Trial reportJournal of general internal medicine2009
Behind closed doors: physician-patient discussions about colorectal cancer screening.
Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 60 papers.
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.
Helping the Poor Quit Smoking: Specialized Quitlines and Meeting Basic Needs
Colorectal Cancer Testing in Swiss Primary Care: A Pilot Pragmatic Cluster Randomized Controlled Trial in Quality Circles of Physicians
Colorectal Cancer Testing in Swiss Primary Care: A Cluster Randomized Controlled Trial Among Primary Care Physicians of the Swiss Sentinel Surveillance Network
Who cites it
60 citing papers in PubMed, 93 citations in OpenAlex.
- Patient Navigation Plus Tailored Digital Video Disc Increases Colorectal Cancer Screening Among Low-Income and Minority Patients Who Did Not Attend a Scheduled Screening Colonoscopy: A Randomized Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Trial
- Opportunities and Challenges When Using the Electronic Health Record for Practice-Integrated Patient-Facing Interventions: The e-Assist Colon Health Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Effects of culturally targeted message framing on colorectal cancer screening among African Americans.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Trial
- Interactivity in a Decision Aid: Findings From a Decision Aid to Technologically Enhance Shared Decision Making RCT.American journal of preventive medicine · 2019Trial
- Randomized Trial of a Computerized Touch Screen Decision Aid to Increase Acceptance of Colonoscopy Screening in an African American Population with Limited Literacy.Health communication · 2016Trial
- Trial
- The Effectiveness of a Physician-Only and Physician-Patient Intervention on Colorectal Cancer Screening Discussions Between Providers and African American and Latino Patients.Journal of general internal medicine · 2015Trial
- Trial
- Aid-assisted decision making and colorectal cancer screening: a randomized controlled trial.American journal of preventive medicine · 2012Trial
- Patient-provider discussions about colorectal cancer screening: who initiates elements of informed decision making?Journal of general internal medicine · 2012Trial
- Patient activation increases colorectal cancer screening rates: a randomized trial among low-income minority patients.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: sometimes more is just the same.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2011Trial
- Cost effectiveness of interventions to promote screening for colorectal cancer: a randomized trial.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2011Trial
- The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial.Medical decision making : an international journal of the Society for Medical Decision MakingTrial
- Program to improve colorectal cancer screening in a low-income, racially diverse population: a randomized controlled trial.Annals of family medicineTrial
- Correlates of patient-centered discussions on colorectal cancer screening: results from the health information national trends survey (HINTS).Cancer causes & control : CCC · 2025Article
- Monthly Variations in Colorectal Cancer Screening Tests Among Federally Qualified Health Center Patients in Missouri: Quality Improvement Project.JMIR cancer · 2025Article
- Patient-Provider Communication and Colorectal Cancer Screening Completion Using Multi-target Stool DNA Testing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Ten-year changes in colorectal cancer screening in Switzerland: The Swiss Health Interview Survey 2007, 2012 and 2017.Preventive medicine reports · 2022Article
- Examining colorectal cancer screening uptake and health provider recommendations among underserved middle aged and older African Americans.Health promotion perspectives · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 2 countries.
Funding
Abstract
backgroundDespite the availability of multiple effective screening tests for colorectal cancer, screening rates remain suboptimal. The literature documents patient preferences for different test types and recommends a shared decision-making approach for physician-patient colorectal cancer screening (CRCS) discussions, but it is unknown whether such communication about CRCS preferences and options actually occurs in busy primary-care settings.
objectiveDescribe physician-patient CRCS discussions during a wellness visit.
designCross-sectional; patients audio-recorded with physicians.
participantsA subset of patients (N = 64) participating in a behavioral intervention trial designed to increase CRCS who completed a wellness visit during the trial with a participating physician (N = 8). APPROACH: Transcripts were analyzed using qualitative methods.
resultsPhysicians in this sample consistently recommended CRCS, but focused on colonoscopy. Physicians did not offer a fecal occult blood test alone as a screening choice, which may have created missed opportunities for some patients to get screened. In this single visit, physicians' communication processes generally precluded discussion of patients' test preferences and did not facilitate shared decision-making. Patients' questions indicated their interest in different CRCS test types and appeared to elicit more information from physicians. Some patients remained resistant to CRCS after discussing it with a physician.
conclusionIf a preference for colonoscopy is widespread among primary-care physicians, the implications for intervention are either to prepare patients for this preference or to train physicians to offer options when recommending screening to patients.
Indexed as
Identifiers
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.