Evidence map›Paper›PMID 39658477›Full record

ArticleUrologic oncology2025

Integrated care among patients with kidney or urinary bladder cancer: An NCI patterns-of-care analysis.

Kirsten Y Eom, Bhupinder Mann, Michael T Halpern

Abstract read
In one paragraph

Article in Urologic oncology, 2025. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

3 authors.

Kirsten Y EomHealthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, NIH, Rockville, MD. Electronic address: kirsten.eom@nih.gov.
Bhupinder MannDivision of Cancer Treatment and Diagnosis, Cancer Therapy Evaluation Program, National Cancer Institute, NIH, Rockville, MD.
Michael T HalpernDepartment of Health Policy and Health Services Administration, University of Texas School of Public Health San Antonio, San Antonio, TX.

Funding

Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

introductionCancer patients often have complex medical needs from diagnosis to survivorship/end-of-life care. Integrated care, including care coordination, multidisciplinary rounds, and supportive care services, is crucial for high-quality cancer care. Yet, factors influencing integrated care receipt are not well understood. This study describes patterns of integrated care among individuals diagnosed with kidney or urinary bladder cancer and examines patient- and hospital-level factors associated with these services.

methodsAnalyzing 2019 National Cancer Institute Patterns-of-Care data, we assessed integrated care service receipt among stage I to IV kidney and stage 0a to IVb urinary bladder cancer patients aged ≥ 20 years using a stratified Surveillance, Epidemiology, and End Results registry sample. Integrated care services within 12 months postdiagnosis were identified by medical record abstraction. Multivariable logistic regression analyses identified patient, clinical, and hospital-level factors significantly associated with receipt of integrated care.

resultsSignificant variations in receiving integrated care were observed based on insurance status; uninsured patients less likely to receive these services. Racial/ethnic differences were also noted, as non-Hispanic white patients had higher likelihoods of receiving integrated care. Stage IV kidney cancer patients were 2.63 times [1.44-4.79] more likely to receive integrated care than stage I patients. Treatment characteristics and hospital-level factors appeared to have minimal impact on receiving these services.

conclusionThe lower likelihood of receiving integrated care among patients with no insurance and among certain racial/ethnic groups underscores gaps in equitable access to patient-centered cancer care. Future research should include patient perspectives to enhance understanding of unmet needs and influencing factors related to integrated care services.

Indexed as

Delivery of Health Care, IntegratedKidney NeoplasmsUrinary Bladder NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNational Cancer Institute (U.S.)United StatesCare coordinationHospital characteristicsKidney cancerMultidisciplinary roundsPatterns-of-careSupportive careUrinary bladder cancer

Identifiers

PMID39658477
PMCPMC11875945

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.