Evidence map›Paper›PMID 23816150›Full record

SynthesisWomen's health issues : official publication of the Jacobs Institute of Women's Health

Pap, mammography, and clinical breast examination screening among women with disabilities: a systematic review.

Elena M Andresen, Jana J Peterson-Besse, Gloria L Krahn, Emily S Walsh, Willi Horner-Johnson, Lisa I Iezzoni

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Disability and Participation in Breast and Cervical Cancer Screening: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
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  8. Assessing Disparities in Cervical Cancer Screening with Pap Test by Disability Types.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
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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 5 institutions in 1 country.

Elena M AndresenDepartment of Public Health & Preventive Medicine, Institute on Development & Disability, Oregon Health & Science University, Portland, Oregon 97239, USA. andresee@ohsu.edu
Jana J Peterson-Besse
Gloria L Krahn
Emily S Walsh
Willi Horner-Johnson
Lisa I Iezzoni
Oregon Health & Science University · USCenters for Disease Control and Prevention · USHarvard University · USKaiser Permanente · USPacific University · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundResearch has found some disparities between U.S. women with and without disabilities in receiving clinical preventive services. Substantial differences may also exist within the population of women with disabilities. The current study examined published research on Pap smears, mammography, and clinical breast examinations across disability severity levels among women with disabilities.

methodsInformed by an expert panel, we followed guidelines for systematic literature reviews and searched MEDLINE, PsycINFO, and Cinahl databases. We also reviewed in-depth four disability- or preventive service-relevant journals. Two reviewers independently extracted data from all selected articles.

findingsFive of 74 reviewed publications of met all our inclusion criteria and all five reported data on Pap smears, mammography, and clinical breast examination. Articles classified disability severity groups by functional and/or activity levels. Associations between disability severity and Pap smear use were inconsistent across the publications. Mammography screening fell as disability level increased according to three of the five studies. Results demonstrated modestly lower screening, but also were inconsistent for clinical breast examinations across studies.

conclusionEvidence is inconsistent concerning disparities in these important cancer screening services with increasing disability levels. Published studies used differing methods and definitions, adding to concerns about the evidence for screening disparities rising along with increasing disability. More focused research is required to determine whether significant disparities exist in cancer screening among women with differing disability levels. This information is essential for national and local public health and health care organizations to target interventions to improve care for women with disabilities.

Indexed as

Papanicolaou TestPersons with DisabilitiesPhysical ExaminationAdultAgedBreast NeoplasmsEarly Detection of CancerFemaleHealthcare DisparitiesHumansMammographyMass ScreeningMiddle AgedUterine Cervical NeoplasmsVaginal Smears

Identifiers

PMID23816150
PMCPMC4452940
OpenAlexW2079342907

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.