Evidence map›Paper›PMID 24023271›Full record

Trial reportJournal of oncology practice2014

Do community-based patient assistance programs affect the treatment and well-being of patients with breast cancer?

Nina A Bickell, Andrea N Geduld, Kathie-Ann Joseph, Joseph A Sparano, M Margaret Kemeny, Soji Oluwole, Tehillah Menes, Anitha Srinivasan, Rebeca Franco, Kezhen Fei and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of oncology practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Patient Navigation in Breast Cancer Treatment and Survivorship: A Systematic Review.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  10. Patient navigation moderates emotion and information demands of cancer treatment: a qualitative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Article
  11. 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

11 authors.

Nina A BickellMount Sinai School of Medicine; Columbia University Medical Center; Bellevue Hospital Center; Harlem Hospital Center; Metropolitan Hospital Center; Montefiore Medical Center; Queens Hospital Center, New York; Elmhurst Hospital Center, Elmhurst, NY; Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; and Rutgers, the State University of New Jersey, New Brunswick, NJ.
Andrea N Geduld
Kathie-Ann Joseph
Joseph A Sparano
M Margaret Kemeny
Soji Oluwole
Tehillah Menes
Anitha Srinivasan
Rebeca Franco
Kezhen Fei
Howard Leventhal

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 5R01CA107051NCI NIH HHS R01 CA107051
6 · The paper itself

Abstract

purposePatients with breast cancer who need adjuvant treatments often fail to receive them. High-quality, community-based patient-assistance programs are an underused, inexpensive resource to help patients with cancer obtain needed therapy. We sought to determine whether connecting women to patient-assistance programs would reduce underuse of adjuvant therapies.

methodsWe conducted a randomized trial of 374 women (190 assigned intervention [INT], 184 to usual care [UC]) with early-stage breast cancer who underwent surgery between October 2006 and August 2009. After initial needs assessment, individualized action plans were created to connect INT patients with targeted patient-assistance programs; UC patients received an informational pamphlet. Main outcome measures were receiving adjuvant treatment and obtaining help.

resultsHigh rates of INT and UC patients received treatment: 87% INT versus 91% UC women who underwent lumpectomy received radiotherapy (P = .39); 93% INT versus 86% UC women with estrogen receptor (ER) -negative tumors ≥ 1 cm received chemotherapy (P = .42); 92% INT versus 93% UC women with ER-positive tumors ≥ 1 cm received hormonal therapy (P = .80). Many women reported needs: 63% had informational; 55%, psychosocial; and 53%, practical needs. High rates of INT patients with needs connected with a program within 2 weeks (92%). At 6 months, INT and UC women used patient-assistance programs at similar rates (75% v 76%; P = .54). Women with informational or psychosocial needs were more likely to receive help (relative risk [RR], 1.77; 95% CI, 1.51 to 1.90 and RR, 1.37; 95% CI, 1.06 to 1.61, respectively).

conclusionINT and UC patients received high rates of adjuvant treatment regardless of trial assignment. Patients with breast cancer who connect to relevant patient assistance programs receive useful informational and psychosocial but not practical help.

Indexed as

Quality of LifeAdultAgedBreast NeoplasmsChemoradiotherapyChemotherapy, AdjuvantCommunity-Based Participatory ResearchDouble-Blind MethodFemaleHealth StatusHumansMiddle AgedPatient NavigationPregnancyRadiotherapy, AdjuvantSurveys and Questionnaires

Identifiers

PMID24023271
PMCPMC5706137

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.