Evidence map›Paper›PMID 19413030›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Assessing cancer stage and screening disparities among Native American cancer patients.

B Ashleigh Guadagnolo, Kristin Cina, Petra Helbig, Kevin Molloy, Mary Reiner, E Francis Cook, Daniel G Petereit

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Low income and health literacy: a systematic scoping review.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Observational
  6. Article
  7. Article
  8. Article
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  10. Review
  11. Where Should the Cancer Control Interventions Target: A Geospatial Hotspot Analysis for Major Cancer Mortality 2018 to 2022 in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  12. Article
  13. Characterizing Cancer Burden in the American Indian Population in North Carolina.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
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  15. Review
  16. Article
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  19. Factors Associated with Cancer Screening Among Hopi Men.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  20. Article
4 · The record

Corrections and comments

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

7 authors at 4 institutions in 1 country.

B Ashleigh GuadagnoloDepartment of Radiation Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. aguadagn@mdanderson.org
Kristin Cina
Petra Helbig
Kevin Molloy
Mary Reiner
E Francis Cook
Daniel G Petereit
Rapid City Regional Hospital · USHarvard University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

Harvard Education Program in Cancer Prevention Control (R25T)R25CA057711 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI DAVISON, KIRSTEN · 1992 to 2018
$8.5M
Enhancing Native American Participation in RT TrialsU56CA099010 · NCI · RAPID CITY REGIONAL HOSPITAL · PI PETEREIT, DANIEL G · 2002 to 2008
$6.2M
NCI NIH HHS R25 CA057711NCI NIH HHS R5 R25 CA57711-11NCI NIH HHS U56 CA099010
6 · The paper itself

Abstract

objectiveDisparities in cancer-related health outcomes exist among Native Americans. This article assesses barriers to timely and effective cancer care among Native American cancer patients.

methodsWe conducted a community-based participatory survey of newly diagnosed cancer patients to assess their basic knowledge of cancer screening and their beliefs about cancer management. Sociodemographic and cancer-related information was obtained from medical records. Mean scores for correct answers to the screening knowledge battery were tabulated and analyzed by race/ethnicity and sociodemographic characteristics. Multivariable regression models were used to adjust for sociodemographic characteristics in evaluating the association between screening knowledge and race/ethnicity.

resultsThe survey response rate was 62%. Of 165 patients, 52 were Native American and 113 were white. Native Americans with cancers for which a screening test is available presented with significantly higher rates of advanced-stage cancer (p=0.04). Native Americans scored lower on the cancer screening knowledge battery (p=0.0001). In multivariable analyses adjusting for age, gender, income, education level, employment status, and geographic distance from the cancer center, Native American race/ethnicity was the only factor significantly predictive of lower screening knowledge. Native Americans expressed more negative attitudes toward cancer treatment in some of the items regarding impacts and burden of cancer treatment.

conclusionsNative American cancer patients presented with higher rates of advanced-stage disease for screening-detectable cancers, lower levels of basic cancer screening knowledge, and more negative attitudes about cancer treatment than white patients. Public health interventions regarding screening and cancer education are needed.

Indexed as

Healthcare DisparitiesHealth Knowledge, Attitudes, PracticeIndians, North AmericanAdultAgedAged, 80 and overFemaleHealth Care SurveysHealth Services AccessibilityHumansMaleMass ScreeningMiddle AgedNeoplasmsRegression AnalysisSocial Class

Identifiers

PMID19413030
PMCPMC2602933
OpenAlexW282106965

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.