Evidence map›Paper›PMID 26203814›Full record

ArticlePreventing chronic disease2015

Lasting Effects of the Breast and Cervical Cancer Early Detection Program on Breast Cancer Detection and Outcomes, Ohio, 2000-2009.

Siran M Koroukian, Paul M Bakaki, Xiaozhen Han, Mark Schluchter, Cynthia Owusu, Gregory S Cooper, Susan A Flocke

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Siran M KoroukianDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, 10900 Euclid Ave, WG-49, Cleveland, OH 44106-4945. Email: skoroukian@case.edu. Dr Koroukian is also affiliated with Case Comprehensive Cancer Center and Population Health and Outcomes Research Core, Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, Ohio.
Paul M BakakiSchool of Medicine, and Population Health and Outcomes Research Core, Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, Ohio.
Xiaozhen HanSchool of Medicine, and Population Health and Outcomes Research Core, Clinical and Translational Science Collaborative, Case Western Reserve University, Cleveland, Ohio.
Mark SchluchterSchool of Medicine and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Cynthia OwusuCase Comprehensive Cancer Center and University Hospitals of Cleveland, School of Medicine, Case Western Reserve University, Cleveland, Ohio.
Gregory S CooperCase Comprehensive Cancer Center and University Hospitals of Cleveland, School of Medicine, Case Western Reserve University, Cleveland, Ohio.
Susan A FlockeSchool of Medicine and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NCI NIH HHS P30 CA015704
6 · The paper itself

Abstract

introductionThe National Breast and Cervical Cancer Early Detection Program (BCCP) in Ohio provides screening and treatment services for uninsured low-income women aged 40 to 64. Because participation in the BCCP might engender greater self-efficacy for cancer screening, we hypothesized that breast cancer and survival outcomes would be better in BCCP participants who become age-eligible to transition to Medicare than in their low-income non-BCCP counterparts.

methodsLinking data from the 2000 through 2009 Ohio Cancer Incidence Surveillance System with the BCCP database, Medicare files, Ohio death certificates (through 2010), and the US Census, we identified Medicare beneficiaries who were aged 66 to 74 and diagnosed with incident invasive breast cancer. We compared the following outcomes between BCCP women (n = 93) and low-income non-BCCP women (n = 420): receipt of screening mammography in previous year, advanced-stage disease at diagnosis, timely and standard care, all-cause survival, and cancer survival. We conducted multivariable logistic regression and survival analysis to examine the association between BCCP status and each of the outcomes, adjusting for patient covariates.

resultsWomen who participated in the BCCP were nearly twice as likely as low-income non-BCCP women to have undergone screening mammography in the previous year (adjusted odds ratio, 1.77; 95% confidence interval, 1.01-3.09). No significant differences were detected in any other outcomes.

conclusionWith the exception of screening mammography, the differences in outcomes were not significant, possibly because of the small size of the study population. Future analysis should be directed toward identifying the factors that explain these findings.

Indexed as

AdultAgedBlack or African AmericanBreast NeoplasmsEarly Detection of CancerEligibility DeterminationFemaleHumansInformation Storage and RetrievalLogistic ModelsMammographyMedically UninsuredMedicareMiddle AgedNeoplasm InvasivenessOhio

Identifiers

PMID26203814
PMCPMC4515916

What OpenQuestion holds

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LicenceCC BY
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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.