Evidence map›Paper›PMID 34199955›Full record

SynthesisInternational journal of environmental research and public health2021

What Is the Evidence Globally for Culturally Safe Strategies to Improve Breast Cancer Outcomes for Indigenous Women in High Income Countries? A Systematic Review.

Vita Christie, Debbie Green, Janaki Amin, Christopher Pyke, Karen Littlejohn, John Skinner, Deb McCowen, Kylie Gwynne

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A Scoping Review of Health-Related Citizen Science Projects Involving Indigenous Peoples in Australia and Internationally.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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  4. Article
  5. Article
  6. Review
  7. 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

8 authors.

Vita ChristieFaculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia.ORCID 0000-0003-3887-8305
Debbie GreenArmajun Aboriginal Health Service, Armidale 2350, Australia.
Janaki AminFaculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia.
Christopher PykeFoundation for Breast Cancer Care, South Brisbane 4101, Australia.
Karen LittlejohnFoundation for Breast Cancer Care, South Brisbane 4101, Australia.
John SkinnerPoche Centre for Indigenous Health, The University of Sydney, Sydney 2006, Australia.ORCID 0000-0002-4866-053X
Deb McCowenArmajun Aboriginal Health Service, Armidale 2350, Australia.
Kylie GwynneFaculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia.ORCID 0000-0002-6897-4528

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim was to systematically assess the evidence on whether cultural safety affects breast cancer outcomes with regards to care for Indigenous women in high income countries. We conducted a systematic review in accordance with PRISMA guidelines of peer-reviewed articles in Medline, EMBASE, CINAHL, Scopus, Web of Science, Proquest Sociology and Informit Rural health database and Indigenous collection databases. Key inclusion criteria were: adult female patients with breast cancer; high income country setting; outcome measure, including screening, diagnosis, treatment and follow up care. A total of 15 were selected. We developed a Community Engagement assessment tool in consultation with aboriginal researchers, based on the National Health and Medical Research Councils' community engagement guidelines, against which studies were appraised. This novel element allowed us to evaluate the literature from a new and highly relevant perspective. Thematic analysis of all 15 studies was also undertaken. Despite limited literature there are evidence-based strategies that are likely to improve outcomes for Indigenous women with breast cancer in high income countries and indicate that culture makes a positive difference. It is also clear that strong Indigenous community leadership and governance at all stages of the research including design is an imperative for feasibility.

Indexed as

Breast NeoplasmsDeveloped CountriesFemaleHumansIncomeMass ScreeningPopulation Groupsaboriginalbreast cancercultural safetyindigenousindigenous health

Identifiers

PMID34199955
PMCPMC8200222

What OpenQuestion holds

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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.