Evidence map›Paper›PMID 30062586›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Variation in coordination of care reported by breast cancer patients according to health literacy.

Maria C Mora-Pinzon, Elizabeth A Chrischilles, Robert T Greenlee, Laurel Hoeth, John M Hampton, Maureen A Smith, Bradley D McDowell, Lee G Wilke, Amy Trentham-Dietz

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

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
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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

9 authors.

Maria C Mora-PinzonSchool of Medicine and Public Health, University of Wisconsin - Madison, Madison, WI, USA.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Robert T GreenleeCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USA.
Laurel HoethPatient Advocate, Gray, ME, USA.
John M HamptonCarbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USA.
Maureen A SmithCarbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USA.
Bradley D McDowellHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Lee G WilkeCarbone Cancer Center and Department of Surgery, University of Wisconsin - Madison, Madison, WI, USA.
Amy Trentham-DietzCarbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USA. trentham@wisc.edu.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NCATS NIH HHS UL1 TR002537NCI NIH HHS P30 CA014520NCI NIH HHS P30 CA086862NIH HHS P30CA014520NIH HHS P30 CA086862NIH HHS UL1TR000427Patient-Centered Outcomes Research Institute CDRN-1306-04631
6 · The paper itself

Abstract

backgroundHealth literacy is the ability to perform basic reading and numerical tasks to function in the healthcare environment. The purpose of this study is to describe how health literacy is related to perceived coordination of care reported by breast cancer patients.

methodsData were retrieved from the Patient-Centered Outcomes Research Institute-sponsored "Share Thoughts on Breast Cancer" Study including demographic factors, perceived care coordination and responsiveness of care, and self-reported health literacy obtained from a mailed survey completed by 62% of eligible breast cancer survivors (N = 1221). Multivariable analysis of variance was used to characterize the association between presence of a single healthcare professional that coordinated care ("care coordinator") and perceived care coordination, stratified by health literacy level.

resultsHealth literacy was classified as low in 24% of patients, medium in 34%, and high in 42%. Women with high health literacy scores were more likely to report non-Hispanic white race/ethnicity, private insurance, higher education and income, and fewer comorbidities (all p < 0.001). The presence of a care coordinator was associated with 17.1% higher perceived care coordination scores among women with low health literacy when compared to those without a care coordinator, whereas a coordinator modestly improved perceived care coordination among breast cancer survivors with medium (6.9%) and high (6.2%) health literacy.

conclusionThe use of a single designated care coordinator may have a strong influence on care coordination in patients with lower levels of health literacy.

Indexed as

Health LiteracyAdultAgedAged, 80 and overBreast NeoplasmsCancer SurvivorsCohort StudiesDelivery of Health Care, IntegratedEducational StatusFemaleHealth PersonnelHealth StatusHumansIncomeInsurance, HealthKansasBreast neoplasmsContinuity of patient careHealth literacyPatient-centered carePatient navigationQuality of health care

Identifiers

PMID30062586
PMCPMC6355372

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.