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47/100

✓ Peer-reviewed alzhub usefulness score 47 out of 100. Disparities

Topic: Risk, prevention and care in population studies

Importance Guidelines recommend that women 75 years and older should be informed of the benefits and risks of mammography before being screened. However, few are adequately informed. Objectives To develop and evaluate a mammography screening decision aid (DA) for women 75 years and older. Design We designed the DA using international standards. Between July 14, 2010, and April 10, 2012, participants completed a pretest survey and read the DA before an appointment with their primary care physician. They completed a posttest survey after their appointment. Medical records were reviewed for follow-up information. Setting and participants Boston, Massachusetts, academic primary care practice. Eligible women were aged 75 to 89 years, English speaking, had not had a mammogram in 9 months but had been screened within the past 3 years, and did not have a history of dementia or invasive or noninvasive breast cancer. Of 84 women approached, 27 declined to participate, 12 were unable to complete the study for logistical reasons, and 45 participated. Interventions The DA includes information on breast cancer risk, life expectancy, competing mortality risks, possible outcomes of screening, and a values clarification exercise. Main outcomes and measures Knowledge of the benefits and risks of screening, decisional conflict, and screening intentions; documentation in the medical record of a discussion of the risks and benefits of mammography with a primary care physician within 6 months; and the receipt of screening within 15 months. We used the Wilcoxon signed rank test and McNemar test to compare pretest-posttest information. Results The median age of participants was 79 years, 69% (31 of 45) were of non-Hispanic white race/ethnicity, and 60% (27 of 45) had attended at least some college. Comparison of posttest results with pretest results demonstrated 2 findings. First, knowledge of the benefits and risks of screening improved (P Conclusions and relevance A DA may improve older women's decision making about mammography screening.

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APA 7th

Schonberg, M. A., Hamel, M. B., Davis, R. B., Griggs, M. C., Wee, C. C., Fagerlin, A., et al. (2014). Development and evaluation of a decision aid on mammography screening for women 75 years and older. JAMA internal medicine. https://doi.org/10.1001/jamainternmed.2013.13639

Vancouver

Schonberg MA, Hamel MB, Davis RB, Griggs MC, Wee CC, Fagerlin A, et al. Development and evaluation of a decision aid on mammography screening for women 75 years and older. JAMA internal medicine. 2014. doi:10.1001/jamainternmed.2013.13639. PMID: 24378846.

BibTeX

@article{schonberg2014-24378846,
  author  = {Schonberg, M. A. and Hamel, M. B. and Davis, R. B. and Griggs, M. C. and Wee, C. C. and Fagerlin, A. and Marcantonio, E. R.},
  title   = {{Development and evaluation of a decision aid on mammography screening for women 75 years and older}},
  journal = {JAMA internal medicine},
  year    = {2014},
  doi     = {10.1001/jamainternmed.2013.13639},
  pmid    = {24378846},
  url     = {https://doi.org/10.1001/jamainternmed.2013.13639}
}

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.

Key findings

Results The median age of participants was 79 years, 69% (31 of 45) were of non-Hispanic white race/ethnicity, and 60% (27 of 45) had attended at least some college.
Comparison of posttest results with pretest results demonstrated 2 findings.

Why it matters

This study developed and evaluated a decision aid about mammography screening for women 75 and older. It concerns breast cancer screening decisions and did not study the treatment, cure or prevention of Alzheimer's disease.

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Study details

Evidence strengthLow

How this study scored 47/100

Published in a leading specialty journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	9 / 10	Tier 2 — leading specialty journal (JAMA internal medicine)
Journal's citation record	3 / 4	JAMA Internal Medicine: journal h-index 258 (OpenAlex, 2026-10-29)
Study design	0 / 12	No study design recorded — scores zero, not guessed (not stated in the record — scored 0)
Strength of evidence	1 / 5	Rated “low” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	1 / 5	2014 — within 20 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	0 / 3	No effect size reported — scores zero (not stated in the record — scored 0)
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	5 / 7	Cited 109 times (OpenAlex, 2026-10-10)
Citations per year	2 / 5	7.8 citations a year over 14 year(s) since 2014
Impact for its field and year	4 / 6	Cited 18.3× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 13 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	4 / 4	Last-listed author Edward R. Marcantonio: h-index 102 (OpenAlex, whole career)
Institution's track record	3 / 3	Harvard University: institution h-index 3,235 (OpenAlex)
Multi-centre collaboration	2 / 3	OpenAlex lists 4 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 24378846)
Free to read	0 / 2	Behind a paywall — scores zero
Total	47 / 100	—

What each of these 20 components measures, and what this score is not →

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