Evidence map›Paper›PMID 17324094›Full record

Trial reportJournal of women's health (2002)

Do cervical cancer screening rates increase in association with an intervention designed to increase mammography usage?

Mira L Katz, Cathy M Tatum, Cecilia R Degraffinreid, Stephanie Dickinson, Electra D Paskett

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of women's health (2002). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03279198 (Increasing Colorectal and Breast Cancer Screening in Women), which is not on this map. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 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.

NCT03279198 nacompletednot on this map

Increasing Colorectal and Breast Cancer Screening in Women

TypeinterventionalSponsorIndiana UniversityRan2010 to 2017Enrolled1,196ConditionsBreast Cancer Female, Colorectal CancerArmsTIWeb, CSC, UC, TIWeb+CSC
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. A Randomized Trial to Compare a Tailored Web-Based Intervention and Tailored Phone Counseling to Usual Care for Increasing Colorectal Cancer Screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Trial
  8. Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Trial
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  15. Review
  16. Adherence to Multiple Cancer Screening Tests among Women Living in Appalachia Ohio.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
    Article
  17. Article
  18. 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

5 authors.

Mira L KatzThe School of Public Health, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio 43210, USA. mira.katz@osumc.edu
Cathy M Tatum
Cecilia R Degraffinreid
Stephanie Dickinson
Electra D Paskett

Funding

BREAST CANCER SCREENING IN A TRI-RACIAL RURAL POPULATIONR01CA072022 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PASKETT, ELECTRA D. · 1997 to 2000
$638k
INTERVENTION RESEARCH TRAINING GRANT--CANCER PREVENTIONR25CA057707 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 1992 to 2001
$614k
NCI NIH HHS CA57707-08NCI NIH HHS CA72022-04NCI NIH HHS R01 CA072022NCI NIH HHS R25 CA057707
6 · The paper itself

Abstract

objectivesTo assess cervical cancer screening behaviors among underserved women participating in an intervention designed to increase mammography use.

methodsThis was a randomized trial of 897 women from three racial groups (white, African American, Native American) living in a rural county in North Carolina. Baseline and followup surveys were completed by 815 women; 775 women provided data to be included in these analyses. The intervention group received an educational program focused on mammography delivered by a lay health advisor, and the control group received a physician letter/brochure focusing on Pap tests.

resultsWomen in both the intervention (OR 1.70; 1.31, 2.21, p < 0.001) and control groups (OR 1.38; 1.04, 1.82, p = 0.025) significantly increased cervical cancer screening rates within risk appropriate guidelines. No differences by racial group were documented. Women categorized in the high-risk group for developing cervical cancer (>2 sexual partners, age <18 years at first sexual intercourse, smoker; treated for sexually transmitted disease [STD] or partner with treated STD) significantly (OR 1.88; 1.54, 2.28, p < 0.001) increased Pap test completion. However, a nonsignificant increase (OR 1.25; 0.87, 1.79, p = 0.221) in Pap test completion was demonstrated in women categorized as low risk for cervical cancer.

conclusionsThis study suggests that women in an intensive behavioral intervention designed to increase mammography use may also increase Pap test completion, similar to a minimal intervention focused only on increasing Pap test completion. These results have implications for the design and evaluation of behavioral intervention studies.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedBreast NeoplasmsConfidence IntervalsFemaleHumansMammographyMass ScreeningMiddle AgedNorth CarolinaOdds RatioPatient Acceptance of Health CareRisk AssessmentSurveys and QuestionnairesUterine Cervical Neoplasms

Identifiers

PMID17324094
PMCPMC4465268

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.