ArticleJournal of the American College of Radiology : JACR2014
Geographic access to breast imaging for US women.
Article in Journal of the American College of Radiology : JACR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
What it found
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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
43 citing papers in PubMed.
- Geographic Differences in Patient Experience After a Diagnosis of Lobular Breast Cancer.Annals of surgical oncology · 2026Article
- PURA-ECHO: Analysis of the evolution of Ultrasound utilization in austere health care settings in Costa Rica's Geographic Empanelment Model.BMC emergency medicine · 2026Article
- Contrast-enhanced spectral mammography demonstrates better inter-reader repeatability than digital mammography for screening breast cancer patients.Journal of medical imaging (Bellingham, Wash.) · 2025Article
- Breast imaging recommendations for young females (age < 40 years) with ≥ 20% lifetime breast cancer risk: practice patterns at a specialized clinic.Breast cancer research and treatment · 2025Article
- Disparities in Breast Cancer Care-How Factors Related to Prevention, Diagnosis, and Treatment Drive Inequity.Healthcare (Basel, Switzerland) · 2024Review
- Latent pathway-based Bayesian models to identify intervenable factors of racial disparities in breast cancer stage at diagnosis.Cancer causes & control : CCC · 2024Article
- Population-Level Access to Breast Cancer Early Detection and Diagnosis in Nigeria.JCO global oncology · 2023Article
- Mobile Web App Intervention to Promote Breast Cancer Screening Among American Indian Women in the Northern Plains: Feasibility and Efficacy Study.JMIR formative research · 2023Article
- Current Trends in the Utilization of Preoperative Breast Magnetic Resonance Imaging Among Women With Newly Diagnosed Breast Cancer.JCO oncology practice · 2023Article
- Impact of High Neighborhood Socioeconomic Deprivation on Access to Accredited Breast Imaging Screening and Diagnostic Facilities.Journal of the American College of Radiology : JACR · 2023Article
- Imaging Surveillance Options for Individuals With a Personal History of Breast Cancer:AJR. American journal of roentgenology · 2022Review
- Addressing Disparities Related to Access of Multimodality Breast Imaging Services Before and During the COVID-19 Pandemic.Academic radiology · 2022Review
- Breast, Colorectal, Lung, Prostate, and Cervical Cancer Screening Prevalence in a Large Commercial and Medicare Advantage Plan, 2008-2020.Preventive medicine reports · 2022Article
- Article
- Disparities in peripheral artery disease care: A review and call for action.Seminars in vascular surgery · 2022Review
- Disparities in Breast-Conserving Therapy for Non-Hispanic American Indian/Alaska Native Women Compared with Non-Hispanic White Women.Annals of surgical oncology · 2022Article
- Impact of COVID-19 and Socioeconomic Status on Delayed Care and Unemployment.Health equity · 2022Article
- Naïve Bayesian network-based contribution analysis of tumor biology and healthcare factors to racial disparity in breast cancer stage-at-diagnosis.Health information science and systems · 2021Article
- Access to ultrasound imaging: A qualitative study in two northern, remote, Indigenous communities in Canada.International journal of circumpolar health · 2021Article
- Identifying key barriers to effective breast cancer control in rural settings.Preventive medicine · 2021Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
purposeThe breast imaging modalities of mammography, ultrasound, and MRI are widely used for screening, diagnosis, treatment, and surveillance of breast cancer. Geographic access to breast imaging services in various modalities is not known at a national level overall or for population subgroups.
methodsA retrospective study of 2004-2008 Medicare claims data was conducted to identify ZIP codes in which breast imaging occurred, and data were mapped. Estimated travel times were made for each modality for 215,798 census block groups in the contiguous United States. Using Census 2010 data, travel times were characterized by sociodemographic factors for 92,788,909 women aged ≥30 years, overall, and by subgroups of age, race/ethnicity, rurality, education, and median income.
resultsOverall, 85% of women had travel times of ≤20 minutes to nearest mammography or ultrasound services, and 70% had travel times of ≤20 minutes for MRI with little variation by age. Native American women had median travel times 2-3 times longer for all 3 modalities, compared to women of other racial/ethnic groups. For rural women, median travel times to breast imaging services were 4-8-fold longer than they were for urban women. Black and Asian women had the shortest median travel times to services for all 3 modalities.
conclusionsTravel times to mammography and ultrasound breast imaging facilities are short for most women, but for breast MRI, travel times are notably longer. Native American and rural women are disadvantaged in geographic access based on travel times to breast imaging services. This work informs potential interventions to reduce inequities in access and utilization.
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Registered trials
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