ArticleTranslational behavioral medicine2017
County-level outcomes of a rural breast cancer screening outreach strategy: a decentralized hub-and-spoke model (BSPAN2).
Article in Translational behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social determinants of health and US cancer screening interventions: A systematic review.CA: a cancer journal for cliniciansPooled it
- A stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans.Contemporary clinical trials · 2021Trial
- "You're the person for me:" patient perceptions of cancer care team selection and experiences with care coordination within a rural hub-and-spoke health system.Cancer causes & control : CCC · 2026Article
- Understanding the Nurse Champion Concept and the Training Initiatives for Nurse Champions: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study.American journal of preventive medicine · 2025Article
- Assessing multilevel barriers and facilitators to implementing strategies for cancer screening among Asian Americans in federally qualified health centers: a case study of a community-clinic partnership to improve care for safety-net patients.Translational behavioral medicine · 2025Article
- Champions to enhance implementation of clinical and community-based interventions in cancer: a scoping review.Implementation science communications · 2024Article
- The effectiveness of champions in implementing innovations in health care: a systematic review.Implementation science communications · 2022Review
- Implementation and Uptake of Rural Lung Cancer Screening.Journal of the American College of Radiology : JACR · 2022Article
- Long-term Mammography Adherence among Uninsured Women Enrolled in the Breast Screening and Patient Navigation (BSPAN) Program.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Do mobile units contribute to spatial accessibility to mammography for uninsured women?Preventive medicine · 2020Article
- An Overview of the National Cancer Institute's Initiatives to Accelerate Rural Cancer Control Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Effects of program scale-up on time to resolution for patients with abnormal screening mammography results.Cancer causes & control : CCC · 2018Article
- Understanding lung cancer screening behavior: Racial, gender, and geographic differences among Indiana long-term smokers.Preventive medicine reports · 2018Article
- Impact of Access to Breast Care For West Texas Program on Early Detection and Regional Breast Cancer Mortality.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Rural mammography screening remains suboptimal despite reimbursement programs for uninsured women. Networks linking non-clinical community organizations and clinical providers may overcome limited delivery infrastructure in rural areas. Little is known about how networks expand their service area. To evaluate a hub-and-spoke model to expand mammography services to 17 rural counties by assessing county-level delivery and local stakeholder conduct of outreach activities. We conducted a mixed-method evaluation using EMR data, systematic site visits (73 interviews, 51 organizations), 92 patient surveys, and 30 patient interviews. A two-sample t test compared the weighted monthly average of women served between hub- and spoke-led counties; nonparametric trend test evaluated time trend over the study period; Pearson chi-square compared sociodemographic data between hub- and spoke-led counties. From 2013 to 2014, the program screened 4603 underinsured women. Counties where local "spoke" organizations led outreach activities achieved comparable screening rates to hub-led counties (9.2 and 8.7, respectively, p = 0.984) and did not vary over time (p = 0.866). Qualitative analyses revealed influence of program champions, participant language preference, and stakeholders' concerns about uncompensated care. A program that leverages local organizations' ability to identify and reach rural underserved populations is a feasible approach for expanding preventive services delivery.
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Registered trials
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.