Evidence map›Paper›PMID 30674526›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Cancer screening rates among transgender adults: Cross-sectional analysis of primary care data.

Tara Kiran, Sam Davie, Dhanveer Singh, Sue Hranilovic, Andrew D Pinto, Alex Abramovich, Aisha Lofters

Abstract readMulticenter Study
PubMed Full text at PMC
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  9. Oncological needs in transgender patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  14. The Design and Evaluation of Community-Informed Video Resources to Promote Safe and Inclusive Cervical Screening for South Australian LGBTIQ+ People With a Cervix.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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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

7 authors.

Tara KiranStaff physician and clinician investigator in the Department of Family and Community Medicine at St Michael's Hospital and the University of Toronto in Ontario, Fidani Chair in Improvement and Innovation and Vice-Chair of Quality and Innovation in the Department of Family and Community Medicine at the University of Toronto, and Associate Scientist in the Centre for Urban Health Solutions. tara.kiran@utoronto.ca.
Sam DavieQuality Improvement and Decision Support Specialist in the Department of Family and Community Medicine at St Michael's Hospital at the time of writing.
Dhanveer SinghMedical student in the School of Medicine at the Royal College of Surgeons in Ireland in Dublin.
Sue HranilovicPrimary health care nurse practitioner in the Department of Family and Community Medicine at St Michael's Hospital.
Andrew D PintoFounder and director of the Upstream Lab at the Centre for Urban Health Solutions in the Li Ka Shing Knowledge Institute at St Michael's Hospital, a family physician and public health and preventive medicine specialist in the Department of Family and Community Medicine at St Michael's Hospital, and Assistant Professor in the Department of Family and Community Medicine and Assistant Professor (status only) in the Dalla Lana School of Public Health at the University of Toronto.
Alex AbramovichIndependent scientist at the Institute for Mental Health Policy Research at the Centre for Addiction and Mental Health and Assistant Professor at the Dalla Lana School of Public Health at the University of Toronto.
Aisha LoftersScientist at the Centre for Urban Health Solutions in the Li Ka Shing Knowledge Institute at St Michael's Hospital, a staff physician in the Department of Family and Community Medicine at St Michael's Hospital, Assistant Professor and Clinician Scientist in the Department of Family and Community Medicine at the University of Toronto, Adjunct Scientist at ICES, and Assistant Professor in the Dalla Lana School of Public Health.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare rates of cervical, breast, and colorectal cancer screening between patients who are transgender and those who are cisgender (ie, nontransgender).

designCross-sectional study.

settingA multisite academic family health team in Toronto, Ont, serving more than 45 000 enrolled patients.

participantsAll patients enrolled in the family health team who were eligible for cervical, breast, or colorectal cancer screening. Patients were identified as transgender using an automated search of the practice electronic medical record followed by manual audit.

main outcome measuresScreening rates for cervical, breast, and colorectal cancer calculated using data from the electronic medical record and provincial cancer screening registry. Screening rates among the transgender and cisgender populations were compared using

resultsA total of 120 transgender patients were identified as eligible for cancer screening. More than 85% of transgender patients eligible for breast cancer screening were assigned male at birth. Transgender patients were less likely than cisgender patients (n = 20 514) were to be screened for cervical (56% vs 72%,

conclusionIn this setting, transgender patients were less likely to receive recommended cancer screening compared with the cisgender population. Future research and quality improvement activities should aim to understand and address potential patient, provider, and system factors.

Indexed as

Transgender PersonsAdultAgedBreast NeoplasmsColorectal NeoplasmsCross-Sectional StudiesEarly Detection of CancerElectronic Health RecordsFemaleHumansLogistic ModelsMaleMiddle AgedOntarioPractice Guidelines as TopicPrimary Health Care

Identifiers

PMID30674526
PMCPMC6347308

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.