Evidence map›Paper›PMID 33163554›Full record

ArticleJournal of patient-centered research and reviews2020

Discordance in Perceptions of Barriers to Breast Cancer Treatment Between Hispanic Women and Their Providers.

Swapna Reddy, Mary Saxon, Nina Patel, Matthew Speer, Tiffany Ziegler, Nirali Patel, Madison Ziegler, Stephany Esquivel, Andrea Daniella Mata, Asha Devineni and 3 more

Abstract read
In one paragraph

Article in Journal of patient-centered research and reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Action Items for Breast Cancer Awareness Month.Journal of patient-centered research and reviews · 2020
    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

13 authors.

Swapna ReddyCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Mary SaxonCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Nina PatelCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Matthew SpeerCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Tiffany ZieglerArizona College of Osteopathic Medicine, Midwestern University, Glendale, AZ.
Nirali PatelDavid Geffen School of Medicine at UCLA, Los Angeles, CA.
Madison ZieglerCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Stephany EsquivelCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Andrea Daniella MataCollege of Liberal Arts, University of Texas at El Paso, El Paso, TX.
Asha DevineniSandra Day O'Connor College of Law, Arizona State University, Phoenix, AZ.
Pooja PaodeCollege of Health Solutions, Arizona State University, Phoenix, AZ.
Nitika ThawaniUniversity of Arizona College of Medicine - Phoenix, Phoenix, AZ.
Subhakar MutyalaUniversity of Arizona College of Medicine - Phoenix, Phoenix, AZ.

Funding

Phase II of BUILDing SCHOLARSUL1GM118970 · NIGMS · UNIVERSITY OF TEXAS EL PASO · PI ALEY, STEPHEN B, BOLAND, THOMAS · 2015 to 2023
$17.9M
Phase II of BUILDing SCHOLARS - Student Training CoreTL4GM118971 · NIGMS · UNIVERSITY OF TEXAS EL PASO · PI ALEY, STEPHEN B, BOLAND, THOMAS · 2015 to 2023
$9.9M
Phase II of BUILDing SCHOLARS - Research Enrichment CoreRL5GM118969 · NIGMS · UNIVERSITY OF TEXAS EL PASO · PI ALEY, STEPHEN B, BOLAND, THOMAS · 2015 to 2023
$7.4M
NIGMS NIH HHS RL5 GM118969NIGMS NIH HHS TL4 GM118971NIGMS NIH HHS UL1 GM118970
6 · The paper itself

Abstract

Despite comparable screening and incidence rates that are 26% below that of non-Hispanic Whites, Hispanic women present with breast cancer at more advanced stages of disease, representing a continuing and troubling health disparity for this population. Reducing these disparities warrant more innovative research approaches to better understand perspectives of Hispanic patients regarding barriers to treatment and how these perspectives compare to those of their providers. A pilot qualitative study was conducted at a major urban cancer center in Arizona that measured both patient and provider perspectives regarding barriers to treatment. Through a multimethod qualitative analysis, researchers surveyed patients and providers to identify perceived barriers and discordance in shared understanding. Data collection and analysis consisted of surveying patients and providers, then performing inductive qualitative analysis. Results indicated the highest concordance, or shared understanding, between patients and providers was in recognizing barriers within delivery of care, such as cost of care and insurance coverage. The greatest discordance, or gaps in shared understanding, existed in upstream barriers of the health care system, such as emotional support and trust in systems. These results underscore the gap in shared understanding between patients and providers regarding upstream barriers to care as well as the nonclinical social determinants of health Hispanic patients face in accessing breast cancer treatment. More research is warranted using this approach as a tool to reduce health disparities.

Indexed as

breast cancerhealth disparitieshealth equityHispanic womenpatient focusprovider-patient relationshipsocial determinants of health

Identifiers

PMID33163554
PMCPMC7644129

What OpenQuestion holds

Textmetadata
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.