Evidence map›Paper›PMID 27026577›Full record

ArticleJournal of the American College of Radiology : JACR2016

Travel Burden to Breast MRI and Utilization: Are Risk and Sociodemographics Related?

Tracy Onega, Christoph I Lee, David Benkeser, Jennifer Alford-Teaster, Jennifer S Haas, Anna N A Tosteson, Deirdre Hill, Xun Shi, Louise M Henderson, Rebecca A Hubbard

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Review
  7. Article
  8. Article
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  13. Optimal Screening in Breast Cancer Survivors With Dense Breasts on Mammography.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Geospatial Approaches to Cancer Control and Population Sciences.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    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

10 authors at 8 institutions in 1 country.

Tracy OnegaDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire. Electronic address: tracy.l.onega@dartmouth.edu.
Christoph I LeeDepartment of Radiology, University of Washington School of Medicine, Seattle, Washington; Department of Health Services, University of Washington School of Public Health, Seattle, Washington; Fred Hutchinson Institute for Cancer Outcomes Research, Seattle, Washington.
David BenkeserGroup Health Research Institute, Seattle, Washington; Department of Biostatistics, University of Washington School of Public Health, Seattle, Washington.
Jennifer Alford-TeasterDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Jennifer S HaasDivision of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.
Anna N A TostesonDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Deirdre HillDepartment of Internal Medicine, University of New Mexico, Albuquerque, New Mexico.
Xun ShiThe Geography Department, Dartmouth College, Hanover, New Hampshire.
Louise M HendersonDepartment of Radiology, The University of North Carolina, Chapel Hill, North Carolina.
Rebecca A HubbardDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Dartmouth College · USDartmouth Institute for Health Policy and Clinical Practice · USBrigham and Women's Hospital · USFred Hutch Cancer Center · USKaiser Permanente Washington Health Research Institute · USUniversity of New Mexico · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHARLES M PEROU · 1992 to 2026
$59.3M
Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Diana L Miglioretti · 2011 to 2026
$52.9M
Developing Data-Driven Cancer ResearchersT32CA009168 · NCI · UNIVERSITY OF WASHINGTON · PI STEPHEN M SCHWARTZ, MICHAEL Chiao-An WU · 1985 to 2026
$10.1M
Vermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4M
Promoting personalized decisions for breast cancer screening for women AND theirU54CA163307 · NCI · DARTMOUTH COLLEGE · PI HAAS, JENNIFER S, ONEGA, TRACY · 2011 to 2017
$6.1M
NCI NIH HHS HHSN261201100031CNCI NIH HHS P01 CA154292NCI NIH HHS P30 CA023108NCI NIH HHS P50 CA058223NCI NIH HHS T32 CA009168NCI NIH HHS U54 CA163303NCI NIH HHS U54 CA163307
6 · The paper itself

Abstract

purposeMammography, unlike MRI, is relatively geographically accessible. Additional travel time is often required to access breast MRI. However, the amount of additional travel time and whether it varies on the basis of sociodemographic or breast cancer risk factors is unknown.

methodsThe investigators examined screening mammography and MRI between 2005 and 2012 in the Breast Cancer Surveillance Consortium by (1) travel time to the closest and actual mammography facility used and the difference between the two, (2) women's breast cancer risk factors, and (3) sociodemographic characteristics. Logistic regression was used to examine the odds of traveling farther than the closest facility in relation to women's characteristics.

resultsAmong 821,683 screening mammographic examinations, 76.6% occurred at the closest facility, compared with 51.9% of screening MRI studies (n = 3,687). The median differential travel time among women not using the closest facility for mammography was 14 min (interquartile range, 8-25 min) versus 20 min (interquartile range, 11-40 min) for breast MRI. Differential travel time for both imaging modalities did not vary notably by breast cancer risk factors but was significantly longer for nonurban residents. For non-Hispanic black compared with non-Hispanic white women, the adjusted odds of traveling farther than the closest facility were 9% lower for mammography (odds ratio, 0.91; 95% confidence interval, 0.87-0.95) but more than two times higher for MRI (odds ratio, 2.64; 95% confidence interval, 1.36-5.13).

conclusionsBreast cancer risk factors were not related to excess travel time for screening MRI, but sociodemographic factors were, suggesting the possibility that geographic distribution of advanced imaging may exacerbated disparities for some vulnerable populations.

Indexed as

Health Services AccessibilityTravelAdultAgedBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMammographyMiddle AgedRisk FactorsSocioeconomic FactorsTime FactorsUnited StatesBreast imagingGeographic Information SystemsGISMRIproximity to caretravel time

Identifiers

PMID27026577
PMCPMC5016195
OpenAlexW2303527379

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.