Evidence map›Paper›PMID 28034851›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2017

Patterns and Predictors of Screening for Breast and Cervical Cancer in Women with CKD.

Germaine Wong, Jade S Hayward, Eric McArthur, Jonathan C Craig, Danielle M Nash, Stephanie N Dixon, Deborah Zimmerman, Abhijat Kitchlu, Amit X Garg

Abstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. A Global Survey of Self-Reported Cancer Screening Practices by Health Professionals for Kidney Transplant Candidates and Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  5. Review
  6. Temporal changes and risk factors for death from early withdrawal within 12 months of dialysis initiation-a cohort study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  7. Clinical journal of the American Society of Nephrology : CJASN · 2022
    Review
  8. Review
  9. Incidence and Outcomes of Early Cancers After Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  10. Perspectives From an Onconephrology Interest Group: Conference Report.Canadian journal of kidney health and disease · 2020
    Article
  11. Cancer in kidney transplant recipients.Nature reviews. Nephrology · 2018
    Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Germaine WongSydney School of Public Health, The University of Sydney, Camperdown, New South Wales, Australia.
Jade S HaywardInstitute for Clinical Evaluative Sciences Western, London, Ontario, Canada.
Eric McArthurInstitute for Clinical Evaluative Sciences Western, London, Ontario, Canada.
Jonathan C CraigSydney School of Public Health, The University of Sydney, Camperdown, New South Wales, Australia.
Danielle M NashInstitute for Clinical Evaluative Sciences Western, London, Ontario, Canada.
Stephanie N DixonInstitute for Clinical Evaluative Sciences Western, London, Ontario, Canada.
Deborah ZimmermanDepartment of Medicine, Ottawa Hospital, Kidney Research Centre of the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Abhijat KitchluDepartment of Medicine, Division of Nephrology, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada; and.
Amit X GargInstitute for Clinical Evaluative Sciences Western, London, Ontario, Canada.

Funding

CIHR
6 · The paper itself

Abstract

BACKGROUND AND

objectivesBreast and cervical cancers are prevalent in women with CKD, but it is uncertain how often screening for these cancers should be undertaken given concerns that the benefits of screening may be fewer and the harms greater in women with CKD than in the general population. We examined patterns of breast and cervical cancer screening in women on the basis of CKD stage and age and assessed predictors of screening. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted two population-based cohort studies (breast and cervical cancer screening) from 2002 to 2013 using linked administrative health care data from Ontario, Canada. A total of 141,326 and 324,548 women were included in the breast and cervical cancer screening cohorts, respectively.

resultsThe 2-year cumulative incidences were 61% among women without CKD, 54% for those with CKD stages 3a and 3b, 37% for those with CKD stages 4 and 5, and 26% for women on dialysis. Similar patterns were observed for the 3-year cumulative incidences of cervical cancer screening. The associations of breast and cervical cancer screening with CKD were modified by age and CKD stage, where lower incidence of screening in women with advanced CKD compared with no CKD was most pronounced in older age groups (P<0.001). Older age, higher comorbidity burden, and lower-income groups were associated with a lower rate of screening.

conclusionsMost women with advanced CKD do not receive breast or cervical cancer screening. A better understanding of patient and health professional preferences toward cancer screening in CKD is needed along with the outcomes of such screening.

Indexed as

Severity of Illness IndexAdultAgedAge FactorsBreast NeoplasmsComorbidityEarly Detection of CancerFemaleHumansIncomeKidney TransplantationMiddle AgedOntarioRenal DialysisRenal Insufficiency, ChronicUterine Cervical NeoplasmsbreastCanadacancerchronic kidney diseasechronic kidney failureCohort StudiesComorbiditydialysisEarly Detection of CancerFemalehumansincidenceOntariopovertyPrevalencerenal dialysisrenal insufficiency, chronicscreeninguterine cervical neoplasms

Identifiers

PMID28034851
PMCPMC5220661

What OpenQuestion holds

Textmetadata
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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.