Evidence map›Paper›PMID 42572192›Full record

ArticleCancer medicine2026

Perspectives on Education From Gastrointestinal (GI) Cancer Patients in the Deep South: Qualitative Analysis.

Gianina C Hernandez-Marquez, Nataliya V Ivankova, Nathan C English, Wendelyn M Oslock, Alizeh Abbas, Alfonsus Adrian H Harsono, Bayley A Jones, Ivan I Herbey, Gurudatta Naik, Yu-Mei M Schoenberger-Godwin and 2 more

Abstract read
In one paragraph

Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Gianina C Hernandez-MarquezDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-1983-5932
Nataliya V IvankovaSchool of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Nathan C EnglishDepartment of General Surgery, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-6307-984X
Wendelyn M OslockDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Alizeh AbbasDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-2957-6604
Alfonsus Adrian H HarsonoDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Bayley A JonesDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ivan I HerbeyDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Gurudatta NaikDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0001-7265-6605
Yu-Mei M Schoenberger-GodwinDivision of Preventive Medicine and O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Daniel I ChuDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0002-8835-6508
Maria PisuDivision of Preventive Medicine and O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

Designing a Plan of Action for Better Access and Quality of Surgery for African-Americans with Gastrointestinal Cancers in the Deep SouthR01MD013858 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I, PISU, MARIA · 2020 to 2024
$3.0M
AAS/AASF Clinical Outcomes/Health Services Trainee Research Award 000541250American College of Surgeons Resident Research ScholarshipDepartment of Health and Human Services Public Health Services CA229102Department of Veterans Affairs, Veterans Health Administration, Office of Academic Affiliations VA Quality Scholars Advanced Fellowship Program 3Q022019CNIMHD NIH HHS R01MD013858Participant Recruitment and Assessment Shared Resource of the O'Neal Comprehensive Cancer Center P30CA013148UAB Health Services Research Training Program
6 · The paper itself

Abstract

introductionHigh-quality perioperative education for cancer patients undergoing surgery is associated with positive patient experiences and postoperative outcomes. Significant variations in the receipt and quality of education exist, and these gaps need to be better understood. We aimed to explore facilitators and barriers to high-quality education from a cohort of gastrointestinal (GI) cancer patients.

methodsThis qualitative study is part of the Advancing Surgical Cancer Care and Equity in the Deep South (ASCENDS) study. Participants were English-speaking adults (> 18-years old) from Alabama and Mississippi diagnosed with stage I-III colorectal, pancreatic, or esophageal cancer from 2018 to 2021. Individual semi-structured interviews focused on identifying facilitators and barriers to cancer surgical care including those related to patients' education across the surgery process. Data were analyzed using inductive thematic and content analysis with NVivo 12.6 Plus.

resultsOf 36 GI cancer patients (19 colorectal, 10 esophageal, and 7 pancreatic) interviewed, most underwent surgery (n = 31, 86.1%); ages ranged from 44 to 87 years, 42% were female, and 30% identified as Black. Patients emphasized clear delivery of instructions as a major facilitator across the three surgical phases. A facilitating role of the key providers, mainly nurses, in the delivery of education and education materials was important during perioperative and postoperative phases. Reported barriers were related to receiving incomplete instructions and a rushed way instructions were communicated during the preoperative and perioperative phases.

conclusionGI cancer patients valued clear delivery of instructions supplemented with explanations provided in lay terms to better understand relevant care processes. Addressing barriers such as incomplete instructions and lack of thorough education, within specific surgical phases, may improve education delivery. Future research should explore more effective ways to deliver education in lay terms across the surgical process.

Indexed as

Gastrointestinal NeoplasmsPatient Education as TopicAdultAgedAged, 80 and overAlabamaFemaleHumansMaleMiddle AgedQualitative ResearchbarriersfacilitatorsGI cancerhigh‐quality educationpatient educationsurgery

Identifiers

PMID42572192
PMCPMC13454380

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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.