Evidence map›Paper›PMID 26259762›Full record

Trial reportJournal of general internal medicine2016

Effect of Patient Navigation on Breast Cancer Screening Among African American Medicare Beneficiaries: A Randomized Controlled Trial.

Jessie Kimbrough Marshall, Olive M Mbah, Jean G Ford, Darcy Phelan-Emrick, Saifuddin Ahmed, Lee Bone, Jennifer Wenzel, Gary R Shapiro, Mollie Howerton, Lawrence Johnson and 3 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 14 pooled it
3.4field-weighted citation impact, top 6% 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

50 citing papers in PubMed, 14 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Application of patient navigation programs across the entire continuum of breast cancer care: a GRADE-assessed systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  12. Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018
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  15. Comparative Effectiveness of Two Interventions to Increase Colorectal Cancer Screening for Those at Increased Risk Based on Family History: Results of a Randomized Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
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  20. Implementing Patient Navigation for Children With CKD.Kidney international reports · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Jessie Kimbrough MarshallDivision of General Medicine, University of Michigan Health System, Ann Arbor, MI, USA.
Olive M MbahDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Jean G FordDepartment of Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA. jgf9001@nyp.org.
Darcy Phelan-EmrickDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Saifuddin AhmedDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lee BoneDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jennifer WenzelDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Gary R ShapiroHealth Partners Cancer Program and Institute for Education and Research, Minneapolis, MN, USA.
Mollie HowertonCenters for Medicare and Medicaid Services, Baltimore, MD, USA.
Lawrence JohnsonPark West Health Systems, Baltimore, MD, USA.
Qiana BrownTVCOFA Corporation, Baltimore, MD, USA.
Altovise EwingFormerly of the Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Craig Evan PollackDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins University · USBrooklyn Hospital Center · USCenters for Medicare and Medicaid Services · USHealthPartners · USJohns Hopkins Medicine · USMichigan Medicine · USWest Health · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
BEHAVIORAL RESEARCH IN HEART &VASCULAR DISEASET32HL007180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARUTHUR, NISA M · 1985 to 2020
$11.4M
Training ProgramU54CA153710 · NCI · JOHNS HOPKINS UNIVERSITY · PI DOBS, ADRIAN S. · 2010 to 2015
$4.8M
A Network Analytic Approach to Modeling Variation in Prostate Cancer CareK07CA151910 · NCI · JOHNS HOPKINS UNIVERSITY · PI POLLACK, CRAIG EVAN · 2011 to 2015
$780k
NCATS NIH HHS 1UL1TR001079NCATS NIH HHS UL1 TR001079NCI NIH HHS K07 CA151910NCI NIH HHS U54 CA153710NCI NIH HHS U54CA153710NHLBI NIH HHS 5 T32 HL007180-340NHLBI NIH HHS T32 HL007180
6 · The paper itself

Abstract

backgroundThere is growing evidence that patient navigation improves breast cancer screening rates; however, there are limited efficacy studies of its effect among African American older adult women.

objectiveTo evaluate the effect of patient navigation on screening mammography among African American female Medicare beneficiaries in Baltimore, MD.

designThe Cancer Prevention and Treatment Demonstration (CPTD), a multi-site study, was a randomized controlled trial conducted from April 2006 through December 2010.

settingCommunity-based and clinical setting.

participantsThe CPTD Screening Trial enrolled 1905 community-dwelling African American female Medicare beneficiaries who were ≥65 years of age and resided in Baltimore, MD. Participants were recruited from health clinics, community centers, health fairs, mailings using Medicare rosters, and phone calls.

interventionsParticipants were randomized to either: printed educational materials on cancer screening (control group) or printed educational materials + patient navigation services designed to help participants overcome barriers to cancer screening (intervention group). MAIN MEASURE: Self-reported receipt of mammography screening within 2 years of the end of the study. KEY

resultsThe median follow-up period for participants in this analysis was 17.8 months. In weighted multivariable logistic regression analyses, women in the intervention group had significantly higher odds of being up to date on mammography screening at the end of the follow-up period compared to women in the control group (odds ratio [OR] 2.26, 95 % confidence interval [CI]1.59-3.22). The effect of the intervention was stronger among women who were not up to date with mammography screening at enrollment (OR 3.63, 95 % CI 2.09-6.38).

conclusionPatient navigation among urban African American Medicare beneficiaries increased self-reported mammography utilization. The results suggest that patient navigation for mammography screening should focus on women who are not up to date on their screening.

Indexed as

Black or African AmericanGuideline AdherenceAgedBreast NeoplasmsEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMammographyMedicarePatient Education as TopicPatient NavigationSurveys and QuestionnairesUnited StatesAfrican Americanmammographypatient navigation

Identifiers

PMID26259762
PMCPMC4700012
OpenAlexW1204558406

What OpenQuestion holds

Textmetadata
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.