Evidence map›Paper›PMID 31983018›Full record

ReviewBreast cancer research and treatment2020

Healthcare system distrust and the breast cancer continuum of care.

Morgane C Mouslim, Renee M Johnson, Lorraine T Dean

Open access · greenAbstract readReview
In one paragraph

Review in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 9% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  10. Patient Experience of Clinician Compassion Is Associated With Healthcare System Distrust Among Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  11. Breast cancer survivors' perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  12. Perceptions of health research participation in rural and urban Pennsylvanians.Journal of clinical and translational science · 2026
    Article
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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

3 authors at 1 institution in 1 country.

Morgane C MouslimDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. mmousli1@jh.edu.ORCID http://orcid.org/0000-0002-6999-7588
Renee M JohnsonDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lorraine T DeanDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NHLBI Training Program in PharmacoepidemiologyT32HL139426 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI G. Caleb Alexander, JODI B. SEGAL · 2018 to 2026
$2.5M
Social Determinants of Breast Cancer SurvivorshipK01CA184288 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DEAN, LORRAINE TIERA · 2014 to 2018
$767k
Assessing Gaps in HIV Pre-Exposure Prophylaxis (PrEP) Initiation and Retention using Pharmacy Claims DataR21NR018387 · NINR · JOHNS HOPKINS UNIVERSITY · PI DEAN, LORRAINE TIERA, NUNN, AMY STEWART · 2019 to 2020
$481k
Predicting the impact of cost on HIV pre-exposure prophylaxis uptake and racial/ethnic disparities among MSMR21MH118019 · NIMH · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW, DEAN, LORRAINE TIERA · 2019 to 2020
$452k
Cancer prevention, mental health and social capital of segregated Black AmericansF31CA136236 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI DEAN, LORRAINE TIERA · 2008 to 2010
$41k
NCI NIH HHS F31 CA136236NCI NIH HHS K01 CA184288NCI NIH HHS K01CA184288NCI NIH HHS P30 CA006973NHLBI NIH HHS 1T32HL139426-1NHLBI NIH HHS T32 HL139426NIMH NIH HHS R21 MH118019NIMH NIH HHS R25 MH083620NIMH NIH HHS R25MH083620
6 · The paper itself

Abstract

purposeTo identify and synthesize the literature on healthcare system distrust across the breast cancer continuum of care.

methodsWe searched CINAHL, Cochrane, EMBASE, PubMed, PsycINFO, and Web of Science from January 1, 1990 to December 31, 2018 for all peer-reviewed publications addressing the role of healthcare system trust, distrust or mistrust in the breast cancer continuum of care.

resultsWe identified a total of 20 studies, seven qualitative studies and thirteen quantitative studies. Two studies assessed genetic testing, eleven assessed screening and seven assessed treatment and follow-up. Twelve studies evaluated mistrust, five evaluated distrust, and three evaluated trust. Study populations included African American, American Indian, Latina, Hispanic, and Asian American participants.

conclusionHealthcare system distrust is prevalent across many different racial and ethnic groups and operates across the entire breast cancer continuum of care. It is an important yet understudied barrier to cancer. We hope that the knowledge garnered by this study will enable researchers to form effective and targeted interventions to reduce healthcare system distrust mediated disparities in breast cancer outcomes.

Indexed as

Continuity of Patient CareDelivery of Health CareTrustBreast NeoplasmsEarly Detection of CancerFemaleGenetic Association StudiesHumansMass ScreeningQualitative ResearchBreast cancer preventionBreast cancer treatmentRacial/ethnic disparitiesTrust in healthcare system

Identifiers

PMID31983018
PMCPMC7675785
OpenAlexW3002918198

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.