themes were developed across all groups. 1) 'Fragmented communication pathways limits access' to information-sharing between services, and about support and research, linked to workforce challenges. 2) 'Geographic and infrastructural disparities between urban, rural, and coastal areas' highlight barriers to accessing and delivering care, including transport issues, alongside place-specific facilitators to wellbeing. 3) 'Unmet needs for living well during and after treatment' denotes financial, work-related, and psychological challenges through treatment and survivorship. These barriers transcended across all ECCP domains.

conclusionWorkforce challenges that limit information-sharing about support and research, and gaps in post-treatment support, must be addressed to meet the ECCP aim to ensure equitable cancer care across geographical locations.

Indexed as

Health Services AccessibilityNeoplasmsEuropeFemaleHumansPatient-Centered CareQualitative ResearchRural PopulationCancer careCoastalEuropean code of cancer practiceQualitativeRuralSurvivorship

Identifiers

PMID42570155
PMCPMC13452836

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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.