{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:08:11Z","timestamp":1790287691779,"version":"4.1.0"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001794","name":"The University of Queensland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Curr Oncol Rep"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose of Review<\/jats:title>\n                <jats:p>Gynecological malignancies are prevalent in females, and this population is likely to experience symptoms of pelvic floor disorders and sexual dysfunction. Non-surgical, non-pharmaceutical conservative therapies, namely pelvic floor muscle (PFM) therapies and education-based interventions, could be beneficial for this population. The purpose of this systematic review was to examine the evidence regarding their effectiveness on bladder, bowel, vaginal, sexual, psychological function, quality of life, and PFM function in gynecological cancer populations.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Recent Findings<\/jats:title>\n                <jats:p>Six databases were searched to identify studies employing any interventional study design, except case studies, to investigate the effect of PFM therapies, education-based interventions, or combined therapies on any outcome of interest. The search yielded 4467 results, from which 20 studies were included. Of these, 11 (55%) were RCTs, two (10%) were non-RCTs with two groups, and seven (35%) were non-RCTs with a single group. Findings suggest that combined (multimodal) therapies, specifically PFM (active\u2009&gt;\u2009passive)\u2009+\u2009education therapies, appear more effective for vaginal, overall pelvic floor, sexual, and PFM function. PFM therapies (active and\/or electrostimulation) may improve bladder outcomes. Limited evidence suggests PFM (active)\u2009+\u2009education therapies may improve bowel function. Conservative therapies may improve psychological function, although available data do not appear to favor a particular therapy. Given the conflicting findings regarding quality of life, no clear conclusions can be made. Interpretation of findings highlighted the importance of intervention dosage, adherence, and supervision for optimal effectiveness. Despite the limitations of the included studies, this review provides new and valuable insights for future research and clinical practice.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11912-024-01586-7","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T21:15:48Z","timestamp":1724447748000},"page":"1293-1320","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Effectiveness of Pelvic Floor Muscle and Education-Based Therapies on Bladder, Bowel, Vaginal, Sexual, Psychological Function, Quality of Life, and Pelvic Floor Muscle Function in Females Treated for Gynecological Cancer: A Systematic Review"],"prefix":"10.1007","volume":"26","author":[{"given":"Marie-Pierre","family":"Cyr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn","family":"Brennen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udari","family":"Colombage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena C.","family":"Frawley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"1586_CR1","unstructured":"World Cancer Research Fund. Worldwide cancer data: Global cancer statistics for the most common cancers. 2022. https:\/\/www.wcrf.org\/cancer-trends\/worldwide-cancer-data. Accessed 1 June 2024."},{"key":"1586_CR2","first-page":"459","volume":"29","author":"AS Ramaseshan","year":"2018","unstructured":"Ramaseshan AS, Felton J, Roque D, Rao G, Shipper AG, Sanses TVD. Pelvic floor disorders in women with gynecologic malignancies: a systematic review. Int Urogynecol J. 2018;29:459\u201376.","journal-title":"Int Urogynecol J"},{"key":"1586_CR3","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1007\/s12020-015-0812-6","volume":"54","author":"MI Maiorino","year":"2016","unstructured":"Maiorino MI, Chiodini P, Bellastella G, Giugliano D, Esposito K. Sexual dysfunction in women with cancer: a systematic review with meta-analysis of studies using the Female Sexual Function Index. Endocrine. 2016;54:329\u201341.","journal-title":"Endocrine"},{"key":"1586_CR4","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s11764-015-0481-8","volume":"10","author":"S Bernard","year":"2016","unstructured":"Bernard S, Ouellet MP, Moffet H, Roy JS, Dumoulin C. Effects of radiation therapy on the structure and function of the pelvic floor muscles of patients with cancer in the pelvic area: a systematic review. J Cancer Surviv. 2016;10:351\u201362.","journal-title":"J Cancer Surviv"},{"issue":"4","key":"1586_CR5","doi-asserted-by":"publisher","first-page":"pzab042","DOI":"10.1093\/ptj\/pzab042","volume":"101","author":"MP Cyr","year":"2021","unstructured":"Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. Characterizing pelvic floor muscle function and morphometry in survivors of gynecological cancer who have dyspareunia: a comparative cross-sectional study. Phys Ther. 2021;101(4):pzab042.","journal-title":"Phys Ther."},{"key":"1586_CR6","doi-asserted-by":"publisher","first-page":"2250","DOI":"10.1038\/s41598-019-38759-5","volume":"9","author":"M Neron","year":"2019","unstructured":"Neron M, Bastide S, Tayrac R, Masia F, Ferrer C, Labaki M, et al. Impact of gynecologic cancer on pelvic floor disorder symptoms and quality of life: an observational study. Sci Rep. 2019;9:2250.","journal-title":"Sci Rep"},{"key":"1586_CR7","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.ygyno.2015.08.019","volume":"139","author":"A Bradford","year":"2015","unstructured":"Bradford A, Fellman B, Urbauer D, Gallegos J, Meaders K, Tung C, et al. Assessment of sexual activity and dysfunction in medically underserved women with gynecologic cancers. Gynecol Oncol. 2015;139:134\u201340.","journal-title":"Gynecol Oncol"},{"key":"1586_CR8","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.ygyno.2015.11.010","volume":"140","author":"LB Huffman","year":"2016","unstructured":"Huffman LB, Hartenbach EM, Carter J, Rash JK, Kushner DM. Maintaining sexual health throughout gynecologic cancer survivorship: a comprehensive review and clinical guide. Gynecol Oncol. 2016;140:359\u201368.","journal-title":"Gynecol Oncol"},{"issue":"8","key":"1586_CR9","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1093\/ptj\/pzaa081","volume":"100","author":"R Brennen","year":"2020","unstructured":"Brennen R, Lin KY, Denehy L, Frawley HC. The effect of pelvic floor muscle interventions on pelvic floor dysfunction after gynecological cancer treatment: a systematic review. Phys Ther. 2020;100(8):1357\u201371.","journal-title":"Phys Ther."},{"key":"1586_CR10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0262844","volume":"17","author":"MP Cyr","year":"2022","unstructured":"Cyr MP, Dostie R, Camden C, Dumoulin C, Bessette P, Pina A, et al. Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: results from a one-year follow-up mixed-method study. PLoS ONE. 2022;17: e0262844.","journal-title":"PLoS ONE"},{"key":"1586_CR11","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1186\/s13643-021-01626-4","volume":"10","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10:89.","journal-title":"Syst Rev"},{"key":"1586_CR12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l6890","volume":"368","author":"M Campbell","year":"2020","unstructured":"Campbell M, McKenzie JE, Sowden A, Katikireddi SV, Brennan SE, Ellis S, et al. Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline. BMJ. 2020;368: l6890.","journal-title":"BMJ"},{"key":"1586_CR13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687","volume":"348","author":"TC Hoffmann","year":"2014","unstructured":"Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348: g1687.","journal-title":"BMJ"},{"key":"1586_CR14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928","volume":"343","author":"JP Higgins","year":"2011","unstructured":"Higgins JP, Altman DG, G\u00f8tzsche PC, J\u00fcni P, Moher D, Oxman AD, et al. The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials. BMJ. 2011;343: d5928.","journal-title":"BMJ"},{"key":"1586_CR15","unstructured":"Wells GA SB, O\u2019Connell S, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. University of Newcastle (Australia) & University of Ottawa (Canada). 2000. https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp. Accessed 23 Dec 2023."},{"key":"1586_CR16","unstructured":"Joanna Briggs Institute (JBI). Critical Appraisal Checklist for Quasi-Experimental Studies. 2020. https:\/\/jbi.global\/critical-appraisal-tools. Accessed 23 Dec 2023."},{"key":"1586_CR17","volume-title":"The Oxford 2011 Levels of Evidence","author":"OCEBM Levels of Evidence Working Group","year":"2011","unstructured":"OCEBM Levels of Evidence Working Group. The Oxford 2011 Levels of Evidence. UK: Oxford Centre for Evidence-Based Medicine; 2011."},{"key":"1586_CR18","first-page":"102","volume":"44","author":"Q Sun","year":"2023","unstructured":"Sun Q, Wang X, Yan C, Huang H, Hu L. Application of health education based on the integrated theory of health behavior change in the pelvic floor rehabilitation of patients with cervical cancer after radical surgery. Eur J of Gynaecol Oncol. 2023;44:102\u20139.","journal-title":"Eur J of Gynaecol Oncol"},{"key":"1586_CR19","doi-asserted-by":"publisher","first-page":"462","DOI":"10.12669\/pjms.38.3.4495","volume":"38","author":"J Zong","year":"2022","unstructured":"Zong J, You M, Li C. Effect of Kegel pelvic floor muscle exercise combined with clean intermittent self-catheterization on urinary retention after radical hysterectomy for cervical cancer. Pak J Med Sci. 2022;38:462\u20138.","journal-title":"Pak J Med Sci"},{"key":"1586_CR20","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s12957-019-1689-2","volume":"17","author":"H Li","year":"2019","unstructured":"Li H, Zhou CK, Song J, Zhang WY, Wang SM, Gu YL, et al. Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation. World J Surg Oncol. 2019;17:141.","journal-title":"World J Surg Oncol"},{"key":"1586_CR21","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1016\/j.ejon.2015.09.009","volume":"21","author":"J Li","year":"2016","unstructured":"Li J, Huang J, Zhang J, Li Y. A home-based, nurse-led health program for postoperative patients with early-stage cervical cancer: a randomized controlled trial. Eur J Oncol Nurs. 2016;21:174\u201380.","journal-title":"Eur J Oncol Nurs"},{"key":"1586_CR22","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1016\/j.ygyno.2013.10.024","volume":"132","author":"TL Rutledge","year":"2014","unstructured":"Rutledge TL, Rogers R, Lee SJ, Muller CY. A pilot randomized control trial to evaluate pelvic floor muscle training for urinary incontinence among gynecologic cancer survivors. Gynecol Oncol. 2014;132:154\u20138.","journal-title":"Gynecol Oncol"},{"key":"1586_CR23","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/j.ygyno.2012.03.045","volume":"125","author":"EJ Yang","year":"2012","unstructured":"Yang EJ, Lim JY, Rah UW, Kim YB. Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction: a randomized controlled trial. Gynecol Oncol. 2012;125:705\u201311.","journal-title":"Gynecol Oncol"},{"key":"1586_CR24","doi-asserted-by":"publisher","first-page":"1936","DOI":"10.1007\/s12325-019-01006-4","volume":"36","author":"TM Cerentini","year":"2019","unstructured":"Cerentini TM, Schl\u00f6ttgen J, da Rosa PV, La Rosa VL, Vitale SG, Giampaolino P, et al. Clinical and psychological outcomes of the use of vaginal dilators after gynaecological brachytherapy: a randomized clinical trial. Adv Ther. 2019;36:1936\u201349.","journal-title":"Adv Ther."},{"key":"1586_CR25","first-page":"649","volume":"39","author":"N Jiang","year":"2023","unstructured":"Jiang N, Long D, Lin J, Li H, Ren J. Influence of continuing nursing on disease recurrence and quality of life score in patients with cervical cancer. Acta Med Mediterr. 2023;39:649\u201357.","journal-title":"Acta Med Mediterr."},{"key":"1586_CR26","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/j.ygyno.2020.09.016","volume":"159","author":"P Schofield","year":"2020","unstructured":"Schofield P, Gough K, Pascoe M, Bergin R, White K, Mileshkin L, et al. A nurse- and peer-led psycho-educational intervention to support women with gynaecological cancers receiving curative radiotherapy: the PeNTAGOn randomised controlled trial - ANZGOG 1102. Gynecol Oncol. 2020;159:785\u201393.","journal-title":"Gynecol Oncol"},{"key":"1586_CR27","first-page":"4052","volume":"13","author":"J Du","year":"2020","unstructured":"Du J, Tian Y, Dan X, He Y. The effect of empowerment education-based nursing intervention on the postoperative sexual function and depression state of cervical cancer patients of reproductive age. Int J Clin Exp Med. 2020;13:4052\u201361.","journal-title":"Int J Clin Exp Med."},{"key":"1586_CR28","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1016\/S0360-3016(99)00048-6","volume":"44","author":"JW Robinson","year":"1999","unstructured":"Robinson JW, Faris PD, Scott CB. Psychoeducational group increases vaginal dilation for younger women and reduces sexual fears for women of all ages with gynecological carcinoma treated with radiotherapy. Int J Radiat Oncol Biol Phys. 1999;44:497\u2013506.","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"1586_CR29","doi-asserted-by":"publisher","first-page":"1118794","DOI":"10.3389\/fonc.2023.1118794","volume":"13","author":"X Li","year":"2023","unstructured":"Li X, Liu L, He J, Yan J, Wang Y. Analysis of the effectiveness of the application of pelvic floor rehabilitation exercise and the factors influencing its self-efficacy in postoperative patients with cervical cancer. Front Oncol. 2023;13:1118794.","journal-title":"Front Oncol"},{"key":"1586_CR30","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s00404-023-07141-2","volume":"309","author":"TH Tung","year":"2024","unstructured":"Tung TH, Chen HW, Chou HH, Tsai JL, Yang YC, Lee JT. Does a one-session sexual health education program improve sexual confidence in patients with cervical cancer? A transtheoretical model-based clinical study. Arch Gynecol Obstet. 2024;309:249\u201358.","journal-title":"Arch Gynecol Obstet"},{"key":"1586_CR31","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1016\/j.ygyno.2020.09.001","volume":"159","author":"MP Cyr","year":"2020","unstructured":"Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. Feasibility, acceptability and effects of multimodal pelvic floor physical therapy for gynecological cancer survivors suffering from painful sexual intercourse: a multicenter prospective interventional study. Gynecol Oncol. 2020;159:778\u201384.","journal-title":"Gynecol Oncol"},{"key":"1586_CR32","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.physio.2021.09.003","volume":"114","author":"MP Cyr","year":"2022","unstructured":"Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. Changes in pelvic floor morphometry and muscle function after multimodal physiotherapy for gynaecological cancer survivors suffering from dyspareunia: a prospective interventional study. Physiotherapy. 2022;114:54\u201362.","journal-title":"Physiotherapy"},{"key":"1586_CR33","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1016\/j.jsxm.2021.02.014","volume":"18","author":"MP Cyr","year":"2021","unstructured":"Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. A prospective single-arm study evaluating the effects of a multimodal physical therapy intervention on psychosexual outcomes in women with dyspareunia after gynecologic cancer. J Sex Med. 2021;18:946\u201354.","journal-title":"J Sex Med"},{"key":"1586_CR34","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1007\/s00520-023-08050-5","volume":"31","author":"R Brennen","year":"2023","unstructured":"Brennen R, Soh SE, Denehy L, Lin KY, Jobling T, McNally OM, et al. Pelvic floor muscle training delivered via telehealth to treat urinary and\/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study. Support Care Cancer. 2023;31:589.","journal-title":"Support Care Cancer"},{"key":"1586_CR35","doi-asserted-by":"publisher","first-page":"2947","DOI":"10.1007\/s00192-021-04981-x","volume":"32","author":"S Bernard","year":"2021","unstructured":"Bernard S, McLean L, Boucher S, H\u00e9bert LJ, Plante M, Gr\u00e9goire J, et al. An in-home rehabilitation program for the treatment of urinary incontinence symptoms in endometrial cancer survivors: a single-case experimental design study. Int Urogynecol J. 2021;32:2947\u201357.","journal-title":"Int Urogynecol J"},{"key":"1586_CR36","doi-asserted-by":"publisher","first-page":"2411","DOI":"10.1007\/s00192-020-04391-5","volume":"31","author":"C Sacomori","year":"2020","unstructured":"Sacomori C, Araya-Castro P, Diaz-Guerrero P, Ferrada IA, Mart\u00ednez-Varas AC, Zomkowski K. Pre-rehabilitation of the pelvic floor before radiation therapy for cervical cancer: a pilot study. Int Urogynecol J. 2020;31:2411\u20138.","journal-title":"Int Urogynecol J"},{"key":"1586_CR37","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1002\/cncr.30976","volume":"124","author":"SL Bober","year":"2018","unstructured":"Bober SL, Recklitis CJ, Michaud AL, Wright AA. Improvement in sexual function after ovarian cancer: effects of sexual therapy and rehabilitation after treatment for ovarian cancer. Cancer. 2018;124:176\u201382.","journal-title":"Cancer"},{"key":"1586_CR38","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1080\/13548506.2019.1626452","volume":"25","author":"C Hungr","year":"2020","unstructured":"Hungr C, Recklitis CJ, Wright AA, Bober SL. How does a single session group intervention improve sexual function in ovarian cancer survivors? A secondary analysis of effects of self-efficacy, knowledge and emotional distress. Psychol Health Med. 2020;25:110\u201320.","journal-title":"Psychol Health Med"},{"key":"1586_CR39","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/j.ygyno.2012.01.035","volume":"125","author":"LA Brotto","year":"2012","unstructured":"Brotto LA, Erskine Y, Carey M, Ehlen T, Finlayson S, Heywood M, et al. A brief mindfulness-based cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer. Gynecol Oncol. 2012;125:320\u20135.","journal-title":"Gynecol Oncol"},{"key":"1586_CR40","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/s10508-007-9196-x","volume":"37","author":"LA Brotto","year":"2008","unstructured":"Brotto LA, Heiman JR, Goff B, Greer B, Lentz GM, Swisher E, et al. A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Arch Sex Behav. 2008;37:317\u201329.","journal-title":"Arch Sex Behav"},{"key":"1586_CR41","doi-asserted-by":"publisher","first-page":"e20","DOI":"10.1097\/j.pain.0000000000002308","volume":"163","author":"B Siddall","year":"2022","unstructured":"Siddall B, Ram A, Jones MD, Booth J, Perriman D, Summers SJ. Short-term impact of combining pain neuroscience education with exercise for chronic musculoskeletal pain: a systematic review and meta-analysis. Pain. 2022;163:e20\u201330.","journal-title":"Pain"},{"key":"1586_CR42","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1056\/NEJMra1510062","volume":"377","author":"J Woodcock","year":"2017","unstructured":"Woodcock J, LaVange LM. Master protocols to study multiple therapies, multiple diseases, or both. N Engl J Med. 2017;377:62\u201370.","journal-title":"N Engl J Med"},{"key":"1586_CR43","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1186\/s13063-015-0948-y","volume":"16","author":"K Sygna","year":"2015","unstructured":"Sygna K, Johansen S, Ruland CM. Recruitment challenges in clinical research including cancer patients and their caregivers. Trials. 2015;16:428.","journal-title":"Trials"},{"key":"1586_CR44","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1186\/s12874-018-0614-7","volume":"18","author":"L Heckel","year":"2018","unstructured":"Heckel L, Gunn KM, Livingston PM. The challenges of recruiting cancer patient\/caregiver dyads: informing randomized controlled trials. BMC Med Res Methodol. 2018;18:146.","journal-title":"BMC Med Res Methodol"},{"key":"1586_CR45","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1038\/s41591-022-02160-z","volume":"29","author":"V Subbiah","year":"2023","unstructured":"Subbiah V. The next generation of evidence-based medicine. Nat Med. 2023;29:49\u201358.","journal-title":"Nat Med"},{"key":"1586_CR46","doi-asserted-by":"publisher","first-page":"4","DOI":"10.5334\/ijic.3046","volume":"18","author":"JJ Loonen","year":"2018","unstructured":"Loonen JJ, Blijlevens NM, Prins J, Dona DJ, Den Hartogh J, Senden T, et al. Cancer survivorship care: person centered care in a multidisciplinary shared care model. Int J Integr Care. 2018;18:4.","journal-title":"Int J Integr Care"},{"key":"1586_CR47","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3322\/caac.21548","volume":"69","author":"CM Alfano","year":"2019","unstructured":"Alfano CM, Leach CR, Smith TG, Miller KD, Alcaraz KI, Cannady RS, et al. Equitably improving outcomes for cancer survivors and supporting caregivers: a blueprint for care delivery, research, education, and policy. CA Cancer J Clin. 2019;69:35\u201349.","journal-title":"CA Cancer J Clin"}],"container-title":["Current Oncology Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-024-01586-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11912-024-01586-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-024-01586-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T08:57:47Z","timestamp":1732093067000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11912-024-01586-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,23]]},"references-count":47,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["1586"],"URL":"https:\/\/doi.org\/10.1007\/s11912-024-01586-7","relation":{},"ISSN":["1523-3790","1534-6269"],"issn-type":[{"value":"1523-3790","type":"print"},{"value":"1534-6269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,23]]},"assertion":[{"value":"15 July 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 August 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}