Evidence map›Paper›PMID 42821239›Full record

ArticleJournal of cancer survivorship : research and practice2026

Supporting implementation of the national standards for cancer survivorship care: development of the cancer survivorship maturity model (CSMM).

Heidi Dowst, Maryem Shirzadi, Martha Mims, Susan Hilsenbeck, Liwei Wang, Hoda Badr

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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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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Heidi DowstDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA.
Maryem ShirzadiDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Martha MimsDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA.
Susan HilsenbeckDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA.
Liwei WangDell Medical School, The University of Texas at Austin, Austin, TX, USA.
Hoda BadrDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, USA. hoda.badr@jefferson.edu.

Funding

Supplement: Effects of Comorbidity Management and Complex Care Coordination on Cancer CaregiversR01CA258040 · NCI · THOMAS JEFFERSON UNIVERSITY · PI Hoda J. Badr, Martha P Mims · 2021 to 2026
$3.7M
NCI NIH HHS R01CA 258040
6 · The paper itself

Abstract

purposeThe National Standards for Cancer Survivorship Care define the domains of care that healthcare organizations should deliver, yet few tools exist to assess organizational capability and implementation maturity for the National Standards. We developed and preliminarily evaluated the cancer survivorship maturity model (CSMM), a framework designed to assess organizational maturity in real-world oncology settings.

methodsWe conducted a mixed-methods, participatory model development study. A preliminary CSMM was refined through five multidisciplinary focus groups at a comprehensive cancer center using consensus-building techniques adapted from nominal group technique. Participants completed prioritization exercises, contributed to model refinement, and assessed the maturity of survivorship care delivery in their practice settings. Qualitative analysis identified model refinement needs and implementation barriers. The final model was distributed to external stakeholders for preliminary evaluation.

resultsFourteen internal participants and 12 external respondents contributed to model development and evaluation. The final CSMM included seven domains across five maturity levels ranging from ad hoc to optimized. Participants identified differences in prioritization across clinical impact, implementation feasibility, and perceived patient importance. Participants' assessment of survivorship care maturity was generally low, with most domains clustering between levels 1 and 2. Qualitative findings identified barriers, including unclear workflows, limited resources, insufficient time, and technical constraints.

conclusionsThe CSMM provides a structured approach to assess organizational capability and implementation maturity for the National Standards while identifying domain-specific opportunities for improvement. IMPLICATIONS FOR CANCER SURVIVORS: By helping institutions target areas for improvement and resource investment, the CSMM may support more consistent patient-centered survivorship care delivery.

Indexed as

Cancer survivorshipMaturity modelNational Standards for Cancer Survivorship CareOrganizational maturity

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Textmetadata
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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.