Evidence map›Paper›PMID 37174037›Full record

ArticleCancers2023

Racial Disparities in Brachytherapy Treatment among Women with Cervical and Endometrial Cancer in the United States.

Kekoa Taparra, Brandon I Ing, Agnes Ewongwo, Jacqueline B Vo, Jaimie Z Shing, Megan Y Gimmen, Kiana M K Keli'i, Jason Uilelea, Erqi Pollom, Elizabeth Kidd

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Disparities in Gynecologic Cancers.Cancer journal (Sudbury, Mass.)
    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

10 authors at 5 institutions in 1 country.

Kekoa TaparraDepartment of Radiation Oncology, Stanford Health Care, Stanford, CA 94305, USA.ORCID 0000-0001-8493-3868
Brandon I IngDepartment of Obstetrics and Gynecology, Kaiser Permanente, Los Angeles, CA 90027, USA.
Agnes EwongwoDepartment of Radiation Oncology, Stanford Health Care, Stanford, CA 94305, USA.
Jacqueline B VoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850, USA.
Jaimie Z ShingDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850, USA.ORCID 0000-0001-7064-4424
Megan Y GimmenHarvard Medical School, Boston, MA 02115, USA.
Kiana M K Keli'iBrown University, Providence, RI 02912, USA.
Jason UileleaBrown University, Providence, RI 02912, USA.
Erqi PollomDepartment of Radiation Oncology, Stanford Health Care, Stanford, CA 94305, USA.
Elizabeth KiddDepartment of Radiation Oncology, Stanford Health Care, Stanford, CA 94305, USA.
Stanford Health Care · USBrown University · USNational Cancer Institute · USHarvard University · USKaiser Permanente · US

Funding

Stanford Medicine Stanford Cancer Institute Fellowship AwardStanford Medicine Stanford Cancer Institute Women's Cancer Center Innovation Award
6 · The paper itself

Abstract

Brachytherapy improves clinical outcomes among women diagnosed with cervical and endometrial cancers. Recent evidence demonstrates that declining brachytherapy boosts for women with cervical cancer were associated with higher mortality. In this retrospective cohort study, women diagnosed with endometrial or cervical cancer in the United States between 2004 and 2017 were selected from the National Cancer Database for evaluation. Women ≥18 years of age were included for high intermediate risk (PORTEC-2 and GOG-99 definition) or FIGO Stage II-IVA endometrial cancers and FIGO Stage IA-IVA-non-surgically treated cervical cancers. The aims were to (1) evaluate brachytherapy treatment practice patterns for cervical and endometrial cancers in the United States; (2) calculate rates of brachytherapy treatment by race; and (3) determine factors associated with not receiving brachytherapy. Treatment practice patterns were evaluated over time and by race. Multivariable logistic regression assessed predictors of brachytherapy. The data show increasing rates of brachytherapy for endometrial cancers. Compared to non-Hispanic White women; Native Hawaiian and other Pacific Islander (NHPI) women with endometrial cancer and Black women with cervical cancer were significantly less likely to receive brachytherapy. For both NHPI and Black women, treatment at community cancer centers was associated with a decreased likelihood of brachytherapy. The data suggest racial disparities among Black women with cervical cancer and NHPI women with endometrial cancer and emphasize an unmet need for brachytherapy access within community hospitals.

Indexed as

brachytherapycancer disparitiescervical cancerendometrial cancerNative Hawaiian and other Pacific Islandersradial disparitiesradiation therapy

Identifiers

PMID37174037
PMCPMC10177217
OpenAlexW4368376061

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.