Evidence map›Paper›PMID 15335126›Full record

Trial reportAnnals of family medicine

A randomized controlled trial to increase cancer screening among attendees of community health centers.

Richard G Roetzheim, Lisa K Christman, Paul B Jacobsen, Alan B Cantor, Jennifer Schroeder, Rania Abdulla, Seft Hunter, Thomas N Chirikos, Jeffrey P Krischer

Registry-linked trialAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02360605 (Health Literacy Interventions to Overcome Disparities in CRC Screening), which is not on this map. Cited by 35 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 10 pooled it
–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.

NCT02360605 nacompletednot on this map

Health Literacy Interventions to Overcome Disparities in CRC Screening

TypeinterventionalSponsorLouisiana State University Health Sciences Center ShreveportRan2015 to 2018Enrolled620ConditionsColorectal CancerArmsautomated telephone reminder, prevention coordinator, Health literacy appropriate education and demonstration
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  9. Community health center quality improvement: a systematic review and future directions for research.Progress in community health partnerships : research, education, and action · 2007
    Pooled it
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  11. Trial
  12. Strategies to improve repeat fecal occult blood testing cancer screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Trial
  13. Costs and cost effectiveness of a health care provider-directed intervention to promote colorectal cancer screening.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2009
    Trial
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  17. A weighted Jackknife approach utilizing linear model based-estimators for clustered data.Communications in statistics: Simulation and computation · 2024
    Article
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  20. Integrating clinical medicine and population health: where to from here?Canadian journal of public health = Revue canadienne de sante publique · 2019
    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

9 authors.

Richard G RoetzheimDepartment of Family Medicine, University of South Florida, Tampa, Fla 33612, USA. rroetzhe@hsc.usf.edu
Lisa K Christman
Paul B Jacobsen
Alan B Cantor
Jennifer Schroeder
Rania Abdulla
Seft Hunter
Thomas N Chirikos
Jeffrey P Krischer

Funding

A COMMUNITY INTERVENTION TO PROMOTE CANCER SCREENINGR01CA077282 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI ROETZHEIM, RICHARD G · 1999 to 2002
$871k
NCI NIH HHS R01 CA77282
6 · The paper itself

Abstract

backgroundWe assessed the efficacy of the Cancer Screening Office Systems (Cancer SOS), an intervention designed to increase cancer screening in primary care settings serving disadvantaged populations.

methodsEight primary care clinics participating in a county-funded health insurance plan in Hillsborough County, Fla, agreed to take part in a cluster-randomized experimental trial. The Cancer SOS had 2 components: a cancer-screening checklist with chart stickers that indicated whether specific cancer-screening tests were due, ordered, or completed; and a division of office responsibilities to achieve high screening rates. Established patients were eligible if they were between the ages of 50 and 75 years and had no contraindication for screening. Data abstracted from charts of independent samples collected at baseline (n = 1,196) and at a 12-month follow-up (n = 1,237) was used to assess whether the patient was up-to-date on one or more of the following cancer-screening tests: mammogram, Papanicolaou (Pap) smear, or fecal occult blood testing (FOBT).

resultsIn multivariate analysis that controlled for baseline screening rates, secular trends, and other patient and clinic characteristics, the intervention increased the odds of mammograms (odds ratio [OR] = 1.62, 95% confidence interval [CI], 1.07-9.78, P = .023) and fecal occult blood tests (OR = 2.5, 95% CI, 1.65-4.0, P <.0001) with a trend toward greater use of Pap smears (OR = 1.57, 95% CI, 0.92-2.64, P = .096).

conclusionsThe Cancer SOS intervention significantly increased rates of cancer screening among primary care clinics serving disadvantaged populations. The Cancer SOS intervention is one option for providers or policy makers who wish to address cancer related health disparities.

Indexed as

Community Health CentersMedical RecordsAgedFemaleFollow-Up StudiesForms and Records ControlHumansMaleMammographyMass ScreeningMiddle AgedNeoplasmsOccult BloodPapanicolaou TestReminder SystemsVaginal Smears

Identifiers

PMID15335126
PMCPMC1466693

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.