Evidence map›Paper›PMID 26759983›Full record

ArticleMedical care2016

Mammography Use Among Medicare Beneficiaries After Elimination of Cost Sharing.

Susan A Sabatino, Trevor D Thompson, Gery P Guy, Janet S de Moor, Florence K Tangka

Abstract read
In one paragraph

Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  16. The ACA and Cancer Screening and Diagnosis.Cancer journal (Sudbury, Mass.)
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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.

Susan A Sabatino*Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA †Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.
Trevor D Thompson
Gery P Guy
Janet S de Moor
Florence K Tangka

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundWe examined mammography use before and after Medicare eliminated cost sharing for screening mammography in January 2011.

methodsUsing National Health Interview Survey data, we examined changes in mammography use between 2010 and 2013 among Medicare beneficiaries aged 65-74 years. Logistic regression and predictive margins were used to examine changes in use after adjusting for covariates.

resultsIn 2013, 74.7% of women reported a mammogram within 2 years, a 3.5 percentage point increase (95% confidence interval, -0.3, 7.2) compared with 2010. Increases occurred among women aged 65-69 years, unmarried women, and women with usual sources of care and 2-5 physician visits in the prior year. After adjustment, mammography use increased in 2013 versus 2010 (74.8% vs. 71.3%, P=0.039). Interactions between year and income, insurance, race, or ethnicity were not significant.

conclusionsThere was a modest increase in mammography use from 2010 to 2013 among Medicare beneficiaries aged 65-74 years, possibly consistent with an effect of eliminating Medicare cost sharing during this time. Findings suggest that eliminating cost sharing might increase use of recommended screening services.

Indexed as

Cost SharingAgedBreast NeoplasmsEarly Detection of CancerFemaleHealth SurveysHumansMammographyMarital StatusMass ScreeningMedicareOffice VisitsPatient Acceptance of Health CareUnited States

Identifiers

PMID26759983
PMCPMC5863723

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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.