Evidence map›Paper›PMID 24258799›Full record

ArticleCancer2014

Ethnic disparities in adherence to breast cancer survivorship surveillance care.

Pragati S Advani, Jun Ying, Richard Theriault, Amal Melhem-Bertrand, Stacy Moulder, Isabelle Bedrosian, Welela Tereffe, Shon Black, Tunghi May Pini, Abenaa M Brewster

Abstract read
In one paragraph

Article in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Racial disparities in follow-up care of early-stage lung cancer survivors.Journal of cancer survivorship : research and practice · 2023
    Article
  7. Article
  8. Review
  9. Challenges for Latina Breast Cancer Patient Survivorship Care in a Rural US-Mexico Border Region.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Multilevel determinants of financial toxicity in breast cancer care: perspectives of healthcare professionals and Latina survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  12. An overview of the unique challenges facing African-American breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Disparities in barriers to follow-up care between African American and White breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Article
  19. Article
  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

10 authors.

Pragati S AdvaniDepartment of Health Promotion and Behavioral Sciences, University of Texas (UT) School of Public Health, Houston, Texas.
Jun Ying
Richard Theriault
Amal Melhem-Bertrand
Stacy Moulder
Isabelle Bedrosian
Welela Tereffe
Shon Black
Tunghi May Pini
Abenaa M Brewster

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundAdherence to guidelines for surveillance mammography and clinic visits is an important component of breast cancer survivorship care. Identifying ethnic disparities in adherence may lead to improved care delivery and outcomes.

methodsRecords were evaluated for 4535 patients who were treated for stage I, II, or III breast cancer at the University of Texas MD Anderson Cancer Center, Houston, Texas, cancer center between January 1997 and December 2006. Generalized estimating equations and Cox proportional hazards analyses were used to evaluate ethnic differences in missed mammograms and clinic visits up to 4 years of follow-up and the impact of those differences on overall survival.

resultsNonadherence to guidelines for mammography (P = .0002) and clinic visits (P < .0001) increased over time. Hispanic and black patients were more likely to be nonadherent to guidelines for mammography (odds ratio [OR] = 1.35, 95% confidence interval [CI] = 1.10-1.65; OR = 1.36, 95% CI = 1.11-1.66, respectively) and clinic visits (OR = 1.62, 95% CI = 1.27-2.06; OR = 1.45, 95% CI = 1.13-1.86, respectively) than white patients. There was an interaction between Hispanic ethnicity and endocrine therapy on nonadherence to mammography guidelines (P = .001). Nonadherence to mammography and clinic visit guidelines was not associated with overall survival.

conclusionsWithdrawal from breast cancer survivorship care increases over time, and black and Hispanic patients are more likely to be nonadherent. An understanding of the reasons for ethnic disparities in adherence to guidelines for mammography and clinic visits is needed to improve retention in survivorship care.

Indexed as

Guideline AdherenceMammographyPatient ComplianceAgedBreast NeoplasmsDelivery of Health CareEarly Detection of CancerEthnicityFemaleHealthcare DisparitiesHumansMass ScreeningMiddle AgedRetrospective StudiesSurvivalSurvival Ratebreast cancerethnicityhealth care disparitiespatient adherencesurveillancesurvivorship

Identifiers

PMID24258799
PMCPMC4128181

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.