Evidence map›Paper›PMID 33563263›Full record

ArticleBMC women's health2021

The importance of patient engagement to quality of breast cancer care and health-related quality of life: a cross-sectional study among Latina breast cancer survivors in rural and urban communities.

Jackie Bonilla, Cristian Escalera, Jasmine Santoyo-Olsson, Cathy Samayoa, Carmen Ortiz, Anita L Stewart, Anna María Nápoles

2 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT01383174 nacompletednot on this map

Nuevo Amanecer: Promoting the Psychosocial Health of Latinas

TypeinterventionalSponsorUniversity of California, San FranciscoRan2011 to 2014Enrolled151ConditionsBreast Neoplasms, Psychology, SocialArmsPeer Support Program
NCT02931552 nacompletednot on this map

Translating a Stress Management Program for Latinas

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2019Enrolled153ConditionsBreast Neoplasms, Psychology, SocialArmsNuevo Amancer-II Stress Management Program
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Health-related quality of life in rural cancer survivors compared with their urban counterparts: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Article
  3. Review
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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

7 authors at 4 institutions in 1 country.

Jackie BonillaNational Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, MD, 20892, Bethesda, USA.
Cristian EscaleraNational Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, MD, 20892, Bethesda, USA.
Jasmine Santoyo-OlssonDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, 3333 California St., Suite 335, San Francisco, CA, 94143-0856, USA.
Cathy SamayoaHealth Equity Research Lab, Department of Biology, San Francisco State University, 1600 Holloway Ave, San Francisco, CA, 94132, USA.
Carmen OrtizCírculo de Vida Cancer Support and Resource Center, 2601 Mission St, Suite 702, San Francisco, CA, 94110, USA.
Anita L StewartInstitute for Health & Aging, University of California San Francisco, 3333 California St., Suite 340, San Francisco, CA, 94118, USA.
Anna María NápolesNational Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, MD, 20892, Bethesda, USA. anna.napoles@nih.gov.ORCID 0000-0001-8838-2899
National Institutes of Health · USUniversity of California, San Francisco · USCírculo de Vida · USSan Francisco State University · US

Funding

RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nynikka Palmer · 1997 to 2026
$19.5M
Translating Behavioral Interventions for Health Disparity PopulationsZIAMD000014 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2018 to 2023
$4.8M
California Breast Cancer Research 15BB-1300California Breast Cancer Research Program 15BB-1301California Breast Cancer Research Program 21OB-0135NIA NIH HHS 1 P30 AG15272NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

backgroundCompared to their white counterparts, Latina breast cancer survivors experience poorer quality of care and worse health-related quality of life. Limited English proficiency (LEP) and patient engagement in cancer care could help explain these disparities. We assessed associations between LEP status and difficulty engaging with physicians, with self-reported quality of breast cancer care and health-related quality of life (physical and emotional well-being) among rural and urban Latina breast cancer survivors.

methodsAnalyses used cross-sectional baseline survey data from two studies that tested a stress management program among rural and urban Latina breast cancer survivors in California. Medical information was collected through medical records review. Linear regression models examined bivariate and multivariable associations of LEP status (yes or no), difficulty engaging with doctors (asking questions and participating in treatment decisions) (1-4; higher score = greater difficulty), and rural versus urban site, with three outcomes: (1) quality of breast cancer care and information; (2) physical well-being; and (3) and emotional well-being, controlling for demographic and medical factors.

resultsThe total sample included 304 women (151 from urban and 153 from rural sites). Mean age was 52.7 years (SD 10.9). Most were limited English proficient (84.5%) and had less than a high school education (67.8%). Difficulty engaging with doctors was inversely associated with patient ratings of quality of breast cancer care and information (B = - 0.190, p = 0.014), emotional well-being (B = - 1.866, p < 0.001), and physical well-being (B = - 1.272, p = 0.002), controlling for demographic and treatment factors. LEP (vs. not; B = 1.987, p = 0.040) was independently associated with physical well-being only. Rural/urban status was not related independently to any outcome.

conclusionsRural and urban Latina breast cancer survivors who report greater difficulty engaging with physicians experienced worse quality of breast cancer care and health-related quality of life. Promoting greater engagement of Latina breast cancer survivors in cancer care and providing medical interpreters when needed could improve patient outcomes among this vulnerable group.

trial registrationhttp://www.ClinicalTrials.gov identifier NCT02931552 and NCT01383174.

Indexed as

Breast NeoplasmsCancer SurvivorsCross-Sectional StudiesFemaleHispanic or LatinoHumansMiddle AgedPatient ParticipationQuality of LifeBreast cancerLatino/hispanicPatient engagementQuality of careQuality of lifeShared decision making

Identifiers

PMID33563263
PMCPMC7871405
OpenAlexW3119278499

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.