Evidence map›Paper›PMID 32897529›Full record

ArticleCancer causes & control : CCC2020

Treatment cost and access to care: experiences of young women diagnosed with breast cancer.

Sujha Subramanian, Florence K L Tangka, Patrick Edwards, Madeleine Jones, Tim Flanigan, Jenya Kaganova, Kevin Smith, Cheryll C Thomas, Nikki A Hawkins, Juan L Rodriguez and 2 more

Open access · greenAbstract 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Young Women Diagnosed With Breast Cancer: Why Is No One Telling Me to Get a Mammogram?Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Screening Mammogram Adherence in Medically Underserved Women: Does Language Preference Matter?Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  8. 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

12 authors at 2 institutions in 1 country.

Sujha SubramanianRTI International, Research Triangle Park, NC, USA. ssubramanian@rti.org.
Florence K L TangkaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Patrick EdwardsRTI International, Research Triangle Park, NC, USA.
Madeleine JonesRTI International, Research Triangle Park, NC, USA.
Tim FlaniganRTI International, Research Triangle Park, NC, USA.
Jenya KaganovaRTI International, Research Triangle Park, NC, USA.
Kevin SmithRTI International, Research Triangle Park, NC, USA.
Cheryll C ThomasCenters for Disease Control and Prevention, Atlanta, GA, USA.
Nikki A HawkinsCenters for Disease Control and Prevention, Atlanta, GA, USA.
Juan L RodriguezCenters for Disease Control and Prevention, Atlanta, GA, USA.
Gery P GuyCenters for Disease Control and Prevention, Atlanta, GA, USA.
Temeika FairleyCenters for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USRTI International · US

Funding

CDC HHS 200-2008-27958Intramural CDC HHS CC999999
6 · The paper itself

Abstract

purposeBreast cancer is the leading cause of cancer-related deaths in women younger than 40 years. We aim to evaluate cost as a barrier to care among female breast cancer patients diagnosed between 18 to 39 years.

methodsIn early 2017, we distributed a survey to women diagnosed with breast cancer between the ages of 18 and 39 years, as identified by the central cancer registries of California, Georgia, North Carolina, and Florida. We used multivariable statistics to explore cost-related barriers to receiving breast cancer care for the 830 women that completed the survey.

resultsAbout half of the women (47.4%) reported spending more on breast cancer care than expected, and almost two-thirds (65.3%) had not discussed costs with their care team. A third of the patients (31.8%) indicated forgoing care due to cost. Factors associated with not receiving anticipated care due to cost included age less than35 years at diagnosis, self-insurance, comorbid conditions, and late-stage diagnosis.

conclusionPrevious studies using breast cancer registry data have not included detailed insurance information and care received by young women. Young women with breast cancer frequently forgo breast cancer care due to cost. Our results highlight the potential for policies that facilitate optimal care for young breast cancer patients which could include the provision of comprehensive insurance coverage.

Indexed as

Health Services AccessibilityAdolescentAdultBreast NeoplasmsFemaleHealth Care CostsHumansRegistriesSurveys and QuestionnairesYoung AdultAccess to health careBreast cancerCostHealth insuranceYoung adult

Identifiers

PMID32897529
PMCPMC7895498
OpenAlexW3084025375

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.