Evidence map›Paper›PMID 40037386›Full record

SynthesisWomen's health (London, England)

Benefits of breast self-examinations for medically underserved populations: A systematic review.

Caroline M Cassidy, Christopher I Choi, Benjamin Herdman, Taryn K Kilbane, Jessica F Lannen, James P McConnell, Michelle M Moufawad, Beth A Bailey

Abstract readSystematic Review
In one paragraph

Synthesis in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  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

8 authors.

Caroline M CassidyCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
Christopher I ChoiCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.ORCID 0000-0002-2063-695X
Benjamin HerdmanCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
Taryn K KilbaneCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
Jessica F LannenCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
James P McConnellCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
Michelle M MoufawadCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.
Beth A BaileyCentral Michigan University College of Medicine, Mount Pleasant, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast self-examination (BSE) was previously recommended to help early-stage breast cancer detection to improve prognosis. However, BSE is not recommended in the United States anymore due to the findings that it fails to significantly decrease mortality while increasing biopsy cases, causing unnecessary harm. Nonetheless, international researchers have continued to investigate the benefits of BSE in medically underserved regions. These studies raise the possibility that BSE could be beneficial in rural America, where people face higher mortality from chronic diseases compared to the general population.

objectivesDetermine if BSE has benefits for medically underserved populations to inform a potential reevaluation of breast cancer screening recommendations.

designSystematic review. DATA SOURCES AND

methodsA systematic review was conducted using a set of terms to identify articles on breast cancer survival and BSE in rural and/or underserved populations within the past 10 years. The search yielded over 200 articles across 3 databases (PubMed, CINAHL, and SCOPUS), and they were further screened to include studies that show rural populations performing BSE, effects of BSE in breast cancer diagnosis and/or mortality of breast cancer patients, factors contributing to the efficacy of BSE, factors that affect women's willingness to perform BSE, and effects of BSE on breast cancer awareness/behaviors to seek further screening.

resultsThe final synthesis from 12 articles suggests that BSE is associated with early breast cancer detection (4/12), increased accessibility to breast cancer screening (2/12), and positively influence women to seek further breast cancer screening in rural populations (3/12). It also identifies a potential need for improved education on breast cancer and screening, including BSE practices, to promote early breast cancer detection (3/12).

conclusionThe reevaluation of the current recommendations to determine if exceptions should be made to specific populations would be helpful in addressing late detection and poor prognosis in medically underserved populations.

Indexed as

Breast NeoplasmsBreast Self-ExaminationEarly Detection of CancerMedically Underserved AreaFemaleHealth Knowledge, Attitudes, PracticeHumansRural PopulationUnited Statesbreast cancerbreast cancer screeningbreast self-examinationrural healthwomen’s health

Identifiers

PMID40037386
PMCPMC11881123

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.