Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2009
Costs and cost effectiveness of a health care provider-directed intervention to promote colorectal cancer screening.
Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Economics of Multicomponent Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening: A Community Guide Systematic Review.American journal of preventive medicine · 2019Pooled it
- Evaluation of Interventions Intended to Increase Colorectal Cancer Screening Rates in the United States: A Systematic Review and Meta-analysis.JAMA internal medicine · 2018Pooled it
- Physician Intervention and Chinese Americans' Colorectal Cancer Screening.American journal of health behavior · 2018Trial
- An economic evaluation of colorectal cancer screening in primary care practice.American journal of preventive medicine · 2015Trial
- An automated intervention with stepped increases in support to increase uptake of colorectal cancer screening: a randomized trial.Annals of internal medicine · 2013Trial
- Implementing a multilevel intervention to accelerate colorectal cancer screening and follow-up in federally qualified health centers using a stepped wedge design: a study protocol.Implementation science : IS · 2020Article
- Colorectal cancer-screening program improves both short- and long-term outcomes: a single-center experience in Trieste.Updates in surgery · 2020Article
- Economic Evaluation of Tailored Web versus Tailored Telephone-Based Interventions to Increase Colorectal Cancer Screening among Women.Cancer prevention research (Philadelphia, Pa.) · 2020Article
- Dose KRAS Mutation Status Affect on the Effect of VEGF Therapy in Metastatic Colon Cancer Patients?Cancer research and treatment · 2014Article
- Personalizing health care: feasibility and future implications.BMC medicine · 2013Review
- Designing a valid randomized pragmatic primary care implementation trial: the my own health report (MOHR) project.Implementation science : IS · 2013Article
- The role of number of meals, coffee intake, salt and type of cookware on colorectal cancer development in the context of the Mediterranean diet.Public health nutrition · 2013Article
- Multilevel interventions: measurement and measures.Journal of the National Cancer Institute. Monographs · 2012Review
- Transferring evidence-based information from dental school to practitioners: a pilot "academic detailing" program involving dental students.Journal of dental education · 2011Article
- Academic detailing to increase colorectal cancer screening by primary care practices in Appalachian Pennsylvania.BMC health services research · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 4 institutions in 3 countries.
Funding
Abstract
purposeColorectal cancer (CRC) screening remains underutilized in the United States. Prior studies reporting the cost effectiveness of randomized interventions to improve CRC screening have not been replicated in the setting of small physician practices. We recently conducted a randomized trial evaluating an academic detailing intervention in 264 small practices in geographically diverse New York City communities. The objective of this secondary analysis is to assess the cost effectiveness of this intervention.
methodsA total of 264 physician offices were randomly assigned to usual care or to a series of visits from trained physician educators. CRC screening rates were measured at baseline and 12 months. The intervention costs were measured and the incremental cost-effectiveness ratio (ICER) was derived. Sensitivity analyses were based on varying cost and effectiveness estimates.
resultsAcademic detailing was associated with a 7% increase in CRC screening with colonoscopy. The total intervention cost was $147,865, and the ICER was $21,124 per percentage point increase in CRC screening rate. Sensitivity analyses that varied the costs of the intervention and the average medical practice size were associated with ICERs ranging from $13,631 to $36,109 per percentage point increase in CRC screening rates.
conclusionA comprehensive, multicomponent academic detailing intervention conducted in small practices in metropolitan New York was clinically effective in improving CRC screening rates, but was not cost effective.
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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.