Evidence map›Paper›PMID 41720510›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Kennedy v Braidwood Ruling Affects Women and Cervical Cancer Screening.

Alisa P Young, Marie Claire O'Dwyer, Roger Smith, Natalie Saunders, Elizabeth Campbell, A Mark Fendrick, Diane M Harper

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. 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. 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

7 authors.

Alisa P YoungFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF).
Marie Claire O'DwyerFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF).
Roger SmithFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF).
Natalie SaundersFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF).
Elizabeth CampbellFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF).
A Mark FendrickFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF). harperdi@med.umich.edu.
Diane M HarperFrom the University of Michigan, Department of Family Medicine, Ann Arbor, MI (APY, MCO, DMH); University of Michigan, Department of Obstetrics & Gynecology, Ann Arbor, MI (RS, NS, EC, DMH); and University of Michigan, Department of Internal Medicine, Ann Arbor, MI (AMF). harperdi@med.umich.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Affordable Care Act (ACA) requires private insurance plans to cover preventive services, receiving a Grade A or B rating by the United States Preventive Services Task Force (USPSTF) without cost sharing. Cervical cancer prevention is one such service. Family medicine provides more than half of all the cervical cancer screenings in the US. While the ACA has led to an increase in screening, half of the people assigned female at birth who develop cervical cancer have never been screened. In addition, 20 to 40% of screening-eligible people in the US do not participate in screening. Of those who do screen, and their screen is abnormal, only 34% attend their diagnostic colposcopy examination. Colposcopy with biopsy and endocervical curettage requires consequential copay for the examination and pathology, which increases financial toxicity. Beginning in 2027, policies similar to those in place for breast and colorectal cancer screening that require insurance plans to cover the entire diagnostic workup without cost sharing under the ACA preventive services provision, will be implemented for cervical cancer screening.

Indexed as

Early Detection of CancerInsurance CoverageMass ScreeningPatient Protection and Affordable Care ActUterine Cervical NeoplasmsColposcopyFemaleHumansUnited StatesAffordable Care ActCancer ScreeningCervical CancerColposcopyUnited States Supreme Court

Identifiers

PMID41720510
PMCPMC12978776

What OpenQuestion holds

Textmetadata
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.