Models of care and associated targeted implementation strategies for cancer survivorship support in Europe: a scoping review protocol
Journal
BMJ Open
Date Issued
2025-02
Author(s)
Prue, Gillian
Czamanski-Cohen, Johanna
Kassianos, Angelos P
Pilleron, Sophie
Ladas, Aristea
Akcakaya Can, Aysun
Roldán-Jiménez, Cristina
Degi, Csaba Laszlo
Işcan, Gökçe
Arslan, Sevban
de Boer, Angela G E M
Celebic, Aleksandar
Doñate-Martínez, Ascensión
Alhambra-Borrás, Tamara
Marzorati, Chiara
Pravettoni, Gabriella
Grasso, Roberto
Nazik, Evsen
Pawlowska, Ewa
Mucalo, Iva
Browne, John Patrick
Tripkovic, Katica
Vojvodic, Katarina
Karekla, Maria
Moschofidou, Maria
Bayram, Sule Biyik
Brandão, Tânia
Arndt, Volker
Jaswal, Poonam
Semerci, Remziye
Bozkul, Gamze
Sahin, Eda
Toygar, Ismail
Frountzas, Maximos
Martins, Rui Miguel
Jefford, Michael
Keane, Danielle
Hegarty, Josephine
DOI
10.1136/bmjopen-2024-085456
Abstract
Introduction
Cancer and its treatments can lead to a wide range of side-effects that can persist long after treatments have ended. Across Europe, survivorship care is traditionally hospital-based specialist-led follow-up, leading to gaps in supportive care. Improved screening, diagnosis and treatment increase survival rates. With more individuals living with, through and beyond cancer, the predominance of the hospital-based specialist model is unsustainable, costly and resource-intensive. An understanding of what alternative Models of Care are available and the barriers and facilitators to their implementation is a first step towards enhancing supportive care across the cancer journey. The aim of this scoping review is to source and synthesise information from studies evaluating patient-oriented models of cancer survivorship supportive care for adults in Europe.
Methods and analysis
The scoping review will be reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses—Scoping Review Extension guidelines and will be guided by a six-stage methodological framework. A search strategy has been developed according to the Population, Concept and Context structure and will be applied to seven databases. A targeted search of grey literature will be completed. All identified records will be screened using predefined eligibility criteria by at least two researchers and undergo full-text review for inclusion. Data pertaining to the conceptualisation, evaluation and implementation of sourced Models of Care will be extracted.
Ethics and dissemination
As there is no primary data, ethical approval is not required. This review will be conducted as part of the EU COST Action CA21152—Implementation Network Europe for Cancer Survivorship Care. The protocol and subsequent scoping review will be published in a peer-reviewed journal. The Action involves representatives from most countries across Europe which will assist with the dissemination of the work to key stakeholders.
Cancer and its treatments can lead to a wide range of side-effects that can persist long after treatments have ended. Across Europe, survivorship care is traditionally hospital-based specialist-led follow-up, leading to gaps in supportive care. Improved screening, diagnosis and treatment increase survival rates. With more individuals living with, through and beyond cancer, the predominance of the hospital-based specialist model is unsustainable, costly and resource-intensive. An understanding of what alternative Models of Care are available and the barriers and facilitators to their implementation is a first step towards enhancing supportive care across the cancer journey. The aim of this scoping review is to source and synthesise information from studies evaluating patient-oriented models of cancer survivorship supportive care for adults in Europe.
Methods and analysis
The scoping review will be reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses—Scoping Review Extension guidelines and will be guided by a six-stage methodological framework. A search strategy has been developed according to the Population, Concept and Context structure and will be applied to seven databases. A targeted search of grey literature will be completed. All identified records will be screened using predefined eligibility criteria by at least two researchers and undergo full-text review for inclusion. Data pertaining to the conceptualisation, evaluation and implementation of sourced Models of Care will be extracted.
Ethics and dissemination
As there is no primary data, ethical approval is not required. This review will be conducted as part of the EU COST Action CA21152—Implementation Network Europe for Cancer Survivorship Care. The protocol and subsequent scoping review will be published in a peer-reviewed journal. The Action involves representatives from most countries across Europe which will assist with the dissemination of the work to key stakeholders.