Evidence map›Paper›PMID 36675343›Full record

ArticleJournal of clinical medicine2023

Breast Cancer Care Pathways for Women with Preexisting Severe Mental Disorders: Evidence of Disparities in France?

Anna-Veera Seppänen, Fabien Daniel, Sophie Houzard, Christine Le Bihan, Magali Coldefy, Coralie Gandré

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Anna-Veera SeppänenInstitut de Recherche et Documentation en Economie de la Santé (IRDES), 75019 Paris, France.
Fabien DanielInstitut de Recherche et Documentation en Economie de la Santé (IRDES), 75019 Paris, France.
Sophie HouzardInstitut National du Cancer (French National Cancer Institute-INCa), 92513 Boulogne-Billancourt, France.
Christine Le BihanInstitut National du Cancer (French National Cancer Institute-INCa), 92513 Boulogne-Billancourt, France.ORCID 0000-0002-1868-9358
Magali ColdefyInstitut de Recherche et Documentation en Economie de la Santé (IRDES), 75019 Paris, France.
Coralie GandréInstitut de Recherche et Documentation en Economie de la Santé (IRDES), 75019 Paris, France.
Institut de Recherche et de Documentation en Économie de la Santé · FRInstitut National du Cancer · FR

Funding

French National Cancer Institute SHSESP19-028
6 · The paper itself

Abstract

The excess cancer mortality in persons with severe mental illness (SMI) has been well documented, and research suggests that it may be influenced by care-related factors. Our objective was to assess breast cancer care pathways in women with SMI in France, using an exhaustive population-based data-linkage study with a matched case-control design. The cases were 1346 women with incident breast cancer in 2013/2014 and preexisting SMI who were matched with three controls without SMI presenting similar demographics, initial breast cancer type, and year of incidence. We compared cancer care pathways and their quality for cases and controls, using a consensual set of indicators covering diagnosis, treatment, follow-up, and mortality (until 2017). After adjusting for covariates, cases had lower odds to undergo the main diagnostic tests, lumpectomy, adjuvant chemotherapy, and radiotherapy, as well as hormone therapy, but higher odds for mastectomy. Suboptimal quality in cancer pathways was observed for both groups, but to a higher extent for cases, especially for not receiving timely care after diagnosis and post-treatment follow-up. Breast cancer mortality, considering competing risks of deaths, was significantly elevated in women with SMI. These findings highlight disparities in cancer care pathways for individuals with SMI, as well as specific aspects of the care continuum which could benefit from targeted actions to reach equity of outcomes.

Indexed as

administrative claimsbreast cancercare pathwaysFrancehealthcarehealthcare disparitieshealth services researchmental disorders

Identifiers

PMID36675343
PMCPMC9862837
OpenAlexW4313587922

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.