Trial reportMedical care2008
Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices: a report from the prompting and reminding at encounters for prevention project.
Trial report in Medical care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- The impact of health information technology on cancer care across the continuum: a systematic review and meta-analysis.Journal of the American Medical Informatics Association : JAMIA · 2016Pooled it
- Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline.Implementation science : IS · 2011Pooled it
- What implementation interventions increase cancer screening rates? a systematic review.Implementation science : IS · 2011Pooled it
- Effects of a Community-to-Clinic Navigation Intervention on Colorectal Cancer Screening Among Underserved People.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020Trial
- Randomized controlled dissemination study of community-to-clinic navigation to promote CRC screening: Study design and implications.Contemporary clinical trials · 2017Trial
- Alerts in electronic medical records to promote a colorectal cancer screening programme: a cluster randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Trial
- Testing health information technology tools to facilitate health insurance support: a protocol for an effectiveness-implementation hybrid randomized trial.Implementation science : IS · 2015Trial
- Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients.International journal of medical informatics · 2014Trial
- Trial
- Implementation and performance barriers in Iran's breast cancer screening program: a qualitative case study.Frontiers in public health · 2025Observational
- A Systems Approach to Improving Tdap Immunization Within 5 Community-Based Family Practice Settings: Working Differently (and Better) by Transforming the Structure and Process of Care.American journal of public health · 2015Article
- Physician counseling on colorectal cancer screening and receipt of screening among Latino patients.Journal of general internal medicine · 2015Article
- An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration.Addiction (Abingdon, England) · 2014Observational
- Perceived barriers and facilitators of using a Web-based interactive decision aid for colorectal cancer screening in community practice settings: findings from focus groups with primary care clinicians and medical office staff.Journal of medical Internet research · 2013Article
- Use of health information technology to reduce diagnostic errors.BMJ quality & safety · 2013Review
- Adherence to physician recommendation to colorectal cancer screening colonoscopy among Hispanics.Journal of general internal medicine · 2011Article
- Outside the box: will information technology be a viable intervention to improve the quality of cancer care?Journal of the National Cancer Institute. Monographs · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundComputerized reminder systems (CRS) show promise for increasing preventive services such as colorectal cancer (CRC) screening. However, prior research has not evaluated a generalizable CRS across diverse, community primary care practices. We evaluated whether a generalizable CRS, ClinfoTracker, could improve screening rates for CRC in diverse primary care practices.
methodsThe study was a prospective trial to evaluate ClinfoTracker using historical control data in 12 Great Lakes Research In Practice Network community-based, primary care practices distributed from Southeast to Upper Peninsula Michigan. Our outcome measures were pre- and post-study practice-level CRC screening rates among patients seen during the 9-month study period. Ability to maintain the CRS was measured by days of reminder printing. Field notes were used to examine each practice's cohesion and technology capabilities.
resultsAll but one practice increased their CRC screening rates, ranging from 3.3% to 16.8% improvement. t tests adjusted for within practice correlation showed improvement in screening rates across all 12 practices, from 41.7% to 50.9%, P = 0.002. Technology capabilities impacted printing days (74% for high technology vs. 45% for low technology practices, P = 0.01), and cohesion demonstrated an impact trend for screening (15.3% rate change for high cohesion vs. 7.9% for low cohesion practices).
conclusionsImplementing a generalizable CRS in diverse primary care practices yielded significant improvements in CRC screening rates. Technology capabilities are important in maintaining the system, but practice cohesion may have a greater influence on screening rates. This work has important implications for practices implementing reminder systems.
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What OpenQuestion holds
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.