Evidence map›Paper›PMID 25491350›Full record

ArticleHealth services research2015

Variations in Guideline-Concordant Breast Cancer Adjuvant Therapy in Rural Georgia.

Gery P Guy, Joseph Lipscomb, Theresa W Gillespie, Michael Goodman, Lisa C Richardson, Kevin C Ward

Abstract read
In one paragraph

Article in Health services research, 2015. 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. Observational
  3. Article
  4. Article
  5. Review
  6. Socioeconomic status and breast cancer treatment.Breast cancer research and treatment · 2018
    Review
  7. Healthcare System Distrust, Physician Trust, and Patient Discordance with Adjuvant Breast Cancer Treatment Recommendations.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
  8. Advancing methods for US transgender health research.Current opinion in endocrinology, diabetes, and obesity · 2016
    Review
  9. Article
  10. 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

6 authors.

Gery P GuyDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Chamblee, GA.
Joseph LipscombDepartment of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA.
Theresa W GillespieDepartment of Surgery, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA.
Michael GoodmanDepartment of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA.
Lisa C RichardsonDivision of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA.
Kevin C WardDepartment of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA.

Funding

Emory University Prevention Research CenterU48DP000043 · DP · EMORY UNIVERSITY · PI GLANZ, KAREN · 2004 to 2009
$7.0M
NCCDPHP CDC HHS U48 DP000043
6 · The paper itself

Abstract

objectiveTo examine factors associated with guideline-concordant adjuvant therapy among breast cancer patients in a rural region of the United States and to present an advancement in quality-of-care assessment in the context of multiple treatments. DATA SOURCES: Chart abstraction on initial therapy received by 868 women diagnosed with primary, invasive, early-stage breast cancer in a largely rural region of southwest Georgia. STUDY

designUsing multivariable logistic regression, we examined predictors of adjuvant chemo-, radiation, and hormonal therapy regimens defined as guideline-concordant according to the 2000 National Institutes of Health Consensus Development Conference Statement. PRINCIPAL

findingsOverall, 35.2 percent of women received guideline-concordant care for all three adjuvant therapies. Higher socioeconomic status was associated with receiving guideline-concordant care for all three adjuvant therapies jointly, and for chemotherapy. Compared with private insurance, having Medicaid was associated with guideline-concordant chemotherapy. Unmarried women were more likely to be nonconcordant for chemotherapy and radiation therapy. Increased age predicted nonconcordance for adjuvant therapies jointly, for chemotherapy, and for hormonal therapy.

conclusionsA number of factors were independently associated with receiving guideline-concordant adjuvant therapy. Identifying and addressing factors that lead to nonconcordance may reduce disparities in treatment and survival.

Indexed as

Rural PopulationAgedAge FactorsBreast NeoplasmsCombined Modality TherapyFemaleGeorgiaGuideline AdherenceHumansMedicaidMiddle AgedPractice Guidelines as TopicQuality of Health CareSocioeconomic FactorsUnited Statesbreast cancercancer careQuality assessmentquality of carerural health

Identifiers

PMID25491350
PMCPMC4545348

What OpenQuestion holds

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Registered trials

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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.