{"id":"https://openalex.org/W2773368110","doi":null,"title":"Determinants of the receipt of guideline-concordant breast cancer treatment","display_name":"Determinants of the receipt of guideline-concordant breast cancer treatment","publication_year":2013,"publication_date":"2013-07-25","ids":{"openalex":"https://openalex.org/W2773368110","mag":"2773368110"},"language":"en","primary_location":{"id":"pmh:oai:digital.lib.washington.edu:1773/23737","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1773/23737","pdf_url":"https://digital.lib.washington.edu/bitstreams/7f17ffde-b983-4ca5-ae89-af5cbe9507ac/download","source":{"id":"https://openalex.org/S4306401128","display_name":"ResearchWorks at the University of Washington (University of Washington)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I201448701","host_organization_name":"University of Washington","host_organization_lineage":["https://openalex.org/I201448701"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://digital.lib.washington.edu/bitstreams/7f17ffde-b983-4ca5-ae89-af5cbe9507ac/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035743058","display_name":"Jean A. McDougall","orcid":"https://orcid.org/0000-0003-3144-4387","observed_orcids":["https://orcid.org/0000-0003-3144-4387"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Jean A. McDougall","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-3144-4387","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5035743058"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.7753999829292297,"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"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.7753999829292297,"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":0.18070000410079956,"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"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.013199999928474426,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/breast-cancer","display_name":"breast cancer","score":0.8859999775886536},{"id":"https://openalex.org/keywords/guideline-concordant-care","display_name":"guideline-concordant care","score":0.9430000185966492},{"id":"https://openalex.org/keywords/treatment-disparities","display_name":"treatment disparities","score":0.5820000171661377},{"id":"https://openalex.org/keywords/health-insurance-status","display_name":"health insurance status","score":0.5839999914169312},{"id":"https://openalex.org/keywords/low-income","display_name":"low income","score":0.8669999837875366},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.5120000243186951},{"id":"https://openalex.org/keywords/radiotherapy","display_name":"radiotherapy","score":0.8339999914169312},{"id":"https://openalex.org/keywords/chemotherapy","display_name":"chemotherapy","score":0.9729999899864197},{"id":"https://openalex.org/keywords/endocrine-therapy","display_name":"endocrine therapy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/nccn-guidelines","display_name":"NCCN guidelines","score":0.7590000033378601},{"id":"https://openalex.org/keywords/quality-measures","display_name":"quality metrics","score":0.6790000200271606},{"id":"https://openalex.org/keywords/patient-navigation","display_name":"patient navigation","score":0.7279999852180481},{"id":"https://openalex.org/keywords/early-breast-cancer","display_name":"early breast cancer","score":0.6439999938011169}],"concepts":[{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.7177740335464478},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6548910737037659},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.6099698543548584},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5018360614776611},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.445291131734848},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4264671504497528},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.4110727906227112},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37814798951148987},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3269649147987366},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.289245069026947},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.16027027368545532},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.11210960149765015},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.09899824857711792}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:digital.lib.washington.edu:1773/23737","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1773/23737","pdf_url":"https://digital.lib.washington.edu/bitstreams/7f17ffde-b983-4ca5-ae89-af5cbe9507ac/download","source":{"id":"https://openalex.org/S4306401128","display_name":"ResearchWorks at the University of Washington (University of Washington)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I201448701","host_organization_name":"University of Washington","host_organization_lineage":["https://openalex.org/I201448701"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2773368110","doi":null,"is_oa":false,"landing_page_url":"https://digital.lib.washington.edu:443/researchworks/handle/1773/23737","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:digital.lib.washington.edu:1773/23737","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1773/23737","pdf_url":"https://digital.lib.washington.edu/bitstreams/7f17ffde-b983-4ca5-ae89-af5cbe9507ac/download","source":{"id":"https://openalex.org/S4306401128","display_name":"ResearchWorks at the University of Washington (University of Washington)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I201448701","host_organization_name":"University of Washington","host_organization_lineage":["https://openalex.org/I201448701"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"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":0.8974000215530396}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2773368110.pdf","grobid_xml":"https://content.openalex.org/works/W2773368110.grobid-xml"},"referenced_works_count":39,"referenced_works":["https://openalex.org/W652577554","https://openalex.org/W1527772934","https://openalex.org/W1603035123","https://openalex.org/W1831225282","https://openalex.org/W1961026612","https://openalex.org/W1971611309","https://openalex.org/W1977347255","https://openalex.org/W1979710912","https://openalex.org/W1989095454","https://openalex.org/W2000445173","https://openalex.org/W2001756759","https://openalex.org/W2002372881","https://openalex.org/W2012482660","https://openalex.org/W2017790718","https://openalex.org/W2034124921","https://openalex.org/W2047684438","https://openalex.org/W2055535124","https://openalex.org/W2064979057","https://openalex.org/W2067420088","https://openalex.org/W2081955319","https://openalex.org/W2101895414","https://openalex.org/W2106286200","https://openalex.org/W2107843603","https://openalex.org/W2108531622","https://openalex.org/W2117628109","https://openalex.org/W2119491010","https://openalex.org/W2134839096","https://openalex.org/W2143246903","https://openalex.org/W2145080341","https://openalex.org/W2148185531","https://openalex.org/W2149436707","https://openalex.org/W2151778057","https://openalex.org/W2154486932","https://openalex.org/W2154692607","https://openalex.org/W2154835844","https://openalex.org/W2157875208","https://openalex.org/W2158615473","https://openalex.org/W2165984876","https://openalex.org/W2397411735"],"related_works":["https://openalex.org/W2305739283","https://openalex.org/W7072137455","https://openalex.org/W2598427642","https://openalex.org/W2972254260","https://openalex.org/W2344920548","https://openalex.org/W2032174569","https://openalex.org/W4402759147","https://openalex.org/W3164729432","https://openalex.org/W6898801022","https://openalex.org/W2082694974"],"abstract_inverted_index":{"Background:":[0],"Guidelines":[1],"for":[2,133,202,219,239,247,255],"the":[3,37,45,91,103,153,296],"management":[4],"of":[5,28,36,47,124,197,214,228,234,265,270,279,282,298],"early":[6],"stage":[7,83],"invasive":[8],"breast":[9,40,66,88,186,300],"cancer":[10,41,67,89,110,140,187,301],"include":[11],"locoregional":[12],"and":[13,21,51,56,97,107,121,143,157,160,165,205,250,306],"systemic":[14],"treatments":[15],"that,":[16],"on":[17],"average,":[18],"prolong":[19],"disease-free":[20],"overall":[22],"survival.":[23,68],"Yet,":[24],"a":[25,190,206],"considerable":[26],"proportion":[27],"women":[29,75,135,170,175],"do":[30],"not":[31,178],"receive":[32],"some":[33,182],"or":[34,86],"all":[35],"guideline":[38,119],"recommended":[39,283],"care.":[42],"Disparities":[43],"in":[44,65,90,303],"receipt":[46,297],"radiation":[48,203,240],"therapy,":[49,204],"chemotherapy,":[50],"endocrine":[52,256],"therapy":[53,241,257],"by":[54],"patient":[55,144,156,288],"treatment":[57,188,302],"facility":[58,158],"characteristics":[59,159],"may":[60,290],"contribute":[61],"to":[62,151,169,268,295],"demographic":[63],"differences":[64],"Methods:":[69],"This":[70],"population-based":[71],"cohort":[72],"study":[73],"enrolled":[74],"aged":[76],"20":[77],"\u00a8C":[78],"69":[79],"years,":[80],"diagnosed":[81],"with":[82,113,162,171,199,216,226,230,260,277],"I,":[84],"II,":[85],"IIIA":[87],"Seattle-Puget":[92],"Sound":[93],"area":[94],"between":[95,155],"2004":[96],"2011,":[98],"who":[99,176],"were":[100,275],"identified":[101],"through":[102],"local":[104],"Surveillance":[105],"Epidemiology":[106],"End":[108],"Results":[109],"registry.":[111],"Concordance":[112],"National":[114],"Comprehensive":[115],"Cancer":[116],"Network":[117],"(NCCN)":[118],"recommendations":[120],"American":[122],"Society":[123],"Clinical":[125],"Oncology":[126],"(ASCO)/NCCN":[127],"Quality":[128],"Measures":[129],"(QMs)":[130],"was":[131,149,223],"assessed":[132],"1,344":[134],"using":[136],"data":[137],"collected":[138],"from":[139],"registry":[141],"records":[142],"self-report.":[145],"Multivariable":[146],"logistic":[147],"regression":[148],"used":[150],"estimate":[152],"association":[154],"non-concordance":[161,198,215],"NCCN":[163,200,217],"guidelines":[164,201,218,258],"QMs.":[166],"Results:":[167],"Compared":[168],"uninterrupted":[172],"insurance":[173,180],"coverage,":[174],"did":[177],"have":[179],"at":[181],"point":[183],"during":[184],"their":[185],"had":[189],"3.5-fold":[191,207],"(95%":[192,236,244,252],"CI:":[193,237,245,253],"1.0-10.5)":[194],"higher":[195,212],"likelihood":[196,213],"(95":[208],"%":[209],"CI":[210],"1.2-10.5)":[211],"chemotherapy.":[220],"Low":[221],"income":[222,264],"consistently":[224],"associated":[225,259,276],"risk":[227],"non-concordance,":[229],"multivariate":[231],"odds":[232],"ratios":[233],"2.3":[235],"1.0-4.9)":[238],"guidelines,":[242,249],"4.6":[243],"1.8-11.6)":[246],"chemotherapy":[248],"3.7":[251],"1.4-9.7)":[254],"an":[261],"annual":[262],"family":[263],"<$50,000":[266],"relative":[267],"that":[269],"\u00a1\u00dd$90,000.":[271],"Conclusions:":[272],"Economic":[273],"factors":[274],"non-receipt":[278],"most":[280],"forms":[281],"treatment.":[284],"Interventions,":[285],"such":[286],"as":[287],"navigation,":[289],"help":[291],"remove":[292],"individual-level":[293],"barriers":[294],"guideline-concordant":[299],"uninsured,":[304],"underinsured,":[305],"low-income":[307],"women.":[308]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2017-12-22T00:00:00"}