Evidence map›Paper›PMID 38150827›Full record

ArticleJournal of the National Comprehensive Cancer Network : JNCCN2023

Associations Between Patient Experience With Care, Race and Ethnicity, and Receipt of CRC Treatment Among SEER-CAHPS Patients With Multiple Comorbidities.

Stephanie Navarro, Jennifer Tsui, Afsaneh Barzi, Mariana C Stern, Trevor Pickering, Albert J Farias

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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 3 institutions in 1 country.

Stephanie NavarroDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, California.
Jennifer TsuiDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, California.
Afsaneh BarziCity of Hope Comprehensive Cancer Center, Duarte, California.
Mariana C SternDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, California.
Trevor PickeringDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, California.
Albert J FariasDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, California.
Keck Hospital of USC · USUSC Norris Comprehensive Cancer Center · USCity of Hope · US

Funding

The role of patient experiences with care in older adult colorectal cancer patients with comorbid chronic conditionsF30CA268735 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI NAVARRO, STEPHANIE ARIANA · 2022 to 2024
$144k
NCI NIH HHS F30 CA268735
6 · The paper itself

Abstract

backgroundPatients with colorectal cancer (CRC) and multiple comorbidities are less likely to receive guideline-concordant treatment (GCT), a disparity exacerbated by racial and ethnic disparities in GCT. Yet, positive patient experiences with care are associated with more appropriate care use. We investigated associations between patient experiences with care, race and ethnicity, and receipt of GCT for CRC among older adults with multiple comorbidities.

methodsWe used SEER-Consumer Assessment of Healthcare Providers and Systems (CAHPS) data to identify participants diagnosed with CRC from 2001 to 2017 at age ≥67 years with additional chronic conditions. Stage-specific GCT was identified following recommendations in the NCCN Guidelines for Colon and Rectal Cancer. Patient experiences with care were identified from CAHPS surveys. Multivariable log-binomial regression estimated associations between race and ethnicity and receipt of GCT by experiences with care.

resultsA total of 2,612 patients were included. Those reporting excellent experience with getting care quickly were 5% more likely to receive GCT than those reporting less-than-excellent experience (relative risk [RR], 1.05; 95% CI, 1.04-1.05). When reporting less-than-excellent experience with getting care quickly, non-Hispanic Black (NHB) patients were less likely than non-Hispanic White (NHW) patients to receive GCT (RR, 0.80; 99.38% CI, 0.78-0.82), yet NHB patients were more likely to receive GCT than NHW patients when reporting excellent experience (RR, 1.05; 99.38% CI, 1.02-1.09). When reporting less-than-excellent experience with getting needed care, Hispanic patients were less likely than NHW patients to receive GCT (RR, 0.91; 99.38% CI, 0.88-0.94), yet Hispanic patients were more likely to receive GCT than NHW patients when reporting excellent experience (RR, 1.06; 99.38% CI, 1.03-1.08).

conclusionsAlthough excellent patient experience among those with multiple comorbidities may not be strongly associated with receipt of GCT for CRC overall, improvements in experiences of accessing care among NHB and Hispanic patients with CRC and additional comorbidities may aid in mitigating racial and ethnic disparities in receipt of GCT.

Indexed as

Colorectal NeoplasmsDelivery of Health CareEthnicityRacial GroupsAgedBlack or African AmericanComorbidityHispanic or LatinoHumansPatient Outcome Assessmentcolorectal cancerguideline careolder adult carepatient experienceracial and ethnic disparity

Identifiers

PMID38150827
PMCPMC10872498
OpenAlexW4390266142

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.