Evidence map›Paper›PMID 40740378›Full record

ArticleFrontiers in public health2025

Characterizing stakeholders in cancer primary prevention in European countries: an exploration of challenges and opportunities using a penta-helix framework.

Luis Roxo, Ana Santos, Charis Girvalaki, Marius Geantă, 4P-CAN WP2 study team, Mafalda Sousa-Uva

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Luis RoxoDepartment of Epidemiology, National Institute of Health Doctor Ricardo Jorge, Lisbon, Portugal.
Ana SantosCINTESIS@RISE, Department of Education and Psychology, University of Aveiro, Aveiro, Portugal.
Charis GirvalakiEuropean Network for Smoking and Tobacco Prevention, Brussels, Belgium.
Marius GeantăCenter for Innovation in Medicine, Bucharest, Romania.
4P-CAN WP2 study team
Mafalda Sousa-UvaDepartment of Epidemiology, National Institute of Health Doctor Ricardo Jorge, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Cancer incidence has been increasing in Europe, with stark disparities between Western and Eastern regions. Cancer primary prevention (CPP) is a cost-effective strategy tackling lifestyle and risk factor exposure, but its implementation goes beyond the actions of the governments. This study aims to characterize stakeholders' role in CPP, using a penta-helix approach, with the objective of shedding a new light in the Iron Curtain of Cancer Cases. Methods: We followed a mixed-methods approach, with quantitative and qualitative data from CPP stakeholders from the public sector, academia/research, private sector, media and civil society. Snowball sampling was used to distribute a survey where participants ( Results: The public sector is viewed as the main driver of change, and the most proactive and influential in both Western and Eastern Europe. However, Eastern European countries emphasize the role of other sectors in CPP more strongly. Thematic analysis identified key roles and themes for the public sector (Strategy: "Looking after citizen's health," "Making the system work," "Operational Engagement"), academia/research (Knowledge: "Scientific credibility," "Diversity of approaches," "Getting out of the lab," "Life in academia/research"), private sector (Responsibility: "Profit-oriented," "Resources and operational activities," "Ethics and responsibility"), media (Dissemination: "Capacity to reach people," "Diversity and scope," "Information and dissemination") and civil society (Engagement: "Proximity to people," "Advocacy and voice," "Do what others do not do"). Although no meaningful differences were identified between Western and Eastern countries, the results highlight opportunities for Eastern countries to reduce regional disparities. Conclusion: Overall, results point to the complementary role of the sectors, emphasizing that involving different stakeholders and promoting adequate collaborations between them is crucial to unravel the full potential of CPP.

Indexed as

NeoplasmsPrimary PreventionStakeholder ParticipationEuropeFemaleHumansInterviews as TopicMalePublic SectorQualitative ResearchSurveys and QuestionnairescancerEuropemixed-methodsprimary preventionstakeholders

Identifiers

PMID40740378
PMCPMC12307402

What Socratic holds

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LicenceCC BY
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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 Socratic graph.