Evidence map›Paper›PMID 19897514›Full record

ArticleFamily practice2010

'If I feel something wrong, then I will get a mammogram': understanding barriers and facilitators for mammography screening among Chilean women.

Klaus Püschel, Beti Thompson, Gloria Coronado, Karla Gonzalez, Carolina Rain, Soledad Rivera

Open access · bronzeAbstract read
In one paragraph

Article in Family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Strategies for increasing mammography screening in primary care in Chile: results of a randomized clinical trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Lived experiences of breast cancer survivors after diagnosis, treatment and beyond: qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2016
    Article
  10. Article
  11. Article
  12. Perceived and objective breast cancer risk assessment in Chilean women living in an underserved area.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Article
  13. 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

6 authors at 2 institutions in 2 countries.

Klaus PüschelDepartment of Family and Community Medicine, Chile School of Medicine, P. Universidad Católica de Chile, Lira 44 no. 1, Piso, Santiago, Chile. kpuschel@med.puc.cl
Beti Thompson
Gloria Coronado
Karla Gonzalez
Carolina Rain
Soledad Rivera
Pontificia Universidad Católica de Chile · CLFred Hutch Cancer Center · US

Funding

Improving Breast Cancer Screening at the Primary Care LevelR03TW007900 · FIC · FRED HUTCHINSON CANCER RESEARCH CENTER · PI THOMPSON, BETI · 2007 to 2009
$114k
FIC NIH HHS R03 TW 007900-01
6 · The paper itself

Abstract

backgroundBreast cancer is the leading cause of cancer among women in Chile and in many Latin American countries. Breast cancer screening is an effective strategy to reduce mortality, but it has a very low compliance among Chilean women.

objectiveTo understand barriers and facilitators for breast cancer screening in a group of Chilean women aged 50-70.

methodsFollowing the Predisposing, Enabling and Reinforcing (PRECEDE) framework, seven focus groups (N = 48 women) were conducted with women that have had diverse experiences with breast cancer and screening practices. Information was collected using field notes and audio and video recording. Following the grounded theory model, a sequential process of open, axial and selective coding was used for the information analysis. Atlas ti 5.5 software was used for coding and segmenting the data obtained from the interviews.

resultsThe presence of symptoms and/or the finding of lumps through breast self-examination (BSE) were the main predisposing factors for getting a mammogram. Secrecy, embarrassment and fatalism about breast cancer were significant cultural factors that influenced the decision to seek mammogram screening. Confidence in medical staff and dignity in the treatment at the clinic were important enabling factors. The main reinforcing factors for getting the test were a sense of fulfilment by doing something good for themselves and getting timely information about the results.

conclusionsPrimary health care providers should use culturally appropriate strategies to better inform women about the importance of mammography screening and the limitations of BSE for preventing advanced breast cancer.

Indexed as

Attitude to HealthMammographyPatient Acceptance of Health CareAgedBreast NeoplasmsBreast Self-ExaminationChileFemaleFocus GroupsHumansMiddle AgedSurveys and Questionnaires

Identifiers

PMID19897514
PMCPMC2860714
OpenAlexW2128778269

What OpenQuestion holds

Textmetadata
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.