ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2012
A multilevel research perspective on cancer care delivery: the example of follow-up to an abnormal mammogram.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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.
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.
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Who cites it
36 citing papers in PubMed.
- Availability of Women's Health Clinics, Primary Care Providers, and Women Veterans' Ratings of Care Experiences.Journal of general internal medicine · 2025Article
- Implementation considerations for risk-tailored cancer screening in the population: A scoping review.Preventive medicine · 2024Article
- Navigating the cancer care continuum: A comparative study of Black and White breast cancer patients.PloS one · 2024Article
- Disparities in geospatial patterns of cancer care within urban counties and structural inequities in access to oncology care.Health services research · 2023Article
- Grounding implementation science in health equity for cancer prevention and control.Implementation science communications · 2022Article
- Development and Evaluation of a Navigation-Based, Multilevel Intervention to Improve the Delivery of Timely, Guideline-Adherent Adjuvant Therapy for Patients With Head and Neck Cancer.JCO oncology practice · 2021Article
- Walking the talk on multi-level interventions: The power of parsimony.Social science & medicine (1982) · 2021Article
- Barriers to the Delivery of Timely, Guideline-Adherent Adjuvant Therapy Among Patients With Head and Neck Cancer.JCO oncology practice · 2020Article
- Multilevel Predictors of Continued Adherence to Breast Cancer Screening Among Women Ages 50-74 Years in a Screening Population.Journal of women's health (2002) · 2019Article
- Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study.Journal of general internal medicine · 2019Article
- Repeated Automated Mobile Text Messaging Reminders for Follow-Up of Positive Fecal Occult Blood Tests: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Article
- TheFrontiers in public health · 2019Article
- The role of context in implementation research for non-communicable diseases: Answering the 'how-to' dilemma.PloS one · 2019Article
- Patients' adoption of and feature access within electronic patient portals.The American journal of managed care · 2018Article
- Effects of program scale-up on time to resolution for patients with abnormal screening mammography results.Cancer causes & control : CCC · 2018Article
- The "Empowering Latinas to Obtain Breast Cancer Screenings" study: Rationale and design.Contemporary clinical trials · 2018Article
- Statistical Power in Two-Level Hierarchical Linear Models with Arbitrary Number of Factor Levels.Journal of statistical planning and inference · 2018Article
- Disparities in breast cancer survival in the United States (2001-2009): Findings from the CONCORD-2 study.Cancer · 2017Article
- Racial disparity in survival from estrogen and progesterone receptor-positive breast cancer: implications for reducing breast cancer mortality disparities.Breast cancer research and treatment · 2017Article
- Psychological Outcomes After a False Positive Mammogram: Preliminary Evidence for Ethnic Differences Across Time.Journal of racial and ethnic health disparities · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
In 1999, researchers and policy makers recognized the challenge of creating an integrated patient-centered cancer care process across the many types of care from risk assessment through end of life. More than a decade later, there has been limited progress toward that goal even though the standard reductionist approach to health services and medical research has resulted in major advances in tests, procedures, and individualized patient approaches to care. In this commentary, we propose that considering an entire care process within its multilevel context may increase progress toward an integrated experience and improvements in the quality of care. As an illustrative case, we describe the multilevel context of care delivery for the process of follow-up to an abnormal screening mammogram. By taking a multilevel perspective on this process, we identify a rich set of options for intervening and improving follow-up to abnormalities and, therefore, outcomes of screening. We propose that taking this multilevel perspective when designing interventions may improve the quality of cancer care in an effective and sustainable way.
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Registered trials
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.