Evidence map›Paper›PMID 22493417›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2012

Quality of breast cancer care: perception versus practice.

Nina A Bickell, Jennifer Neuman, Kezhen Fei, Rebeca Franco, Kathie-Ann Joseph

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  6. Trust, medical expertise and humaneness: A qualitative study on people with cancer' satisfaction with medical care.Health expectations : an international journal of public participation in health care and health policy · 2021
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  14. Comparison of objective measures and patients' perceptions of quality of services in government health facilities in the Democratic Republic of Congo.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018
    Article
  15. Primary Care Practice Transformation and the Rise of Consumerism.Journal of general internal medicine · 2017
    Article
  16. Article
  17. How Does Caregiver Well-Being Relate to Perceived Quality of Care in Patients With Cancer? Exploring Associations and Pathways.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
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  18. Article
  19. Racial and ethnic disparities in patient-provider communication, quality-of-care ratings, and patient activation among long-term cancer survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
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  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

5 authors.

Nina A BickellMount Sinai School of Medicine, New York, NY 10029, USA. nina.bickell@mssm.edu
Jennifer Neuman
Kezhen Fei
Rebeca Franco
Kathie-Ann Joseph

Funding

Patient Assistance to Reduce Breast Cancer DisparitiesR01CA107051 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BICKELL, NINA A. · 2004 to 2009
$3.1M
NCI NIH HHS 5R01CA107051-06NCI NIH HHS R01 CA107051
6 · The paper itself

Abstract

purposeBecause insurers use performance and quality metrics to inform reimbursement, identifying remediable causes of poor-quality cancer care is imperative. We undertook this descriptive cohort study to assess key predictors of women's perceived quality of their breast cancer care and actual guideline-concordant quality of care received. PATIENTS AND

methodsWe surveyed inner-city women with newly diagnosed and surgically treated early-stage breast cancer requiring adjuvant treatment who were enrolled onto a randomized controlled trial (RCT) of patient assistance to reduce disparities in care. We assessed women's perceived quality of care and perceived quality of the process of getting care, such as getting referrals, test results, and treatments; we abstracted records to determine the actual quality of care.

resultsOf the 374 new patients with early-stage breast cancer enrolled onto the RCT, only a slight majority of women (55%) perceived their quality of care as excellent; 88% actually received good-quality, guideline-concordant care. Excellent perceived quality (P < .001) was significantly associated with patients' perception of the quality of the process of getting care (adjusted relative risk [RR], 1.78; 95% CI, 1.65 to 1.87). Also associated with perceived quality-and mediated by race-were trust in one's physician (adjusted RR, 1.43; 95% CI, 1.16 to 1.64) and perceived racism, which affected black women more than women of other races/ethnicities (black race-adjusted RR for perceived racism, 0.33 [95% CI, 0.10 to 0.87]; black race-adjusted RR for trust, 1.61 [95% CI, 0.97 to 1.90]; c = 0.82 for the model; P < .001). Actual quality of care provided did not affect perceived quality of care received.

conclusionPatients' perceived quality of care differs from their receipt of high-quality care. Mutable targets to improve perceived quality of care include the processes of getting care and trusting their physician.

Indexed as

Health Knowledge, Attitudes, PracticeMastectomyPerceptionQuality of Health CareUrban Health ServicesAdultAgedAged, 80 and overBreast NeoplasmsEthnicityFemaleGuideline AdherenceHealth Care SurveysHumansLogistic ModelsMiddle Aged

Identifiers

PMID22493417
PMCPMC3383180

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.