Evidence map›Paper›PMID 29875079›Full record

ArticleJournal of geriatric oncology2018

Screening mammography among nursing home residents in the United States: Current guidelines and practice.

Deborah S Mack, Mara M Epstein, Catherine Dubé, Robin E Clark, Kate L Lapane

Open access · greenAbstract read
In one paragraph

Article in Journal of geriatric oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 50% of its field
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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Deborah S MackDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Deborah.Mack@umassmed.edu.
Mara M EpsteinDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States; Department of Medicine, Division of Geriatrics, University of Massachusetts Medical School, Worcester, MA, United States.
Catherine DubéDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Robin E ClarkDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States; Department of Family Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Kate L LapaneDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
University of Massachusetts Chan Medical School · US

Funding

University of Massachusetts Center for Clinical and Translational ScienceTL1TR001454 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEWIS, BRIAN C · 2015 to 2024
$3.6M
Opioids and Adjuvants for Pain in Nursing Home Residents with CancerR21CA198172 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LAPANE, KATE L · 2015 to 2016
$551k
NCATS NIH HHS TL1 TR001454NCI NIH HHS R21 CA198172
6 · The paper itself

Abstract

objectiveUnited States (US) guidelines regarding when to stop routine breast cancer screening remain unclear. No national studies to-date have evaluated the use of screening mammography among US long-stay nursing home residents. This cross-sectional study was designed to identify prevalence, predictors, and geographic variation of screening mammography among that population in the context of current US guidelines. MATERIALS AND

methodsScreening mammography prevalence, identified with Physician/Supplier Part B claims and stratified by guideline age classification (65-74, ≥75 years), was estimated for all women aged ≥65 years residing in US Medicare- and Medicaid- certified nursing homes (≥1 year) with an annual Minimum Data Set (MDS) 3.0 assessment, continuous Medicare Part B enrollment, and no clinical indication for screening mammography as of 2011 (n = 389,821). The associations between resident- and regional- level factors, and screening mammography, were estimated by crude and adjusted prevalence ratios from robust Poisson regressions clustered by facility.

resultsWomen on average were 85.4 (standard deviation ±8.1) years old, 77.9% were disabled, and 76.3% cognitively impaired. Screening mammography prevalence was 7.1% among those aged 65-74 years (95% Confidence Interval (CI): 6.8%-7.3%) and 1.7% among those ≥75 years (95% CI, 1.7%-1.8%), with geographic variation observed. Predictors of screening in both age groups included race, cognitive impairment, frailty, hospice, and some comorbidities.

conclusionsThese results shed light on the current screening mammography practices in US nursing homes. Thoughtful consideration about individual screening recommendations and the implementation of more clear guidelines for this special population are warranted to prevent overscreening.

Indexed as

AgedAged, 80 and overBreast NeoplasmsCross-Sectional StudiesFemaleHomes for the AgedHumansMammographyMass ScreeningNursing HomesUnited StatesHealth service utilizationNursing homesScreening mammography

Identifiers

PMID29875079
PMCPMC6899058
OpenAlexW2806974455

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.