Evidence map›Paper›PMID 25403220›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2014

Racial and ethnic disparities in patient-provider communication, quality-of-care ratings, and patient activation among long-term cancer survivors.

Nynikka R A Palmer, Erin E Kent, Laura P Forsythe, Neeraj K Arora, Julia H Rowland, Noreen M Aziz, Danielle Blanch-Hartigan, Ingrid Oakley-Girvan, Ann S Hamilton, Kathryn E Weaver

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06182475 (Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication), which is not on this map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing 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.

NCT06182475 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication

TypeinterventionalSponsorTemple UniversityRan2026 to 2027Enrolled70ConditionsKidney Disease, Chronic, End Stage Renal Disease, Kidney ReplacementArmsEPPComm Provider Training
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  11. Experiences and Comfort of Young Cancer Patients Discussing Cannabis with Their Providers: Insights from a Survey at an NCI-Designated Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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  13. Multilevel barriers and supportive care preferences of metastatic breast cancer patients and their caregivers: a mixed-methods analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  17. Designing Communication Feedback Systems To Reduce Healthcare Providers' Implicit Biases In Patient Encounters.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2024
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16 more citing papers are in PubMed but not listed here.

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.

Nynikka R A PalmerNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC. palmern@medsfgh.ucsf.edu.
Erin E KentNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Laura P ForsytheNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Neeraj K AroraNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Julia H RowlandNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Noreen M AzizNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Danielle Blanch-HartiganNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Ingrid Oakley-GirvanNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Ann S HamiltonNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.
Kathryn E WeaverNynikka R.A. Palmer, San Francisco General Hospital, University of California, San Francisco, San Francisco; Ingrid Oakley-Girvan, Cancer Prevention Institute of California, Fremont; Ann S. Hamilton, Keck School of Medicine, University of Southern California, Los Angeles, CA; Erin E. Kent, Neeraj K. Arora, Julia H. Rowland, Danielle Blanch-Hartigan, National Cancer Institute, National Institutes of Health; Noreen M. Aziz, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD; Laura P. Forsythe, Patient-Centered Outcomes Research Institute, Washington, DC; and Kathryn E. Weaver, Wake Forest School of Medicine, Winston-Salem, NC.

Funding

Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
NCI NIH HHS L30 CA153405NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N01-PC-35136NCI NIH HHS N01-PC-35139NCI NIH HHS R25 CA122061NCI NIH HHS R25-CA-122061PHS HHS HHSN261201100189P
6 · The paper itself

Abstract

purposeWe examined racial and ethnic disparities in patient-provider communication (PPC), perceived care quality, and patient activation among long-term cancer survivors.

methodsIn 2005 to 2006, survivors of breast, prostate, colorectal, ovarian, and endometrial cancers completed a mailed survey on cancer follow-up care. African American, Asian/Pacific Islander (Asian), Hispanic, and non-Hispanic white (white) survivors who had seen a physician for follow-up care in the past 2 years (n = 1,196) composed the analytic sample. We conducted linear and logistic regression analyses to identify racial and ethnic differences in PPC (overall communication and medical test communication), perceived care quality, and patient activation in clinical care (self-efficacy in medical decisions and perceived control). We further examined the potential contribution of PPC to racial and ethnic differences in perceived care quality and patient activation.

resultsCompared with white survivors (mean score, 85.16), Hispanic (mean score, 79.95) and Asian (mean score, 76.55) survivors reported poorer overall communication (P = .04 and P < .001, respectively), and Asian survivors (mean score, 79.97) reported poorer medical test communication (P = .001). Asian survivors were less likely to report high care quality (odds ratio, 0.47; 95% CI, 0.30 to 0.72) and reported lower self-efficacy in medical decisions (mean score, 74.71; P < .001) compared with white survivors (mean score, 84.22). No disparity was found in perceived control. PPC was positively associated with care quality (P < .001) and self-efficacy (P < .001). After adjusting for PPC and other covariates, when compared with whites, Asian disparities remained significant.

conclusionAsian survivors report poorer follow-up care communication and care quality. More research is needed to identify contributing factors beyond PPC, such as cultural influences and medical system factors.

Indexed as

CommunicationHealthcare DisparitiesPatient ParticipationPhysician-Patient RelationsQuality of Health CareAdultAgedAged, 80 and overAsian PeopleBlack or African AmericanFemaleHispanic or LatinoHumansLogistic ModelsMaleMiddle Aged

Identifiers

PMID25403220
PMCPMC4265119

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