Open research questions in Cancer survivorship and care

What the literature leaves open

• Future research should explore the interplay of other resilience dimensions (e. Fourth, the study population comprised patients with newly diagnosed PC for whom definitive cancer staging and treatment plans had not yet been established.

  Network analysis of the relationship between anxiety, depression and resilience in patients with pancreatic cancer and gender differences · 2026 · DOI

• Evidence for multidisciplinary (MD) lifestyle interventions in CCS, particularly from low– and middle‐income countries (LMICs), remains limited, and long‐term adherence is poorly understood.

  Feasibility and Impact of a Multidisciplinary Lifestyle Intervention Among Overweight and Obese Childhood Cancer Survivors in a Low– and Middle‐Income Setting · 2026 · DOI

• Abstract Background Gastrointestinal (GI) and respiratory symptoms are common among patients undergoing cancer treatment, yet little is known about the symptom burdens and management by race.

  Gastrointestinal and respiratory symptom reporting by race among cancer patients in an RSM Program · 2026 · DOI

• Remote Symptom Monitoring (RSM) with electronic Patient-Reported Outcomes (ePROs) enhances symptom tracking and intervention; however, its impact on racial disparities in symptom reporting remains unclear.

  Gastrointestinal and respiratory symptom reporting by race among cancer patients in an RSM Program · 2026 · DOI

• FRAIL score, open surgery, and complication severity were risk factors, warranting attention to postoperative negative emotions and timely intervention.

  Factors Influencing the Mental Health Status of Hepatocellular Carcinoma Patients Undergoing Hepatectomy · 2026 · DOI

• Transferability to other healthcare sys- tems may be limited by the specific features of the German healthcare system, although some internationally observed facilitators and barriers are comparable [12, 43].

  A qualitative analysis of cancer patients’ views on facilitators and barriers for the implementation of oncological exercise therapy · 2026 · DOI

• Future research should focus on developing and evaluating interventions to better support individuals living with ACC and mitigate the psychological and practical impacts of the disease.

  Hope is everything – an hermeneutic phenomenological study on the lived experiences of individuals with adrenocortical carcinoma · 2026 · DOI

• Based on our experience, we have compiled a series of recommendations for incorporating GenAI into SMS creation as part of health promotion intervention development. These recommendations are broadly consistent with those identified by other research groups [13, 17, 23, 25],. 1. Researchers must understand GenAI’s capabilities and limitations to support efficient use of the tool. 2. Providing evidence-based information and primary resources improves content accuracy. 3. Information generated by GenAI must be closely checked for accuracy and appropriateness. 4. Language translation should not rely on GenAI alone. When resources are available, a native speaker of the target language and dialect should lead the translation process and/or be consulted for accuracy. 5. Engage end-users and content experts in the revision process to ensure the safety and accuracy of SMS content and the acceptability and relevance thereof.

  Applying Innovative Methods to Develop Health Education Text Messages in Cancer Survivorship · 2026 · DOI

• An important limitation of the study is the lack of data regarding time since colostomy creation. Future longitudinal studies incorporating clinical variables and validated psychosocial measures are warranted to further clarify the mechanisms underlying successful adaptation and to inform targeted interventions aimed at improving long-term quality of life in this patient population.

  Quality of life, disease acceptance, and psychosocial functioning in colorectal cancer patients with colostomy: a cross-sectional study · 2026 · DOI

• Future research should investigate whether structured self-care support can miti- gate disparities and enhance HRQL following treatment for oesophageal or gastric cancer.

  Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study · 2026 · DOI

• Discussion In this nationwide cohort study of oesophageal or gastric cancer survivors, we observed significant variations in individuals' engagement with self-care strategies following treatment. One-third of participants reported no engagement in self-care activities, while a similar proportion engaged at varying levels of self-management. Across all analytical models, higher education emerged as the most robust and consistent predictor of self-care. Neither formal assignment of a designated contact nurse nor geographic proximity to the treating hospital was associated with self-care activities. Notably, participants in the high self-care group reported significantly better global QOL than those in the moderate This study had several notable strengths. The use of pop- ulation-based sampling enhances the representativeness and generalisability of the findings to Swedish survivors of oesophageal and gastric cancers. The large national cohort further facilitated the robust modelling of sociode- mographic and clinical variables. However, this study has some limitations. The cross-sectional design precludes causal inference, preventing the determination of whether self-care improves global QOL or whether individuals with better global QOL are more inclined to engage in it. Self- reported measures introduce the risk of recall and reporting bias, particularly for subtle or intermittent behaviours. The response rate was modest (~ 31%), although a comparison of non-responders with responders suggested broadly simi- lar demographic and clinical characteristics. Nonetheless, 1 3Quality of Life Research (2026) 35:215 respondents may represent a more health-engaged popula- tion, potentially underestimating the true inequities in self- care. This may also indicate a degree of survival-related selection. Although a comparison with non-responders sug- gested broadly similar clinical characteristics, the findings may still be less relevant to patients with more advanced diseases or poorer prognoses.

  Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study · 2026 · DOI

• This Delphi study, while among the first to develop a CDSS for exercise oncology, faced several notable limitations. A significant challenge was the moderate acceptance rate of exercise prescription recommendations, with nearly half of the 112 proposed recommendations being declined. These recommendations were selected on the basis of a predefined evidence-based criterion, requiring recommended interventions to demonstrate statistically significant within-group improvements for the outcome of interest. The relatively high proportion of “declined” recommendations likely reflects two factors. First, feasibility considerations played a central role, particularly regarding intervention frequency, duration, and intensity, which participants frequently evaluated against real-world clinical constraints such as patient burden and reimbursement policies. Second, the complexity of cancer populations, including their comorbidities and treatment-specific considerations, may have reduced the perceived generalizability of some recommendations. Together, these challenges highlight the persistent gap between evidence generation and implementation in exercise oncology. The inability to revise and resubmit declined recommendations for further Delphi rounds, owing to adherence to the predefined criterion, restricted our capacity to refine proposals while maintaining methodological consistency. Despite this, we identified and described emerging trends in participant feedback, offering valuable insights for future iterations. Additionally, many interventions considered under the Delphi-defined criterion have been inadequately reported, particularly those lacking details on the FITT principles. Incomplete reporting, such as unspecified exercise types or frequencies, contributed to a higher disapproval rate among the participants.

  Development of a clinical decision support system for exercise prescription among cancer survivors: a modified Delphi study · 2026 · DOI

• Nonetheless, future research may consider employing more refined measurement indicators—such as separating nutritional knowledge, label-reading skills, planning abilities, and objective indi- ces of actual dietary behavior—or incorporating longitudinal data to examine whether cross-type profiles emerge at different time points or treatment stages.

  Food and nutrition literacy and diet self-efficacy among patients with liver cancer: latent profile analysis, associated factors, and an exploratory examination of gender differences · 2026 · DOI

• Several limitations of this study should be considered when interpreting the results. First, regardless of whether they underwent chemotherapy or surgery, the physical condition of the patients during hospitalization was very poor. Thus, data collection for this study was quite difficult. Therefore, data collection was very slow and focused on patients from one hospital. This method resulted in a relatively small sam- ple size and affected the authenticity of the data provided by patients. Therefore, future studies should be conducted at mul- tiple centers to improve the generalizability of our results. Second, in our study, we did not longitudinally explore the trajectory of psychological distress or its influencing factors; future research should focus on this topic. Acknowledgements The authors thank all participants. We are grateful for the support of the fund, which enabled us to successfully complete the study. Author contributions ZYH, XXX, WSS, YY, YJ, CJM, HYL, QYH and CJ made substantial contributions to the conception and design of the study, acquisition of data, or analysis and interpretation of the data. ZYH, XXX, QYH and CJ were involved in drafting the manu- script or critically revising it for important intellectual content. ZYH, XXX, WSS, HYL, YY, YJ, CJM, QYH and CJ gave final approval of the version to be published. Each author participated sufficiently in the work to take public responsibility for appropriate portions of the content in the manuscript. HYL, QYH and CJ agree to be accountable for all aspects of the work and to ensure that questions related to the accuracy or integrity of any part of the work are appropriately inves- tigated and resolved. Funding This study was supported by the National Natural Science Foundation of China (82073408) and the Medical Scientific Research Foundation of Guangdong Province (A2024692). Data Availability The data that support the findings of this study are available from the corresponding author upon reasonable request.

  Current status and influencing factors of psychological distress in young and middle-aged patients with breast cancer: a cross-sectional study · 2026 · DOI

• The results from this study should be interpreted with an understanding of its limitations to the generalizability of the results. For example, the results of this pilot RCT will only be relevant when considering implementation of the larger trial to sites that are comparable to the JCC. Also, due to the nature of the intervention and project constraints, there will be minimal blinding, which can introduce bias. The research team will need to take these factors into consideration, including resource needs, funding, and management supports when implementing the larger trial.

  Evaluation of a novel role proposal for the use of a physiotherapist navigator in an acute cancer care setting in Ontario: Protocol for a pilot randomized controlled trial · 2026 · DOI

• Future studies should consider using more comprehensive stigma measurement tools and obtaining qualitative data on the context and potential underlying mechanisms of internal cognitive and emotional processes [32,35]. Future studies should consider using a cohort or longitudinal study design to overcome this constraint.

  The Association between Illness-Related Stigma and Mental Well-Being among Cancer Survivors in Yunnan, China · 2026 · DOI

• Several promising approaches are on the horizon in addition to the practices described above. Help-seeking is a key protective factor for suicide that needs additional research. More research is needed on policies and practices that help reduce stigma associated with seeking or receiving help and that protect individuals, like the ability to maintain employment. Standardized tools such as self-report questionnaires or clinician-administered interviews can help mental health professionals, medical personnel, and others identify and evaluate people at risk. Suicide risk screening and assessment are two different methods that should be administered sequentially. Screening is a method used to rapidly identify someone who needs further evaluation. Assessment is a more comprehensive evaluation to confirm risk, estimate immediate danger to the individual, and guide next steps. Suicide screening may be applied either universally or selectively. Universal screening applies to everyone in large settings such as K–12 schools and colleges or correctional facilities, regardless of risk. Universal screening may also occur as part of routine healthcare in primary care settings or emergency departments. Selective screening may be conducted in mental health settings or in emergency departments when individuals are experiencing a mental health crisis. Toolkits for guiding implementation of screening programs are available from Zero Suicide and the National Institute of Mental Health. countries).352 CAMS is currently being evaluated as The Ask Suicide-Screening Questions,356 Patient Safety part of a systems-level approach to reducing suicide Screener-3,357 Columbia Suicide Severity Rating Scale,358 risk within a National Health Service clinic that and Concise Health Risk Tracking Self-Report359 are serves a population of 158,000 people in the United brief, validated, and commonly used tools to screen Kingdom.353 Efforts are also underway to develop for suicide risk. They can be used in a wide range versions of CAMS to support teenagers at high risk for of settings including primary care, emergency suicide (CAMS-4Teens), children at high risk for suicide departments, and mental health settings. Individual (CAMS-4Kids), and their families.354 Additionally, tools are not sufficiently accurate predictors of V-CAMS is a virtual version that uses a patient-facing suicide risk and should only be used as part of a avatar and electronic caring contacts to facilitate best-practice suicide prevention interventions.355 wider comprehensive assessment according to the reserach.360,361 Some tools do screen for a broader 66 SUICIDE PREVENTION RESOURCE FOR ACTION set of suicide risk factors and may also provide valuable information about risk for suicidal ideation and attempts. The Convergent Functional Information be recognized.52,363,364 Applying machine learning to for Suicidality (CFI-S) 22-item checklist has shown electronic health records has the potential to improve moderate to high sensitivity and specificity. It risk detection, but these methods are currently not outperforms physicians’ predictive ratings of repeat being routinely implemented in clinical settings. visits to the emergency department and completed suicides during a six-month follow-up period.362 Ongoing efforts to provide more effective support and treatment for individuals at risk of suicide include the Emerging efforts to improve risk identification involve 988 Suicide & Crisis Lifeline, mobile and community techniques such as machine learning and artificial crisis response teams, and continued adaptation of intelligence to analyze medical records and other therapeutic approaches for specific groups. Mobile information to identify people at risk for suicide. and community crisis teams consists of mental health Advances in predictive computer modeling show professionals who provide crisis services as well as promising methods for using readily available data follow-up stabilization services. These teams will (such as those available in electronic health records) travel to homes and community locations to help an to detect populations at risk who might not otherwise individual experiencing a crisis.

  Mental health conditions among cancer survivors and individuals with and without comorbid chronic conditions: a retrospective claims analysis of patients with employee-sponsored insurance, 2012–2017 · 2026 · DOI

• parenting that is culturally specific to Latino families The continued stigma that surrounds talking about going through acculturation. The program utilizes mental health and suicide is a major barrier to eight multi-family group visits and four family visits implementing coping and problem-solving skills with a focus on parent-child communication and groups despite the benefit to individuals across the effective discipline.

  Mental health conditions among cancer survivors and individuals with and without comorbid chronic conditions: a retrospective claims analysis of patients with employee-sponsored insurance, 2012–2017 · 2026 · DOI

• Promising practices emphasizing connection with peers in adult populations may become more common ways of preventing suicide in the future. For example, the Peers for Valued Living (PREVAIL) program incorporates peers with lived experience to provide support to adults who are at high risk of suicide immediately after an inpatient psychiatric hospitalization. Initial research has supported the acceptability, feasibility, and fidelity of the intervention.236 Men’s Shed presents another promising practice to promote social connectedness among adult peers.237 Men’s Shed started in Australia and spread to the United Kingdom and the U.S. It provides a communal space for older men to socialize, learn new skills, and engage in practical activities with other men, such as woodworking. One preliminary study suggests increased social connectedness, health, and well-being among men participating in Men’s Shed.238 Both PREVAIL and Men’s Shed focus on specific populations. Other population groups may also benefit from healthy peer norm programs that pay particular attention to cultural norms and conditions. The COVID-19 pandemic has presented serious challenges to healthy connections among all people. The pandemic has forced people into using novel formats for engagement and connection, such as video conferencing, online chat, and mobile apps. Stack Up is a nonprofit veteran organization whose goal is to use video games to bring veterans together, using a virtual space to increase connectedness in an online peer support program.239 Stack Up created the Stack Up Overwatch Program (StOP) because 46 SUICIDE PREVENTION RESOURCE FOR ACTION they recognized a need in the gaming-focused The app provides free 24/7 access to online health online community. This suicide prevention and crisis and wellness resources, peer-to-peer support, and intervention program is delivered entirely through volunteer opportunities to users. the internet by trained peers using a gaming platform text and voice chat feature. The program combines elements of virtual gaming communities, veteran mental health, and community-based peer support and provides an innovative format for implementing a suicide prevention program. Another program by Objective Zero Foundation utilizes mobile application technology for peer-to-peer support to enable global connection of service members, veterans, family members, and caregivers.240 Finally, the pandemic has raised concerns about the mental well-being of children, particularly those with pre-existing behavioral health conditions.241 Additional research is warranted regarding strategies to engage children, help them connect with community members and community resources, and prevent suicide.242,243 There is still a lot to learn about changes in connectedness during COVID-19 and at other times of infrastructure disruptions.

  Mental health conditions among cancer survivors and individuals with and without comorbid chronic conditions: a retrospective claims analysis of patients with employee-sponsored insurance, 2012–2017 · 2026 · DOI

• Access to mental health and substance use disorder treatment services is critical for suicide prevention. Unfortunately, many people at risk for suicide do not meet criteria for these treatments, delay treatment, or do not seek treatment.21 Suicide prevention efforts that focus on the above approaches can support people at risk and help prevent risk in the first place. Access to care also relies on the cultural relevance of the care, and additional information is needed on how cultural adaptations improve access and utilization of suicide care. Reaching out to people through other Zero Suicide seeks to eliminate suicide among methods, including primary care and community patients engaged with health systems. The Henry outreach as described in the Identify and Support Ford Health System (HFHS) implemented a program People at Risk chapter, can also be beneficial. More that screened and assessed each behavioral health methods that utilize existing medical providers in the patient for suicide risk and implemented coordinated, service of suicide prevention are also supported in continuous follow-up care systemwide.213 The Zero the literature and growing in practice. Suicide model was derived from the HFHS program and other models of health systems change to improve suicide care, as detailed in the Suicide Care in Systems Framework from the Action Alliance. An examination of the impact of the program found a dramatic and statistically significant decrease in the rate of suicide between the baseline years, 1999 and 2000, and the intervention years, 2002–2009.

  Mental health conditions among cancer survivors and individuals with and without comorbid chronic conditions: a retrospective claims analysis of patients with employee-sponsored insurance, 2012–2017 · 2026 · DOI

• Evidence is still accumulating around many approaches for strengthening economic supports A particularly understudied area is the impact of and their relationship with suicide. Many studies financial assistance and eviction support on suicide show promising correlations between the risk for individuals with lower incomes who rent interventions and the outcomes at the population rather than own a home. Studies have not found level. This evidence can be strengthened as states that rent assistance can reduce suicide, but there is and communities continue to monitor changes an association between financial assistance programs and impacts using rigorous study designs. for renters with lower incomes in the U.S. and United Kingdom and self-reported depression, a suicide risk factor.118,119 Programs that offer low-barrier housing for individuals experiencing chronic homelessness may also help reduce suicide.

  Mental health conditions among cancer survivors and individuals with and without comorbid chronic conditions: a retrospective claims analysis of patients with employee-sponsored insurance, 2012–2017 · 2026 · DOI

• This study has several limitations. First, the cross-sectional design limits determining causal relationships between the variables. Second, this study only surveyed patients from one general hospital in Henan Province, which may result ARTICLE IN PRESS ARTICLE IN PRESS ACCEPTED MANUSCRIPT in certain limitations in the scope of the research. Future studies should include patients from broader geographical regions and different levels of medical institutions to enhance sample representativeness. Third, the sample size is relatively modest, which may affect the full revelation of the complex relationships between variables. In view of the above limitations, caution should be exercised when interpreting and generalizing the findings of this study.

  Health behaviors and symptom clusters mediate self-management efficacy and quality of life in lung cancer immunotherapy · 2026 · DOI

• should therefore include a broader and more diverse sample, including former partners, as they are likely to provide the richest insight. Furthermore, largescale quantitative studies are needed to determine the magnitude of these needs. research (Maleki et al., A main finding was a decrease in sexual activity and desire toward the female partner, related to the cancer treatment, which aligns with previous 2022; Woloski-Wruble and Kadmon, 2002). Sexuality was particularly affected by changes in women’s appearance, such as baldness and mastectomy, and by the fact that sexual intercourse no longer felt as natural as before (for some men), which may reflect disruptions in established sexual scripts and expectations surrounding intimacy and the female body (Gilbert et al., 2010; Loaring et al., 2015). exploring alternative Partners tried to adapt to this new situation by concealing sexual practices, and using baldness, lubrication and sex toys. These adaptive strategies might suggest active efforts to renegotiate intimacy within constraints of illness (Gilbert et al., 2010; Loaring et al., 2015). Nevertheless, they emphasized the need to provide information as a standard procedure on these issues, including how women experience these sexual changes. Besides information, partners desired professional support, such as guidance in coping with the loss of a breast and preparing for the relational impact of physical changes. However, such support was never received, which is consistent with findings of Albers et al. (2020), where 73.7% of partners reported receiving no information regarding sexuality. Beyond sexual related support, partners needed also emotional support and general information about breast cancer, particularly early in the trajectory, as information seeking can serve as a coping strategy 2016; Woloski-Wruble and Kadmon, 2002). Together, these findings highlight a persistent gap in partner-oriented care, particularly regarding sexuality, which remains insufficiently addressed in clinical practice. (Keesing et al., Due to the lack of partner-focused guidance, participants felt underrecognized and left to their fate, which may be understood in light of caregiving role expectations, where partners prioritize the patient’s needs over their own (Chin et al., 2025; Goerling et al., 2020). They wished for ongoing professional support throughout the entire cancer trajectory, preferably on their own. This is an important finding, as it nuances dyadic coping approaches, which emphasize shared coping and mutual support and are associated with higher relationship satisfaction (Badr and Krebs, 2013; Zimmermann, 2015). While dyadic models assume openness and mutual exchange, partner-only interventions may be beneficial, as male partners often refrain from expressing their needs to avoid burdening their female partners (Cheng et al., 2014; Kleine et al., 2019). These findings therefore suggest that, alongside dyadic approaches, individual support formats may better accommodate partners’ tendency toward protective buffering, whereby they downplay or withhold their own needs (Goerling et al., 2020; Manne et al., 2007). relationships Finally, literature indicates that breast cancer negatively affects the relationship in 25% of partners, mainly due to communication difficulties, and leads in 12% to the end of (Walsh et al., 2005). This was also reflected in this study, where relationships tended to remain stable or deteriorate over time. One partner who struggled most with adaptation and communication considered ending the relationship. Although based on a small sample, this finding provides a nuanced illustration of how relational strain may emerge when communication and adaptation processes are challenged (Gilbert et al., 2010). This is concerning, as open communication might help couples maintain (sexual) intimacy, adjust expectations, and manage changes together (Loaring et al., 2015; Rowland and Metcalfe, 2014).

  Beyond the patient: understanding partners' sexual challenges and professional support needs during the breast cancer trajectory · 2026 · DOI

• Even though the article makes several important points, it also has a number of drawbacks which the authors consider worthy of mentioning. Firstly, the use of a cross, sectional research approach does not allow for a causal interpretation of the relationships found between death anxiety, perceived social support, and mental well, being. The authors did find significant correlations among these variables, but they were not able to determine the causal links with certainty. One would need to have longitudinal data to see if death anxiety really leads to changes in mental well, being at a later stage. Secondly, the research was completely based on self, report scales, which are vulnerable to a number of biases such as social desirability and recall bias. Since death is a particularly sensitive subject, some of the respondents might have repressed or downplayed their worries. Hence, the lack of psychiatrist, led evaluations or structured diagnostic interviews is a limitation both in the assessment of the gravity of psychological symptoms and their clinical relevance. Thirdly, participants came from hospitals and were diagnosed and treated in tertiary oncology centres in Punjab. Thus, it is less likely that the conclusions are applicable to patients in primary or community health care, those outside the treatment circle, or IJDDT, Volume 16 Issue 40s, 2026 Page 84 Exploring the relationship between death anxiety and mental well-being in patients with gastric cancer people from other areas. India has a lot of cultural, economic, and medical service disparities which may affect the psychological state differently.

  Exploring the relationship between death anxiety and mental well-being in patients with gastric cancer · 2026 · DOI

• trajectory, the cancer In the future, it is necessary for researchers to utilize longitudinal study methods to explore how death anxiety and mental well, being change over time with i.e. various phases of diagnosis, active treatment, survivorship, and palliative care. These types of studies would reveal more about the time, based relationships and the possible predictive impacts. It is equally important that intervention, based studies be conducted to assess the impact of psychosocial programs that focus on death, related anxiety and enhancement of social support networks. In Indian oncology settings, culturally sensitive interventions that integrate existential therapy, meaning, cantered strategies, or well, structured family, based support models may be extremely useful. Furthermore, research designs using a combination of methods that integrate quantitative evaluations along with qualitative interviews have the potential to uncover a more profound understanding of patients personal experiences of death fear and ways of coping. Through qualitative investigations, one may gain insight into the culturally rooted meanings, spiritual beliefs, and interpersonal relations that significantly influence the psychological adjustment to a major illness. CONCLUSION This research locating the psychological aspects of gastric cancer by studying death anxiety and mental health among the patients of Punjab. The study shows that death anxiety is one of the main psychological concerns in this group and it is associated with poor mental health. Patients with a high level of death anxiety have a very low level of positive psychological functioning which shows that it is important to deal with patients' existential issues in addition to their physical symptoms in the field of oncology especially when dealing with cancer patients. Moreover, the research notes the importance of perceived social support as a helpful psychosocial factor. A greater amount of perceived social support was linked to a healthier mental state and a lessening of death anxiety which means that close and caring interpersonal relationships can help cancer patients to adjust psychologically. Thus, the research evidence highlights the necessity for IJDDT, Volume 16 Issue 40s, 2026 Page 85 Exploring the relationship between death anxiety and mental well-being in patients with gastric cancer the psychosocial assessment and integrating provision of support in the standard cancer care play especially in tertiary oncology clinics. Even though the cross, sectional design does not allow us to make causal inferences, this research presents evidence from a particular state that enhances the limited Indian literature on the death anxiety of gastric cancer patients. Its findings indicate the necessity of regularly screening for death, related distress and the introduction of psychosocial measures geared towards social support enhancement and mental health promotion. Subsequent studies, which follow patients over time and focus on the effects of interventions, could provide more in, depth knowledge about how death anxiety and social support influence psychological reactions throughout the cancer journey. REFERENCES (2015). Meaning- Breitbart, W., Rosenfeld, B., Pessin, H., Applebaum, A., Kulikowski, J., & Lichtenthal, W. G.

  Exploring the relationship between death anxiety and mental well-being in patients with gastric cancer · 2026 · DOI

Most-cited papers in Cancer survivorship and care

• Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable · Medicine & Science in Sports & Exercise · 2019 · 2,581 citations
• Malignant Melanoma · Archives of General Psychiatry · 1993 · 792 citations
• Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers · Canadian Medical Association Journal · 2004 · 721 citations
• Victims' perceptions of social support: What is helpful from whom? · Journal of Personality and Social Psychology · 1990 · 460 citations
• Exercise in Cancer Survivors: An Overview of Research · Medicine & Science in Sports & Exercise · 2003 · 317 citations
• Prevalence and risk factors of cancer-related fatigue: A systematic review and meta-analysis · International Journal of Nursing Studies · 2020 · 296 citations
• Group support interventions for women with breast cancer: Who benefits from what? · Health Psychology · 2000 · 260 citations
• Prevalence of cancer survivors in the United States · JNCI Journal of the National Cancer Institute · 2024 · 249 citations
• Perceptions of positive meaning and vulnerability following breast cancer: Predictors and outcomes among long-term breast cancer survivors · Annals of Behavioral Medicine · 2005 · 209 citations
• Physical Functioning of Elderly Cancer Patients Prior to Diagnosis and Following Initial Treatment · Nursing Research · 2001 · 193 citations

Most recent work

• Integrative Oncology Approaches for Gastrointestinal Symptoms and Risk Reduction in Patients With Digestive Tract Cancers · Seminars in Radiation Oncology · 2026
• Fear of Cancer Recurrence and Adaptation in Early Breast Cancer Survivorship: A Latent Profile Analysis · Stress and Health · 2026
• Applying Innovative Methods to Develop Health Education Text Messages in Cancer Survivorship · Journal of Cancer Education · 2026
• Comment on “Periodizing Exercise Medicine Prescription for Patients with Cancer: A Narrative Opinion” · Sports Medicine · 2026
• Exercise in Oncology Patients: A Call for Strategies to Address the Critical Gap Between Evidence-Based Recommendations and Implementation · Seminars in Radiation Oncology · 2026
• A Narrative Review of Nature-Based Interventions that Support Mental Health and Well-Being for Adults Affected by Cancer · Seminars in Radiation Oncology · 2026
• Integrative Medicine for Breast Cancer Survivors · Seminars in Radiation Oncology · 2026
• Patient Acceptance of Colorectal Cancer Exercise Prehabilitation: A Scoping Review · Anesthesia Research · 2026
• Development and effectiveness evaluation of a mobile health-based follow-up management model for patients after hematopoietic stem cell transplantation · Frontiers in Medicine · 2026
• Symptom clusters and network analysis in lung cancer patients receiving taxane-based chemotherapy: a comprehensive assessment using the CIPNAT multi-scale tool · Supportive Care in Cancer · 2026

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