Evidence map›Paper›PMID 41085984›Full record

ArticleJAMA network open2025

Incarceration and Quality of Cancer Care.

Oluwadamilola T Oladeru, Ilana B Richman, Jenerius A Aminawung, Jason Weinstein, Lisa B Puglisi, Rajni Mehta, Hsiu-Ju Lin, Emily A Wang, Cary P Gross

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Nurses' Perspectives on Cancer Care for People Who Experience Incarceration in British Columbia, Canada: Challenges and Opportunities.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
    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

9 authors.

Oluwadamilola T OladeruDepartment of Radiation Oncology, Mayo Clinic, Jacksonville, Florida.
Ilana B RichmanDepartment of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Jenerius A AminawungSEICHE Center for Health and Justice, Yale School of Medicine, New Haven, Connecticut.
Jason WeinsteinYale School of Medicine, New Haven, Connecticut.
Lisa B PuglisiSEICHE Center for Health and Justice, Yale School of Medicine, New Haven, Connecticut.
Rajni MehtaYale Cancer Center, Yale School of Medicine, New Haven, Connecticut.
Hsiu-Ju LinUniversity of Connecticut School of Social Work, Hartford.
Emily A WangSEICHE Center for Health and Justice, Yale School of Medicine, New Haven, Connecticut.
Cary P GrossDepartment of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.

Funding

Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
NHLBI NIH HHS T35 HL007649
6 · The paper itself

Abstract

Importance: Although incarceration is associated with worse cancer outcomes, little is known about quality of cancer care among people with a history of incarceration. Objective: To describe quality of cancer care among those diagnosed with cancer during or immediately after incarceration. Design, Setting, and Participants: This longitudinal cohort study used Connecticut Tumor Registry data linked to Department of Correction rosters from 2005 through 2016. Patients diagnosed with cancer while incarcerated were matched to those diagnosed within 12 months after incarceration and to those with no history of incarceration. Analysis was performed between March 2024 and January 2025. Exposures: Incarceration status at time of cancer diagnosis. Main Outcomes and Measures: The main outcomes were treatment initiation within 60 days and receipt of recommended pretreatment and therapeutic care, ascertained from medical records and tumor registries. Logistic regression was used to evaluate odds of treatment initiation by 60 days. The proportion of recommended elements of pretreatment and therapeutic care received was calculated, and group differences were assessed using χ2 tests. Results: The sample included 690 individuals (233 diagnosed during incarceration, 221 diagnosed within 12 months after incarceration, and 236 with no incarceration history). The mean (SD) age was 49.7 (12.1) years, and 611 (88.6%) were male. Compared with those with no history of incarceration, those diagnosed with cancer during incarceration were less likely to initiate treatment within 60 days (169 of 209 [80.9%] vs 131 of 189 [69.3%]; OR, 0.49 [95% CI, 0.31-0.79]). Initiation of treatment within 60 days was not statistically different for those diagnosed after incarceration vs those with no history of incarceration (144 of 187 [77.0%]; OR, 0.81 [95% CI, 0.49-1.34]). Those diagnosed with local and regional cancers during incarceration received 49.2% of recommended treatment-related care (31 of 63 measures), while those diagnosed after incarceration received 45.3% (34 of 75 measures), compared with 66.7% (36 of 54 measures) among those with no history of incarceration (P < .001). People diagnosed with local and regional cancers during incarceration received 80.6% of recommended pretreatment evaluation (54 of 67 measures), and those diagnosed after received 96.8% (59 of 68 measures), compared with 78.1% (50 of 64 measures) among those with no history of incarceration (P = .01). Conclusions and Relevance: In this cohort study of people with a history of incarceration, incarceration was associated with lower likelihood of receiving timely, high-quality cancer treatment. Along with other published literature, this work suggests that gaps in quality of care may contribute to observed disparities in outcomes.

Indexed as

NeoplasmsPrisonersQuality of Health CareAdultAgedConnecticutFemaleHumansIncarcerationLongitudinal StudiesMaleMiddle AgedRegistries

Identifiers

PMID41085984
PMCPMC12522002

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.