Evidence map›Paper›PMID 18031947›Full record

ArticleCancer detection and prevention2007

The effects of teamwork and system support on colorectal cancer screening in primary care practices.

Shawna V Hudson, Pamela Ohman-Strickland, Regina Cunningham, Jeanne M Ferrante, Karissa Hahn, Benjamin F Crabtree

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Cancer detection and prevention, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00201227 (Using Learning Teams for Reflective Adaptation), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT00201227 nacompletednot on this map

Using Learning Teams for Reflective Adaptation

TypeinterventionalSponsorUniversity of Medicine and Dentistry of New JerseyRan2002 to 2008Enrolled60ConditionsAsthma, Cardiovascular Diseases, Atherosclerosis, Diabetes MellitusArmspractice guideline adherence
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Physicians, clinics, and neighborhoods: multiple levels of influence on colorectal 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
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Screening for colorectal cancer: the role of the primary care physician.European journal of gastroenterology & hepatology · 2017
    Review
  11. Review
  12. Article
  13. Review
  14. Impact of remuneration and organizational factors on completing preventive manoeuvres in primary care practices.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012
    Article
  15. Systems strategies to support cancer screening in U.S. primary care practice.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011
    Article
  16. Article
  17. Physicians' colorectal cancer screening discussion and recommendation patterns.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011
    Article
  18. Organizational factors and the cancer screening process.Journal of the National Cancer Institute. Monographs · 2010
    Review
  19. Continuity of care and colorectal cancer screening by Vietnamese American patients.Asian Pacific journal of cancer prevention : APJCP · 2010
    Article
  20. 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

6 authors at 3 institutions in 1 country.

Shawna V HudsonThe Cancer Institute of New Jersey, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA. hudsonsh@umdnj.edu
Pamela Ohman-Strickland
Regina Cunningham
Jeanne M Ferrante
Karissa Hahn
Benjamin F Crabtree
Johnson University · USRutgers Cancer Institute of New JerseyRutgers, The State University of New Jersey · US

Funding

Trial to Enhance Adherence to Multiple GuidelinesR01HL070800 · NHLBI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI CRABTREE, BENJAMIN F · 2002 to 2006
$3.9M
Enhancing Colorectal CA Screening through Learning TeamsR01CA112387 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI CRABTREE, BENJAMIN F · 2005 to 2010
$2.9M
NCI NIH HHS R01 CA112387NHLBI NIH HHS R01 HL070800NHLBI NIH HHS R01 HL70800
6 · The paper itself

Abstract

backgroundWhile cancer screening is generally increasing in the U.S., colorectal cancer (CRC) screening remains low. Most CRC screening interventions focus either on patients or individual clinicians without examining the office context in which CRC screening is implemented. This study examines whether primary care practices that involve staff in general forms of health education have higher CRC screening rates than practices that do not.

methodsCross-sectional data from 22 New Jersey and Pennsylvania family medicine practices were analyzed. Data include chart audits for 795 men and women eligible for CRC screening (age 50-70) and practice information surveys for each practice. Generalized estimating equations were used to determine CRC screening correlates.

resultsOverall, 31.3% (n=249) of patients received CRC screening. Practices that reported using nursing or health educator staff to provide behavioral counseling to patients on topics such as diet, exercise or tobacco use were significantly more likely to also have higher CRC screening rates (z=7.30, p<0.0001). Their patients had 2.96 times increased odds of CRC screening than those in other practices (95% C.I., 2.21-3.96). Reminder system use was also associated with higher CRC screening (z=4.96, p<0.0001). In practices that used reminder systems, patients had 2.57 times increased odds of CRC screening than others (95% C.I., 1.77-3.74).

conclusionsThese findings suggest that interventions to achieve better CRC screening rates do not need to focus solely on CRC. Higher CRC rates may be achieved by capitalizing on the enhancing contributions of non-physician practice members providing more general health behavior change patient education.

Indexed as

Patient Care TeamPractice Management, MedicalPrimary Health CareAgedColorectal NeoplasmsCross-Sectional StudiesFamily PracticeFemaleHealth EducatorsHumansMaleMass ScreeningMiddle AgedNursesPatient Education as TopicPractice Patterns, Physicians'

Identifiers

PMID18031947
PMCPMC2244946
OpenAlexW2121052010

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.