Evidence map›Paper›PMID 26846176›Full record

ArticleAmerican journal of surgery2016

Evaluating disparities in inpatient surgical cancer care among American Indian/Alaska Native patients.

Vlad V Simianu, Arden M Morris, Thomas K Varghese, Michael P Porter, Jeffrey A Henderson, Dedra S Buchwald, David R Flum, Sara H Javid

Abstract read
In one paragraph

Article in American journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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

8 authors at 4 institutions in 1 country.

Vlad V SimianuSurgical Outcomes Research Center, Department of Surgery, University of Washington, UW Medical Center, Box 354808, 1107 NE 45th Street, Suite 502, Seattle, WA 98105, USA.
Arden M MorrisDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Thomas K VargheseSurgical Outcomes Research Center, Department of Surgery, University of Washington, UW Medical Center, Box 354808, 1107 NE 45th Street, Suite 502, Seattle, WA 98105, USA.
Michael P PorterDepartment of Urology, University of Washington, Seattle, WA, USA.
Jeffrey A HendersonBlack Hills Center for American Indian Health, Rapid City, SD, USA.
Dedra S BuchwaldDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
David R FlumSurgical Outcomes Research Center, Department of Surgery, University of Washington, UW Medical Center, Box 354808, 1107 NE 45th Street, Suite 502, Seattle, WA 98105, USA.
Sara H JavidSurgical Outcomes Research Center, Department of Surgery, University of Washington, UW Medical Center, Box 354808, 1107 NE 45th Street, Suite 502, Seattle, WA 98105, USA. Electronic address: sjavid@uw.edu.
University of Washington Medical Center · USUniversity of Washington · USBlack Hills Center for American Indian Health · USUniversity of Michigan · US

Funding

USING DIGITAL STORIES TO IMPROVE COLORECTAL CANCER SCREENING IN NATIVE AMERICANSP50CA148110 · NCI · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2014
$9.7M
Training ProgramU54CA153498 · NCI · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S, HENDERSON, JEFFREY A · 2010 to 2015
$4.1M
Renewal: Gastrointestinal Surgery Outcomes Research FellowshipT32DK070555 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2024
$3.6M
NCI NIH HHS P50 CA148110NCI NIH HHS U54 CA153498NIDDK NIH HHS T32 DK070555
6 · The paper itself

Abstract

backgroundAmerican Indian/Alaska Native (AI/AN) patients with cancer have the lowest survival rates of all racial and ethnic groups, possibly because they are less likely to receive "best practice" surgical care than patients of other races.

methodsProspective cohort study comparing adherence with generic and cancer-specific guidelines on processes of surgical care between AI/AN and non-Hispanic white (NHW) patients in Washington State (2010 to 2014) was conducted.

resultsA total of 156 AI/AN and 6,030 NHW patients underwent operations for 10 different cancers, and had similar mean adherence to generic surgical guidelines (91.5% vs 91.9%, P = .57). AI/AN patients with breast cancer less frequently received preoperative diagnostic core needle biopsy (81% vs 94%, P = .004). AI/AN patients also less frequently received care adherent to prostate cancer-specific guidelines (74% vs 92%, P = .001).

conclusionAlthough AI/ANs undergoing cancer operations in Washington receive similar overall best practice surgical cancer care to NHW patients, there remain important, modifiable disparities that may contribute to their lower survival.

Indexed as

American Indian or Alaska NativeHealthcare DisparitiesNeoplasmsAdolescentAdultAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedPopulation SurveillanceProspective StudiesQuality ImprovementRegistriesAmerican Indian/Alaska NativesCancerProcess of careSurgery

Identifiers

PMID26846176
PMCPMC4939142
OpenAlexW2235965111

What OpenQuestion holds

Textmetadata
LicenceTDM
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.