Evidence map›Paper›PMID 28537960›Full record

ArticleCancer journal (Sudbury, Mass.)

The ACA and Cancer Screening and Diagnosis.

Lindsay M Sabik, Georges Adunlin

Abstract read
In one paragraph

Article in Cancer journal (Sudbury, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Disparities in genetic services utilization in a random sample of young breast cancer survivors.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Trial
  3. Article
  4. Unmet need for depression treatment before and after the affordable care act.Social psychiatry and psychiatric epidemiology · 2026
    Article
  5. Feasibility of Using College Students to Increase Cancer Screening Behaviors Among Their Parents.International journal of environmental research and public health · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Utilization of High-Volume Hospitals for High-Risk Cancer Surgery in California Following Medicaid Expansion.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  18. Article
  19. Article
  20. 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

2 authors.

Lindsay M SabikFrom the *Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA; and †Cancer Prevention and Control Postdoctoral Fellow, Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA.
Georges Adunlin

Funding

Disparities in Cancer Screening: The Role of Medicaid PolicyR01CA178980 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SABIK, LINDSAY MARIE · 2013 to 2016
$1.2M
NCI NIH HHS R01 CA178980
6 · The paper itself

Abstract

The Patient Protection and Affordable Care Act (ACA) included multiple provisions expected to increase cancer screening and subsequently early diagnosis of cancer. Key provisions included new coverage options for low-income adults and young adults, as well as elimination of cost sharing for recommended preventive services across most health insurance plans. This article reviews relevant quantitative studies published since the ACA's passage to assess whether the goal of increasing access to preventive services has been met. Because of lags in data availability, most studies examined only a short period post-ACA. Findings on changes in screening in the general population were mixed, although impacts were greatest among those with lower education and income, as well as groups that previously faced the highest cost barriers to screening. Furthermore, multiple studies found evidence of increases in early-stage diagnoses for certain cancers. Thus, certain targeted populations appear to have better access to cancer screening after the ACA.

Indexed as

Early Detection of CancerPatient Protection and Affordable Care ActHumansInsurance, HealthNeoplasmsUnited States

Identifiers

PMID28537960
PMCPMC5445928

What OpenQuestion holds

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Registered trials

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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.