Evidence map›Paper›PMID 42191051›Full record

Observational studyAmerican journal of preventive medicine2026

BMI and Initiation of Cancer Screening: A Closer Look at Differences by Race, Ethnicity, and Sex in a Multicenter Population.

Caryn E Oshiro, Kara L Cushing-Haugen, Natalie J Del Vecchio, Oluwakemi D Alonge, Nirupa R Ghai, Beverly B Green, Stacey A Honda, Christine Neslund-Dudas, Debra P Ritzwoller, Celette Sugg Skinner and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Caryn E OshiroCenter for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu, Hawaii. Electronic address: caryn.es.oshiro@kp.org.
Kara L Cushing-HaugenPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Natalie J Del VecchioPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Oluwakemi D AlongeCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin.
Nirupa R GhaiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Beverly B GreenKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Stacey A HondaCenter for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu, Hawaii; Hawaii Permanente Medical Group, Kaiser Permanente Hawaii, Honolulu, Hawaii.
Christine Neslund-DudasHenry Ford Cancer Institute, Henry Ford Health, Detroit, Michigan.
Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Celette Sugg SkinnerO'Donnell School of Public Health and Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.
Menghua TaoHenry Ford Cancer Institute, Henry Ford Health, Detroit, Michigan.
Anil VachaniPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jessica ChubakKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Douglas A CorleyDivision of Research, Kaiser Permanente Northern California, Pleasanton, California.
Jennifer S HaasDivision of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Christopher I LiPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Jasmin A TiroBiological Sciences Division, Department of Public Health Sciences, University of Chicago, Chicago, Illinois.
Katharine A RendlePerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

PROSPR METRICS CISNET Collaboration Investigating Impact of Structural Racism/Discrimination on Cervical Screening Moonshot SupplementUM1CA221940 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CHUBAK, JESSICA, HAAS, JENNIFER S · 2018 to 2023
$15.9M
Optimizing Colorectal Cancer Screening PREcision and Outcomes in CommunIty-baSEd Populations (PRECISE)UM1CA222035 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CHUBAK, JESSICA, CORLEY, DOUGLAS ALLEN · 2018 to 2023
$15.6M
Center for Research to Optimize Precision Lung Cancer Screening in Diverse PopulationsUM1CA221939 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI RITZWOLLER, DEBRA P, VACHANI, ANIL · 2018 to 2023
$15.3M
Coordinating Center for Population-based Research to Optimize Cancer Screening (PROSPR) (U24)U24CA221936 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LI, CHRISTOPHER I, ZHENG, YINGYE · 2018 to 2023
$5.7M
NCI NIH HHS U24 CA221936NCI NIH HHS UM1 CA221939NCI NIH HHS UM1 CA221940NCI NIH HHS UM1 CA222035
6 · The paper itself

Abstract

introductionObesity is associated with a risk for several screen-detectable cancers, yet cancer screening rates are lower among adults with obesity. It is unclear whether associations between BMI and screening initiation differ by race, ethnicity, or sex.

methodsA retrospective cohort study was conducted among adults initiating cervical, colorectal, or lung cancer screening using electronic health record data from 10 U.S. health systems (2010-2020 for the cervical/colorectal cohorts; 2014-2021 for lung). Associations between screening initiation (within 15 months of becoming age eligible) and BMI categories were analyzed using separate logistic regression models. Effect modification by race/ethnicity and sex was assessed. Data were analyzed from 2023 to 2025.

resultsAmong 23,849 adults eligible for cervical cancer screening, patients with overweight (BMI of 25 to <30 kg/m

conclusionsAdults with obesity have lower odds of timely screening initiation. Given the increased risk of cancers in adults with obesity, effective interventions to target suboptimal cancer screening are critically important.

Indexed as

Body Mass IndexEarly Detection of CancerEthnicityNeoplasmsObesityRacial GroupsAdultAgedColorectal NeoplasmsFemaleHumansLung NeoplasmsMaleMass ScreeningMiddle AgedOverweight

Identifiers

PMID42191051
PMCPMC13353203

What OpenQuestion holds

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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.