Evidence map›Paper›PMID 21059583›Full record

ArticleOncology nursing forum2010

Physical access barriers to care for diagnosis and treatment of breast cancer among women with mobility impairments.

Lisa I Iezzoni, Kerry Kilbridge, Elyse R Park

Open access · bronzeAbstract read
In one paragraph

Article in Oncology nursing forum, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  12. Marginalized patient identities and the patient-physician relationship in the cancer care context: a systematic scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  19. Disparities in gastric cancer screening among people with disabilities: a national registry-linkage study in South Korea.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2020
    Article
  20. Ensuring the Reproductive Rights of Women with Intellectual Disability.Journal of intellectual & developmental disability · 2020
    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

3 authors at 1 institution in 1 country.

Lisa I IezzoniDepartment of Medicine at Harvard Medical School, Mongan Institute for Health Policy at Massachusetts General Hospital, Boston, USA. liezzoni@partners.org
Kerry Kilbridge
Elyse R Park
Massachusetts General Hospital · US

Funding

Early-Stage Breast Cancer Treatment Decisions by Women with Physical DisabilitiesR21CA122130 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I · 2006 to 2007
$355k
NCI NIH HHS R21 CA122130
6 · The paper itself

Abstract

PURPOSE/

objectivesTo explore the perceptions of patients with breast cancer with mobility impairments of the physical accessibility of healthcare facilities and equipment. RESEARCH APPROACH: Individual audiotaped interviews lasting one to two hours.

settingInterviews in homes or workplaces or by telephone.

participants20 women with chronic mobility impairments who developed early-stage breast cancer prior to age 60. Three were recruited from oncologist panels and 17 from informal social networks of disabled women nationwide. METHODOLOGIC APPROACH: Qualitative analyses of interview transcripts to identify common themes. MAIN RESEARCH VARIABLES: Extent and nature of mobility impairments and concerns raised by patients about barriers to care.

findingsThe 20 participants identified issues with inaccessible equipment, including mammography machines, examining tables, and weight scales. The patients sometimes needed to insist on being transferred to an examining table when physicians preferred to examine them seated in their wheelchairs. When staff would transfer them, patients feared injury or felt badly when clinical personnel were injured during transfers. Other issues included difficulties with positioning and handling patients' uncontrollable movements. Even when clinical sites had accessible equipment, this equipment was sometimes unavailable for the appointment.

conclusionsWomen with major mobility issues who developed breast cancer confronted numerous physical barriers during the course of their breast cancer diagnosis and treatment.

interpretationWith the aging of the baby boomer generation, an increasing number of people with mobility impairments will be seeking healthcare services. Healthcare providers should be proactive in planning to accommodate these patients by considering accessibility whenever they acquire new equipment, renovate older structures, or build new facilities. They also should establish policies and procedures to ensure that equipment is available during appointments of patients with mobility issues and that staff are trained in safe transferring procedures. Ensuring accommodations and accessibility will benefit patients with impaired mobility and clinical staff.

Indexed as

Breast NeoplasmsHealth Services AccessibilityMobility LimitationPersons with DisabilitiesActivities of Daily LivingFemaleHealth PersonnelHumansInterior Design and FurnishingsInterviews as TopicMammographyMiddle AgedOncology NursingRadiotherapySocial Support

Identifiers

PMID21059583
PMCPMC3008578
OpenAlexW2007557804

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.