Evidence map›Paper›PMID 25329653›Full record

Trial reportPloS one2014

Factors influencing patient pathways for receipt of cancer care at an NCI-designated comprehensive cancer center.

Elizabeth A Gage-Bouchard, Elisa M Rodriguez, Frances G Saad-Harfouche, Austin Miller, Deborah O Erwin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cancer mortality disparities among New York City's Upper Manhattan neighborhoods.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2017
    Article
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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

5 authors at 2 institutions in 1 country.

Elizabeth A Gage-BouchardDepartment of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, United States of America.
Elisa M RodriguezCancer Prevention & Population Sciences, Roswell Park Cancer Institute, Buffalo, NY, United States of America.
Frances G Saad-HarfoucheDepartment of Cancer Control Prevention & Population Sciences, Roswell Park Cancer Institute, Buffalo, NY, United States of America.
Austin MillerDepartment of Biostatistics & Bioinformatics, Roswell Park Cancer Institute, Buffalo, NY, United States of America.
Deborah O ErwinDepartment of Cancer Control Prevention & Population Sciences, Roswell Park Cancer Institute, Buffalo, NY, United States of America.
Roswell Park Comprehensive Cancer Center · USUniversity at Buffalo, State University of New York · US

Funding

Western New York Cancer Coalition (WNYC2) Center to Reduce DisparitiesU54CA153598 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI ERWIN, DEBORAH O, UNDERWOOD, WILLIE · 2010 to 2015
$4.8M
Epidemiologic and Basic Science in Cancer PreventionR25CA114101 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARSHALL, JAMES · 2006 to 2010
$2.3M
NCI NIH HHS R25 CA114101NCI NIH HHS R25CA114101NCI NIH HHS U54 CA153598
6 · The paper itself

Abstract

backgroundWithin the field of oncology, increasing access to high quality care has been identified as a priority to reduce cancer disparities. Previous research reveals that the facilities where patients receive their cancer care have implications for cancer outcomes. However, there is little understanding of how patients decide where to seek cancer care. This study examined the factors that shape patients' pathways to seek their cancer care at a National Cancer Institute-designated comprehensive cancer center (NCI-CCC), and differences in these factors by race, income and education.

methodsIn-depth interviews and survey questionnaires were administered to a random sample of 124 patients at one NCI-CCC in the Northeast US. In-depth interview data was first analyzed qualitatively to identify themes and patterns in patients' pathways to receive their cancer care at an NCI-CCC. Logistic Regression was used to examine if these pathways varied by patient race, income, and education.

resultsTwo themes emerged: following the recommendation of a physician and following advice from social network members. Quantitative data analysis shows that patient pathways to care at an NCI-CCC varied by education and income. Patients with lower income and education most commonly sought their cancer care at an NCI-CCC due to the recommendation of a physician. Patients with higher income and education most commonly cited referral by a specialist physician or the advice of a social network member. There were no statistically significant differences in pathways to care by race.

conclusionsOur findings show that most patients relied on physician recommendations or advice from a social network member in deciding to seek their cancer care at an NCI-CCC. Due to the role of physicians in shaping patients' pathways to the NCI-CCC, initiatives that strengthen partnerships between NCI-CCCs and community physicians who serve underserved communities may improve access to NCI-CCCs.

Indexed as

Cancer Care FacilitiesHealth Services AccessibilityNational Cancer Institute (U.S.)Referral and ConsultationSocial SupportSurveys and QuestionnairesHumansMaleUnited States

Identifiers

PMID25329653
PMCPMC4203812
OpenAlexW2031903525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.