Evidence map›Paper›PMID 17664498›Full record

Trial reportAnnals of family medicine

Translation of an efficacious cancer-screening intervention to women enrolled in a Medicaid managed care organization.

Allen J Dietrich, Jonathan N Tobin, Andrea Cassells, Christina M Robinson, Meredith Reh, Karen A Romero, Ann Barry Flood, Michael L Beach

Registry-linked trialOpen access · diamondAbstract readRandomized 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 NCT00376909 (New York Prevention Care Manager Project), which is not on this map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
1.8field-weighted citation impact, top 15% of its field
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.

NCT00376909 phase2completednot on this map

New York Prevention Care Manager Project

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2001Enrolled2,729ConditionsBreast Cancer, Cervical Cancer, Colorectal CancerArmseducational intervention, study of socioeconomic and demographic variables
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 8 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  9. The Efficacy of Direct Mail, Patient Navigation, and Incentives for Increasing Mammography and Colonoscopy in the Medicaid Population: A Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
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  11. Improving mammography screening among the medically underserved.Journal of general internal medicine · 2014
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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

8 authors at 4 institutions in 1 country.

Allen J DietrichNorris Cotton Cancer Center, Dartmouth Medical School, Lebanon, NH 03766, USA. Allen.J.Dietrich@dartmouth.edu
Jonathan N Tobin
Andrea Cassells
Christina M Robinson
Meredith Reh
Karen A Romero
Ann Barry Flood
Michael L Beach
Dartmouth College · USAlbert Einstein College of Medicine · USClinical Directors Network · USDartmouth Psychiatric Research Center · US

Funding

NY PREVENTION CARE MANAGER PROJECTR01CA087776 · NCI · DARTMOUTH COLLEGE · PI DIETRICH, ALLEN J. · 2000 to 2004
$2.6M
NCI NIH HHS R01 CA087776NCI NIH HHS R01 CA087776-04S1
6 · The paper itself

Abstract

purposeAn earlier randomized controlled trial of prevention care management (PCM) found significant improvement in breast, cervical, and colorectal cancer-screening rates among women attending Community Health Centers but required substantial research support. This study evaluated the impact of a streamlined PCM delivered through a Medicaid managed care organization (MMCO), an infrastructure with the potential to sustain this program for the long term.

methodsThis randomized trial was conducted within an MMCO serving New York City between May 2005 and December 2005. A total of 1,316 women aged 40 to 69 years and not up to date for at least 1 targeted cancer-screening test were randomized to either PCM or a comparison group. Women in the PCM group received up to 3 scripted telephone calls to identify barriers and provide support to obtain any needed breast, cervical, and colorectal cancer-screening tests. Women in the comparison group received a modified version of the MMCO's established mammography telephone outreach program, also in up to 3 calls. Women in both groups received a financial incentive on confirmation that they had received a mammogram. Screening status was assessed through MMCO administrative data. Groups were compared using odds ratios.

resultsIn an intent-to-treat comparison adjusted for baseline screening status, PCM women were 1.69 times more likely to be up-to-date for colorectal cancer-screening tests at follow-up than women in the comparison group (95% confidence interval, 1.03-2.77). Follow-up screening rates for cervical and breast cancer did not differ significantly between study groups on an intent-to-treat basis.

conclusionsThe abbreviated PCM telephone intervention was feasible to deliver through an MMCO and improved screening for 1 cancer. This approach has the potential to improve cancer-screening rates significantly in settings that can provide telephone support to women known to be overdue.

Indexed as

MedicaidReminder SystemsTelephoneAdultAgedBreast NeoplasmsColorectal NeoplasmsFemaleHealth Services AccessibilityHumansLogistic ModelsManaged Care ProgramsMass ScreeningMiddle AgedNew York CityOdds Ratio

Identifiers

PMID17664498
PMCPMC1934974
OpenAlexW2134486510

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.