Evidence map›Paper›PMID 33388329›Full record

ArticlePreventive medicine2021

Out of reach? Correlates of cervical cancer underscreening in women with varying levels of healthcare interactions in a United States integrated delivery system.

Colin Malone, Diana S M Buist, Jasmin Tiro, William Barlow, Hongyuan Gao, John Lin, Rachel L Winer

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
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 at 4 institutions in 1 country.

Colin MaloneDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Diana S M BuistKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Jasmin TiroDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
William BarlowSWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Hongyuan GaoKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
John LinDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Rachel L WinerDepartment of Epidemiology, University of Washington, Seattle, WA, USA; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA. Electronic address: rlw@uw.edu.
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · USFred Hutch Cancer Center · USThe University of Texas Southwestern Medical Center · US

Funding

NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
Randomized Trial of In-Home Cervical Cancer Screening in Underscreened WomenR01CA168598 · NCI · UNIVERSITY OF WASHINGTON · PI WINER, RACHEL L. · 2013 to 2017
$2.9M
NCATS NIH HHS TL1 TR002318NCI NIH HHS R01 CA168598
6 · The paper itself

Abstract

One in five U.S. women with health insurance are underscreened for cervical cancer. We sought to identify whether underscreening correlates differed among women with different levels of health care interaction. Among women age 30-64 years who were members of an integrated U.S. health system, we used 2014-2015 electronic health record data to identify underscreened cases (≥3.4 years since last Papanicolaou (Pap) test, n=3352) and screening-adherent controls (<3.4 years since last Pap test, n=45,359) and extracted data on potential underscreening correlates (demographics, health history, and healthcare utilization). We calculated the odds of underscreening in the total population and by subgroups defined by healthcare visits and online health portal usage in the prior 12 months. Underscreening was associated with older age (50-64 vs. 30-39; odds ratio (OR)=1.6; 95%CI=1.4-1.8), current tobacco use (vs. never use; OR=2.1; 95%CI=1.8-2.2), higher BMI (≥35 kg/m

Indexed as

Delivery of Health Care, IntegratedUterine Cervical NeoplasmsAdultAgedEarly Detection of CancerFemaleHumansMiddle AgedPapanicolaou TestUnited StatesVaginal SmearsAdherenceCervical cancer screeningHealth care systemPatient portalPrimary care providerUnderscreening

Identifiers

PMID33388329
PMCPMC7956225
OpenAlexW3115252188

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.