Evidence map›Paper›PMID 29505365›Full record

ArticleHealth affairs (Project Hope)2018

Quality Of Breast Cancer Care In The US Territories: Insights From Medicare.

Tracy M Layne, Jenerius A Aminawung, Pamela R Soulos, Marcella Nunez-Smith, Maxine A Nunez, Beth A Jones, Karen H Wang, Cary P Gross

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Tracy M LayneTracy M. Layne ( tracy.layne@nih.gov ) is a postdoctoral fellow in the Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, in Bethesda, Maryland.
Jenerius A AminawungJenerius A. Aminawung is a research associate in the Department of Internal Medicine, Yale School of Medicine, in New Haven, Connecticut.
Pamela R SoulosPamela R. Soulos is a program manager and data analyst in the Cancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center and a research associate in the Department of Internal Medicine, both at the Yale School of Medicine.
Marcella Nunez-SmithMarcella Nunez-Smith is an associate professor of medicine in the Department of Internal Medicine and director of the Equity Research and Innovation Center, both at the Yale School of Medicine.
Maxine A NunezMaxine A. Nunez is a professor of nursing at the University of the Virgin Islands School of Nursing, in Saint Thomas, and principal investigator, Eastern Caribbean Health Outcomes Research Network, at the Yale Transdisciplinary Collaborative Center in the Yale School of Medicine.
Beth A JonesBeth A. Jones is a research scientist and lecturer in epidemiology in the Chronic Disease Epidemiology Department, Yale School of Public Health, in New Haven.
Karen H WangKaren H. Wang is an instructor in the Department of Internal Medicine, Yale School of Medicine.
Cary P GrossCary P. Gross is a professor of medicine in the Department of Internal Medicine, director of COPPER Center, and director of the National Clinician Scholars Program, all at the Yale School of Medicine.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Eastern Caribbean Health Outcomes Research Network (ECHORNU24MD006938 · NIMHD · YALE UNIVERSITY · PI NUNEZ-SMITH, MARCELLA · 2011 to 2016
$5.7M
Use and Outcomes of Radiation Therapy for Medicare Patients with Common CancersR01CA149045 · NCI · YALE UNIVERSITY · PI GROSS, CARY P. · 2010 to 2012
$1.5M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA149045NIMHD NIH HHS U24 MD006938
6 · The paper itself

Abstract

The quality of breast cancer care among Medicare beneficiaries in the US territories-where federal spending for health care is lower than in the continental US-is unknown. We compared female Medicare beneficiaries who were residents of the US territories and had surgical treatment for breast cancer in 2008-14 to those in the continental US in terms of receipt of recommended breast cancer care (diagnostic needle biopsy and adjuvant radiation therapy [RT] following breast-conserving surgery) and the timeliness (time from needle biopsy to surgery and from surgery to adjuvant RT) of that care. Residents of the US territories were less likely to receive recommended care (24 percent lower odds of receiving diagnostic needle biopsy and 34 percent lower odds of receiving adjuvant RT) and to receive timely care (45 percent lower odds of receiving surgery and 82 percent lower odds of receiving adjuvant RT, both within three months). Further research is needed to identify barriers to the provision of adequate and timely breast cancer care in this unique population.

Indexed as

Healthcare DisparitiesQuality of Health CareAgedAged, 80 and overBreast NeoplasmsFemaleHumansInsurance Claim ReviewMedicarePuerto RicoRetrospective StudiesTime FactorsUnited StatesBreast cancerDisparitiesMedicareQuality Of CareUS Territories

Identifiers

PMID29505365
PMCPMC7081152

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.