Evidence map›Paper›PMID 32157463›Full record

ArticleCancer causes & control : CCC2020

The eligibility and reach of the national breast and cervical cancer early detection program after implementation of the affordable care act.

Florence Tangka, Kristy Kenny, Jacqueline Miller, David H Howard

Abstract read
In one paragraph

Article in Cancer causes & control : CCC, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
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  12. Mammography Compliance for Arizona and New Mexico Hispanic and American Indian Women 2016-2018.International journal of environmental research and public health · 2023
    Article
  13. Review
  14. Role of Medicaid in Early Detection of Screening-Amenable Cancers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  15. Article
  16. A First Look at Medicaid Expansion's Impact on Cancer Mortality Rates.Journal of the National Cancer Institute · 2021
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  18. Review
  19. 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

4 authors.

Florence TangkaDivision of Cancer Prevention and Control, Winship Cancer Center, Emory University, Atlanta, GA, 30030, USA.
Kristy KennyDivision of Cancer Prevention and Control, Winship Cancer Center, Emory University, Atlanta, GA, 30030, USA.
Jacqueline MillerDivision of Cancer Prevention and Control, Winship Cancer Center, Emory University, Atlanta, GA, 30030, USA.
David H HowardDepartment of Health Policy and Management, Winship Cancer Center, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30030, USA. david.howard@emory.edu.

Funding

CDC HHS IPA 16IPA1604432Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionThe uninsured rate declined following passage of the Affordable Care Act in 2010. It is unclear how this decrease affected the size of the population eligible for existing safety net programs. We evaluated trends in the number of women eligible for breast and cervical cancer screening and diagnostic services under the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the reach of the program.

methodsUsing the Census Bureau's Small Area Health Insurance Estimates data, we calculated the number of women who met the NBCCEDP eligibility criteria based on age, income, and insurance status. We used these data in conjunction with program to estimate the proportion of eligible women served by the NBCCEDP.

resultsThe number of women eligible for breast cancer screening and diagnostic services under the program declined from 5.4 (90% CI 5.2-5.6) to 2.8 (90% CI 2.6-3.0) million from 2011 to 2017. The number of women eligible for cervical cancer screening and diagnostic services declined from 10.3 (90% CI 10.0-10.6) to 5.3 (90% CI 5.1-5.6) million. The share of eligible women served by the program was 15.0% (90% CI 14.8-15.1%) for breast services in 2016-2017 and 6.8% (90% CI 6.7-6.8%) for cervical services in 2015-2017.

conclusionInsurance coverage expansions may have contributed to a decrease in the number of program-eligible women. There are many more women eligible for the program than are served.

Indexed as

Early Detection of CancerAdultBreast NeoplasmsFemaleHumansInsurance, HealthMedically UninsuredMiddle AgedPatient Protection and Affordable Care ActUnited StatesUterine Cervical NeoplasmsBreast neoplasmsEarly detection of cancerMammographyMedically uninsuredNational breast and cervical cancer early detection programPapanicolaou test

Identifiers

PMID32157463
PMCPMC7895499

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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.