Evidence map›Paper›PMID 30349735›Full record

ArticlePilot and feasibility studies2018

Developing an integrated rehabilitation model for thoracic cancer services: views of patients, informal carers and clinicians.

Joanne Bayly, Bethany M Edwards, Nicola Peat, Geoffrey Warwick, Ivo M Hennig, Arvind Arora, Andrew Wilcock, Irene J Higginson, Matthew Maddocks

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Empowering Recovery: A Co-Designed Intervention to Transform Care for Operable Lung Cancer.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  5. Article
  6. Article
  7. 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

9 authors at 4 institutions in 1 country.

Joanne Bayly1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, Bessemer Road, Denmark Hill, London, SE5 9PJ UK.ORCID 0000-0001-9478-8932
Bethany M Edwards1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, Bessemer Road, Denmark Hill, London, SE5 9PJ UK.
Nicola Peat2Guy's & St Thomas's NHS Foundation Trust, London, UK.
Geoffrey Warwick3King's College Hospital NHS Foundation Trust, London, UK.
Ivo M Hennig4Nottingham University Hospitals NHS Trust, Nottingham, UK.
Arvind Arora4Nottingham University Hospitals NHS Trust, Nottingham, UK.
Andrew Wilcock4Nottingham University Hospitals NHS Trust, Nottingham, UK.
Irene J Higginson1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, Bessemer Road, Denmark Hill, London, SE5 9PJ UK.
Matthew Maddocks1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Kings College London, Bessemer Road, Denmark Hill, London, SE5 9PJ UK.
King's College London · GBNottingham University Hospitals NHS Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GB

Funding

Department of Health CDF-2017-10-009The Dunhill Medical Trust R423/0515
6 · The paper itself

Abstract

backgroundAccess to rehabilitation to prevent disability and optimise function is recommended for patients with cancer, including following cancer diagnosis. Models to integrate rehabilitation within oncology services as cancer treatment commences are required, but must be informed by those they are intended to support. We aimed to identify views of patients, carers and clinicians to develop and refine a rehabilitation model to be tested in a feasibility trial for people newly diagnosed with lung cancer or mesothelioma.

methodsWe conducted a focus group study with people affected by lung cancer or mesothelioma, their carers and clinicians providing their care to identify priorities for rehabilitation in this period. We sought views on core intervention components, processes and outcomes and integration with oncology services. Data were analysed using thematic analysis.

resultsFifteen clinicians (oncologists, nurse specialists, physiotherapists and occupational therapists), nine patients and five carers participated. A proposed outline rehabilitation model was perceived as highly relevant for this population. Participants recommended prompt and brief rehabilitation input, delivered whilst people attend for hospital appointments or at home to maximise accessibility and acceptability. Participants recognised variation in need and all prioritised tailored support for symptom self-management, daily activities and the involvement of carers. Clinicians also prioritised achieving fitness for oncology treatment. Patients and carers prioritised a sensitive manner of approach, positivity and giving hope for the future. Participant's recommendations for outcome measurement related to confidence in usual daily activities, symptom control and oncology treatment completion rates over objective measures of cardiorespiratory fitness.

conclusionThe importance of providing tailored rehabilitation around the time of diagnosis for people with lung cancer or mesothelioma was affirmed by all participants. The refined model of rehabilitation recommended for testing in a feasibility trial is flexible, tailored and short-term. It aims to support people to self-manage symptoms, tolerate cancer treatments and to remain active and independent in daily life. It is delivered alongside scheduled hospital appointments or at home by an expert practitioner sensitive to the psycho-social sequelae that follow a diagnosis of thoracic cancer.

Indexed as

Feasibility trialFocus groupsIntervention developmentLung cancerMesotheliomaQualitativeRehabilitation

Identifiers

PMID30349735
PMCPMC6193311
OpenAlexW2896284854

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.