Evidence map›Paper›PMID 27131231›Full record

Observational studyJournal of the American Geriatrics Society2016

Comparing Prognostic Tools for Cancer Screening: Considerations for Clinical Practice and Performance Assessment.

Craig Evan Pollack, Amanda L Blackford, Nancy L Schoenborn, Cynthia M Boyd, Kimberly S Peairs, Eva H DuGoff

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Unrelated Death After Colorectal Cancer Screening: Implications for Improving Colonoscopy Referrals.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  5. Article
  6. Article
  7. 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

6 authors.

Craig Evan PollackDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Amanda L BlackfordDepartment of Oncology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Nancy L SchoenbornDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Cynthia M BoydDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Kimberly S PeairsDepartment of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Eva H DuGoffDepartment of Population Health Sciences, University of Wisconsin, Madison, Wisconsin.

Funding

TRAINING IN HEALTH SERVICES RESEARCHT32HS000029 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI DY, SYDNEY MORSS · 1987 to 2024
$8.3M
A Network Analytic Approach to Modeling Variation in Prostate Cancer CareK07CA151910 · NCI · JOHNS HOPKINS UNIVERSITY · PI POLLACK, CRAIG EVAN · 2011 to 2015
$780k
Treatment Burden in Older Adults with Diabetes and MultimorbidityK23AG032910 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2009 to 2013
$533k
AHRQ HHS T32 HS000029NCI NIH HHS K07 CA151910NIA NIH HHS K23 AG032910
6 · The paper itself

Abstract

objectivesTo compare the agreement and rates of cancer screening using four prognostic tools that require different types of clinical information.

designObservational retrospective cohort study.

setting2009 and 2010 waves of the Medicare Current Beneficiary Survey.

participantsAdults aged 66-90 with survey and claims data (N = 9,469). MEASUREMENTS: Agreement between four indices predicting short-term (4-5 years) and long-term (9-10 years) survival; self-reported breast and prostate cancer screening.

resultsAgreement between the four prognostic tools was high. Pearson correlation coefficients ranged from 0.63 to 0.90 for short-term survival and 0.68 to 0.94 for long-term survival. When defining limited short-term life expectancy as less than 25% chance of surviving 4 or 5 years, all four tools agreed in 96.4% of the sample. All four tools agreed in their placement of participants into limited or not-limited long-term life expectancy in 77.1% of participants (<25% chance of surviving 9 or 10 years). Rates of cancer screening were similarly high in individuals with limited long-term life expectancy regardless of the tool used: greater than 31% for mammographic screening in women and greater than 69% for prostate cancer screening.

conclusionThere is substantial agreement among different prognostic tools for short- and long-term survival in Medicare beneficiaries. The high rates of cancer screening of individuals with limited life expectancy suggest the importance of incorporating tools into clinical decision-making.

Indexed as

Early Detection of CancerAgedAged, 80 and overDecision MakingFemaleGeriatric AssessmentHumansLife ExpectancyMaleMass ScreeningMedicarePrognosisRetrospective StudiesSurvival AnalysisUnited Statescancer screeninglife expectancyprognosis

Identifiers

PMID27131231
PMCPMC4882245

What OpenQuestion holds

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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.