ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Development of an expert patient program for improving self-efficacy in surgical patients with advanced gastric cancer in China: a COREQ-guided qualitative expert panel discussion study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdvanced gastric cancer (AGC) poses substantial postoperative challenges that require effective self-management. Although expert patient programs (EPPs) and peer-support approaches have been used in other conditions, an operational program tailored to Chinese surgical patients with AGC has not been established. This study aimed to develop an evidence-informed, disease-adapted EPP focused on postoperative self-efficacy and self-management in this population.
methodsA Consolidated Criteria for Reporting Qualitative Research (COREQ)-guided qualitative expert panel discussion study was conducted in April 2024 at a tertiary hospital in Guangzhou, China. Six purposively recruited experts in gastrointestinal oncology and oncology nursing participated. A preliminary EPP was drafted from a structured scoping literature review, evidence-to-mapping, and self-efficacy theory. The experts participated in two preplanned semi-structured focus-group rounds. Round 1 elicited item-by-item critique of program relevance, clarity, clinical accuracy, feasibility, safety, and cultural appropriateness. Feedback was analyzed using inductive thematic analysis and documented in a revision matrix. Round 2 reviewed the revised program and confirmed consensus.
resultsThe scoping review identified 19 relevant studies. Evidence mapping showed that existing peer-support and self-management interventions commonly addressed medical, role, and emotional management and used skills such as problem-solving, decision-making, resource use, patient-provider communication, action planning, and self-regulation. These elements were translated into a six-module preliminary EPP and a logic model linking AGC-specific postoperative challenges, program components, self-efficacy mechanisms, and intended proximal self-management capacities. Thematic analysis of expert feedback generated five refinement themes: simplifying theoretical and medical content, increasing experiential sharing by expert patients, strengthening practical guidance on red-flag symptoms, wound care, nutrition, and rehabilitation, incorporating family support, and improving flexible digital follow-up. In Round 2, all six experts endorsed the revised program.
conclusionsThis study produced an evidence-informed, disease-adapted EPP through a transparent qualitative expert-panel process. The contribution lies not in proposing entirely new peer-support components, but in configuring established self-management and self-efficacy elements for the postoperative AGC context in China and documenting the consensus-based refinement process. The program requires patient acceptability, feasibility, and effectiveness evaluation before routine implementation.
Indexed as
Identifiers
42581221What Socratic holds
Registered trials
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.