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Record W3033074646 · doi:10.1093/jnci/djaa083

Management of Cancer and Health After the Clinic Visit: A Call to Action for Self-Management in Cancer Care

2020· article· en· W3033074646 on OpenAlexafffund
Doris Howell, Deborah K. Mayer, Richard Fielding, Manuela Eicher, Irma M. Verdonck‐de Leeuw, Christoffer Johansen, Enrique Soto‐Pérez‐de‐Celis, Raymond J. Chan, Catherine M. Alfano, Shawna V. Hudson, Michael Jefford, Wwt Lam, Victoria Loerzel, Gabriella Pravettoni, Elke Rammant, Lidia Schapira, Kevin Stein, Bogda Koczwara

Bibliographic record

VenueJNCI Journal of the National Cancer Institute · 2020
Typearticle
Languageen
FieldMedicine
TopicCancer survivorship and care
Canadian institutionsPrincess Margaret Cancer CentreUniversity of Toronto
FundersStanford Cancer InstituteSchool of Medicine, Stanford UniversityUniversité de LausanneRigshospitaletUniversiteit GentVrije Universiteit AmsterdamAmerican Cancer SocietyQueensland University of TechnologyMultinational Association of Supportive Care in CancerNational Breast Cancer FoundationAmsterdam University Medical CentersRutgers Cancer Institute of New JerseyUniversity of SouthamptonCentre Hospitalier Universitaire VaudoisUniversità degli Studi di MilanoUniversity of Central FloridaUniversity of TorontoEmory UniversityFlinders University
KeywordsMedicineSelf-managementHealth careWorkforceCall to actionNursingDisease managementAction (physics)PopulationPsychologyHealth management systemBusinessAlternative medicinePolitical science

Abstract

fetched live from OpenAlex

Individuals with cancer and their families assume responsibility for management of cancer as an acute and chronic disease. Yet, cancer lags other chronic diseases in its provision of proactive self-management support in routine, everyday care leaving this population vulnerable to worse health status, long-term disability, and poorer survival. Enabling cancer patients to manage the medical and emotional consequences and lifestyle and work changes due to cancer and treatment is essential to optimizing health and recovery across the continuum of cancer. In this paper, the Global Partners on Self-Management in Cancer puts forth six priority areas for action: Action 1: Prepare patients and survivors for active involvement in care; Action 2: Shift the care culture to support patients as partners in cocreating health and embed self-management support in everyday health-care provider practices and in care pathways; Action 3: Prepare the workforce in the knowledge and skills necessary to enable patients in effective self-management and reach consensus on core curricula; Action 4: Establish and reach consensus on a patient-reported outcome system for measuring the effects of self-management support and performance accountability; Action 5: Advance the evidence and stimulate research on self-management and self-management support in cancer populations; Action 6: Expand reach and access to self-management support programs across care sectors and tailored to diversity of need and stimulation of research to advance knowledge. It is time for a revolution to better integrate self-management support as part of high-quality, person-centered support and precision medicine in cancer care to optimize health outcomes, accelerate recovery, and possibly improve survival.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.614
Threshold uncertainty score0.729

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.094
GPT teacher head0.429
Teacher spread0.335 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations228
Published2020
Admission routes2
Has abstractyes

Explore more

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