Evidence map›Paper›PMID 19139445›Full record

Trial reportAnnals of family medicine

Offering annual fecal occult blood tests at annual flu shot clinics increases colorectal cancer screening rates.

Michael B Potter, La Phengrasamy, Esther S Hudes, Stephen J McPhee, Judith M E Walsh

Open access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
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. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  15. An innovative strategy to reach the underserved for colorectal cancer screening.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015
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  16. Review
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  18. Feasibility of a call-in centre to deliver colorectal cancer screening in primary care.Canadian family physician Medecin de famille canadien · 2013
    Article
  19. Evaluation of fecal immunochemical tests for colorectal cancer screening.Journal of primary care & community health · 2013
    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

5 authors at 1 institution in 1 country.

Michael B PotterDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California 94143, USA. potterm@fcm.ucsf.edu
La Phengrasamy
Esther S Hudes
Stephen J McPhee
Judith M E Walsh
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe wanted to determine whether providing home fecal occult blood test (FOBT) kits to eligible patients during influenza inoculation (flu shot) clinics can contribute to higher colorectal cancer screening (CRCS) rates.

methodsThe study was time randomized. On 8 dates of an annual flu shot clinic at the San Francisco General Hospital, patients were offered flu shots as usual (control group) and on 9 other dates, patients were offered both flu shots and FOBT kits (intervention group).

resultsThe study included 514 patients aged 50 to 79 years, with 246 in the control group and 268 in the intervention group. At the conclusion of flu season, FOBT screening rates increased by 4.4 percentage points from 52.9% at baseline to 57.3% (P = .07) in the control group, and increased by 29.8 percentage points from 54.5% to 84.3% (P <.001) in the intervention group, with the change among intervention participants 25.4 percentage points greater than among control participants (P value for change difference <.001). Among patients initially due for CRCS, 20.7% in the control group and 68.0% in the intervention group were up-to-date at the conclusion of the study (P <.001). In multivariate analyses, the odds ratio for becoming up-to-date with screening in the intervention group (vs the control group) was 11.3 (95% CI, 5.8-22.0).

conclusionsOffering FOBT kits during flu shot clinics dramatically increased the CRCS rate for flu shot clinic attendees. Pairing home FOBT kits with annual flu shots may be a useful strategy to improve CRCS rates in other primary care or public health settings.

Indexed as

Occult BloodAgedColorectal NeoplasmsEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHealth PromotionHumansImmunization ProgramsInfluenza, HumanInfluenza VaccinesMaleMass ScreeningMiddle AgedPatient Acceptance of Health CarePrimary Health CareInfluenza VaccinesReagent Kits, Diagnostic

Identifiers

PMID19139445
PMCPMC2625837
OpenAlexW2171849491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.