Evidence map›Paper›PMID 42742919›Full record

ArticleJournal of cancer survivorship : research and practice2026

Contextual assessment of perceived health system alignment with National Standards for Cancer Survivorship Care in the American Southeast.

Shirley M Bluethmann, Stephanie Bunch, Chandylen Nightingale, Alana R Willis, Beth York, Beth Fisher, Sarah A Birken, Rachel Zimmer, Carla Strom, Ashley Strahley and 2 more

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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.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

5 · Who and what money

Authors and funding

12 authors.

Shirley M BluethmannDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA. shirley.bluethmann@wfusm.edu.
Stephanie BunchDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Chandylen NightingaleDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Alana R WillisDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Beth YorkAtrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, USA.
Beth FisherAtrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, USA.
Sarah A BirkenAtrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, USA.
Rachel ZimmerSection on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, USA.
Carla StromVanderbilt-Ingram Cancer Center, Nashville, USA.
Ashley StrahleyDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Sarah ZakrzewskiDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.
Stephanie J SohlDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe assessed perceived alignment of a large health system in the American Southeast with the National Standards for Cancer Survivorship Care (National Standards).

methodsWe engaged key partners and distributed an electronic survey to oncology practices within the system. In parallel, in four representative clinics we collected qualitative data including four clinic observations and 12 semi structured interviews informed by the Consolidated Framework for Implementation Research (CFIR).

resultsOf the 51 informants at practices who received the survey, 16 consented, and 10 completed at least one item. On average, informants reported meeting 55% of the survivorship care National Standards at least some of the time. Facilitators and barriers for National Standards implementation were identified in these CFIR Domains: Characteristics of the Individuals (e.g., believed to be beneficial for improving and standardizing care), Outer Setting (e.g., need to be linked to an incentive), Inner Setting (e.g., need for more provider training on what is available), Intervention Characteristics (e.g., difficult to understand), and Process (e.g., important decision-makers).

conclusionsWhile most informants reported meeting at least half of the National Standards, there was variability in how consistently National Standards were perceived as applied across practices. Further, there was likely bias, with more favorable responses from those who chose to complete the survey than those who did not. IMPLICATIONS FOR CANCER SURVIVORS: These data demonstrate a systematic approach for assessing alignment with National Standards and identifying opportunities for improving survivorship care. A model that combines standardized survivorship services with flexibility to meet local population needs may help reduce gaps in care, promote equitable access to supportive resources, and enhance outcomes for cancer survivors across diverse settings.

Indexed as

Cancer survivorsDelivery of health careParticipatory researchSupportive care

Identifiers

PMID42742919

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.