{"id":"https://openalex.org/W2322673176","doi":"https://doi.org/10.1097/md.0000000000001071","title":"Adjuvant therapy use among Appalachian breast cancer survivors","display_name":"Adjuvant therapy use among Appalachian breast cancer survivors","publication_year":2015,"publication_date":"2015-07-01","ids":{"openalex":"https://openalex.org/W2322673176","doi":"https://doi.org/10.1097/md.0000000000001071","mag":"2322673176","pmid":"https://pubmed.ncbi.nlm.nih.gov/26131828","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4504563"},"language":"en","primary_location":{"id":"doi:10.1097/md.0000000000001071","doi":"https://doi.org/10.1097/md.0000000000001071","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000001071","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/md.0000000000001071","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014838410","display_name":"Xi Tan","orcid":"https://orcid.org/0000-0002-2409-5927","observed_orcids":["https://orcid.org/0000-0002-2409-5927"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Xi Tan","raw_affiliation_strings":["From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT); Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM); Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB); Mountain-Pacific Quality Health, Helena, Montana (JD)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT); Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM); Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB); Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":["https://openalex.org/I12097938","https://openalex.org/I27837315","https://openalex.org/I51556381"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040635665","display_name":"Vincent D. Marshall","orcid":"https://orcid.org/0000-0002-2594-7407","observed_orcids":["https://orcid.org/0000-0002-2594-7407"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincent D. Marshall","raw_affiliation_strings":["Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019453350","display_name":"Roger T. Anderson","orcid":"https://orcid.org/0000-0001-8112-4117","observed_orcids":["https://orcid.org/0000-0001-8112-4117"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roger T. Anderson","raw_affiliation_strings":["Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032462887","display_name":"Joseph Donohoe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Donohoe","raw_affiliation_strings":["Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046182172","display_name":"FABIAN T. CAMACHO","orcid":"https://orcid.org/0000-0002-4878-0283","observed_orcids":["https://orcid.org/0000-0002-4878-0283"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fabian Camacho","raw_affiliation_strings":["Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015605411","display_name":"Rajesh Balkrishnan","orcid":"https://orcid.org/0000-0001-9363-9257","observed_orcids":["https://orcid.org/0000-0001-9363-9257"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]},{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I2801578990","display_name":"Appalachian Regional Commission","ror":"https://ror.org/04bpasa69","country_code":"US","type":"government","lineage":["https://openalex.org/I2801578990"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rajesh Balkrishnan","raw_affiliation_strings":["Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","Mountain-Pacific Quality Health, Helena, Montana (JD)","PI: Balkrishnan)","The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical, Social and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan (VDM)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Public Health Services, School of Medicine, University of Virginia, Charlottesville, Virginia (RTA, FC, RB)","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"From Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, West Virginia (XT)","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"Abbreviations: AET = adjuvant endocrine therapy, AI = aromatase inhibitor, ARC = Appalachian Regional Commission, ARF = Area Resource File, CCI = Charlson Comorbidity Index, CDC = Centers for Disease Control and Prevention, CMS = Centers for Medicare and Medicaid services, CoC = Commission on Cancer, Cox PH = Cox proportional hazards, HMO = Health Maintenance Organization, HPSA = Health Professional Shortage Area, HR = hormone-receptor, IRB = Institution Review Board, LIS = low-income subsidies, MPR = Medication Possession Ratio, NCHS = National Center for Health Statistics, NCI = National Cancer Institute, NPI = National Provider Identifiers, OR = odds ratio, SD = standard deviation, UPIN = Unique Physician Identification Numbers","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I2801578990","https://openalex.org/I4210140884","https://openalex.org/I50959184"]},{"raw_affiliation_string":"Mountain-Pacific Quality Health, Helena, Montana (JD)","institution_ids":[]},{"raw_affiliation_string":"PI: Balkrishnan)","institution_ids":[]},{"raw_affiliation_string":"The study is funded by the National Cancer Institute (NCI) and the National Institutes of Health (NIH) office of Women's Health (grant no. 1 R21 CA168479","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1950,"currency":"USD","value_usd":1950},"apc_paid":{"value":1950,"currency":"USD","value_usd":1950},"fwci":3.9086,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.92267593,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"94","issue":"26","first_page":"e1071","last_page":"e1071"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.07180000096559525,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.05869999900460243,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adjuvant-endocrine-therapy","display_name":"adjuvant endocrine therapy","score":0.9850000143051147},{"id":"https://openalex.org/keywords/breast-cancer-survivors","display_name":"breast cancer survivors","score":0.8489999771118164},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9160000085830688},{"id":"https://openalex.org/keywords/medication-persistence","display_name":"treatment persistence","score":0.8659999966621399},{"id":"https://openalex.org/keywords/appalachia","display_name":"Appalachia","score":0.7559999823570251},{"id":"https://openalex.org/keywords/healthcare-access-disparities","display_name":"health care access disparities","score":0.7080000042915344},{"id":"https://openalex.org/keywords/tamoxifen","display_name":"tamoxifen","score":0.9649999737739563},{"id":"https://openalex.org/keywords/aromatase-inhibitors","display_name":"aromatase inhibitors","score":1.0},{"id":"https://openalex.org/keywords/out-of-pocket-drug-costs","display_name":"out-of-pocket drug costs","score":0.9039999842643738},{"id":"https://openalex.org/keywords/dual-eligibility","display_name":"dual eligibility","score":0.7289999723434448},{"id":"https://openalex.org/keywords/coverage-gaps","display_name":"coverage gaps","score":0.6159999966621399},{"id":"https://openalex.org/keywords/overall-survival","display_name":"overall survival","score":0.859000027179718},{"id":"https://openalex.org/keywords/hormone-receptor-positive-breast-cancer","display_name":"hormone receptor-positive breast cancer","score":0.7590000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9401832818984985},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6812966465950012},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6619168519973755},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.6025004386901855},{"id":"https://openalex.org/C2777176818","wikidata":"https://www.wikidata.org/wiki/Q412178","display_name":"Tamoxifen","level":4,"score":0.5456966757774353},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.5263275504112244},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5124226212501526},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5089869499206543},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4992377758026123},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.49918127059936523},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.4209071099758148},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.1184215247631073}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001061","descriptor_name":"Appalachian Region","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016903","descriptor_name":"Drug Monitoring","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017024","descriptor_name":"Chemotherapy, Adjuvant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018931","descriptor_name":"Antineoplastic Agents, Hormonal","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1097/md.0000000000001071","doi":"https://doi.org/10.1097/md.0000000000001071","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000001071","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4504563","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4504563","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine (Baltimore)","raw_type":"Text"},{"id":"pmid:26131828","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26131828","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"Journal Article"},{"id":"pmh:oai:researchrepository.wvu.edu:faculty_publications-3152","doi":null,"is_oa":true,"landing_page_url":"https://researchrepository.wvu.edu/faculty_publications/2223","pdf_url":null,"source":{"id":"https://openalex.org/S4306402612","display_name":"The Research Repository @ WVU (West Virginia University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I12097938","host_organization_name":"West Virginia University","host_organization_lineage":["https://openalex.org/I12097938"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Faculty & Staff Scholarship","raw_type":"text"}],"best_oa_location":{"id":"doi:10.1097/md.0000000000001071","doi":"https://doi.org/10.1097/md.0000000000001071","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000001071","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7307999730110168}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G935884968","display_name":"Pharmacotheraphy Evaluation Tools for Improving Breast Cancer Outcomes in Rural A","funder_award_id":"R21CA168479","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320309652","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332162","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12"},{"id":"https://openalex.org/F4320332205","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35"},{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"},{"id":"https://openalex.org/F4320337551","display_name":"Office of Women's Health","ror":"https://ror.org/033jnv181"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":32,"referenced_works":["https://openalex.org/W1529243395","https://openalex.org/W1540562253","https://openalex.org/W1975236199","https://openalex.org/W1987753117","https://openalex.org/W1989960002","https://openalex.org/W1996337195","https://openalex.org/W2005704391","https://openalex.org/W2015338056","https://openalex.org/W2026965897","https://openalex.org/W2034100757","https://openalex.org/W2049571753","https://openalex.org/W2071003201","https://openalex.org/W2075225898","https://openalex.org/W2083235931","https://openalex.org/W2098236961","https://openalex.org/W2101881391","https://openalex.org/W2101944829","https://openalex.org/W2112780046","https://openalex.org/W2120521807","https://openalex.org/W2121656289","https://openalex.org/W2129168200","https://openalex.org/W2131199058","https://openalex.org/W2137925405","https://openalex.org/W2139062201","https://openalex.org/W2139442403","https://openalex.org/W2140242110","https://openalex.org/W2154734961","https://openalex.org/W2154835844","https://openalex.org/W2157029647","https://openalex.org/W2157875208","https://openalex.org/W2163688875","https://openalex.org/W2166577681"],"related_works":["https://openalex.org/W3037449019","https://openalex.org/W1536046597","https://openalex.org/W2518492958","https://openalex.org/W2343784762","https://openalex.org/W2625607767","https://openalex.org/W2641450386","https://openalex.org/W2617744974","https://openalex.org/W1987753117","https://openalex.org/W2705756539","https://openalex.org/W2720136467"],"abstract_inverted_index":{"There":[0],"is":[1],"a":[2,134,161,224],"paucity":[3],"of":[4,10,46,61,72,98,148,157,169,181,201,214,227,284,288,310],"literature":[5],"systemically":[6],"examining":[7],"the":[8,29,33,59,70,95,155,174,182,308],"effects":[9,60,238],"access":[11,40,62],"to":[12,50,63,84,110,133,145,189,206,247,274,318],"cancer":[13,65,91,108,122,321],"care":[14,64],"resources":[15],"on":[16,66,76,332],"adjuvant":[17,340],"endocrine":[18],"therapy":[19],"(AET)":[20],"use":[21,314],"behaviors,":[22],"especially":[23],"in":[24,32,38,56,94,292,315],"underserved":[25],"regions":[26],"such":[27],"as":[28,131,154,294,296],"Appalachian":[30,96],"region":[31],"United":[34],"States,":[35],"where":[36],"gaps":[37],"healthcare":[39],"are":[41],"well":[42,295],"documented.":[43],"The":[44],"objectives":[45],"this":[47,316],"study":[48,81],"were":[49,171,186,193,260,279],"explore":[51],"AET":[52,278,290,300,313],"adherence":[53,73,128,215,257],"and":[54,68,74,104,114,140,165,191,223,249,258,270,275,302,335],"persistence":[55,75,259],"Appalachia,":[57],"delineate":[58],"adherence/persistence,":[67],"evaluate":[69],"influences":[71],"overall":[77,303],"survival.A":[78],"retrospective":[79],"cohort":[80],"from":[82],"2006":[83],"2008":[85],"was":[86,129,143,152,209],"conducted":[87],"among":[88],"female":[89],"breast":[90,121,320],"survivors":[92],"living":[93],"counties":[97],"4":[99],"states":[100],"(PA,":[101],"OH,":[102],"KY,":[103],"NC).":[105],"We":[106],"linked":[107],"registries":[109],"Medicare":[111],"claims":[112],"data":[113],"included":[115],"patients":[116,185],"with":[117,211,277,281],"invasive,":[118],"nonmetastatic,":[119],"hormone-receptor-positive":[120],"who":[123],"received":[124],"guideline-recommended":[125],"AET.":[126],"Medication":[127,135,150],"defined":[130,153],"corresponding":[132],"Possession":[136],"Ratio":[137],"(MPR)":[138],"\u22650.8":[139],"logistic":[141],"regression":[142],"utilized":[144],"assess":[146],"predictors":[147],"adherence.":[149],"nonpersistence":[151,170,228,276],"discontinuation":[156],"drugs":[158],"after":[159],"exceeding":[160],"60-day":[162],"medication":[163],"gap,":[164],"multivariate":[166],"adjusted":[167],"estimates":[168],"obtained":[172],"using":[173],"Cox":[175],"proportional":[176],"hazards":[177],"(PH)":[178],"model.About":[179],"31%":[180],"total":[183],"428":[184],"not":[187,194],"adherent":[188],"AET,":[190],"30%":[192],"persistent":[195],"over":[196],"an":[197,243],"average":[198],"follow-up":[199],"period":[200],"421":[202],"days.":[203],"Tamoxifen,":[204],"relative":[205],"aromatase":[207,254],"inhibitors,":[208],"associated":[210,280],"higher":[212,282],"odds":[213],"(odds":[216],"ratio":[217,230],"=":[218,231],"2.82,":[219],"P":[220,233],"<":[221,234],"0.001)":[222],"lower":[225],"risk":[226],"(hazard":[229],"0.40,":[232],"0.001).":[235],"Drug-related":[236],"side":[237],"like":[239],"pain":[240],"may":[241,338],"be":[242],"important":[244],"factor":[245],"leading":[246],"nonadherence":[248],"early":[250],"discontinuation.":[251],"In":[252],"addition,":[253],"inhibitor":[255],"(AI)":[256],"significantly":[261],"influenced":[262],"by":[263],"out-of-pocket":[264],"drug":[265],"costs,":[266],"dual":[267],"eligibility":[268],"status,":[269],"coverage":[271],"gaps.":[272],"Nonadherence":[273],"risks":[283],"all-cause":[285],"mortality.Our":[286],"findings":[287,325],"suboptimal":[289],"adherence/persistence":[291,301],"Appalachia":[293],"positive":[297],"associations":[298],"between":[299],"survival":[304],"outcomes":[305],"further":[306],"underscore":[307],"importance":[309],"ensuring":[311],"appropriate":[312],"population":[317],"reduce":[319],"mortality":[322],"disparities.":[323],"Our":[324],"also":[326],"suggest":[327],"that":[328],"intervention":[329],"strategies":[330],"focusing":[331],"individualized":[333],"treatment":[334,341],"medication-related":[336],"factors":[337],"improve":[339],"use.":[342]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}