Evidence map›Paper›PMID 21088920›Full record

Trial reportJournal of general internal medicine2011

Presence and correlates of racial disparities in adherence to colorectal cancer screening guidelines.

Diana J Burgess, Michelle van Ryn, Joseph Grill, Siamak Noorbaloochi, Joan M Griffin, Jennifer Ricards, Sally W Vernon, Deborah A Fisher, Melissa R Partin

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00229554 (Assessing and Addressing Patient Colorectal Cancer Screening Barriers), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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.

NCT00229554 completednot on this map

Assessing and Addressing Patient Colorectal Cancer Screening Barriers

TypeobservationalSponsorUS Department of Veterans AffairsRan2006 to 2008Enrolled4,644ConditionsColorectal Neoplasms, Mass Screening, Patient Compliance
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
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  7. Review
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  9. Lower Utilization of Colorectal Cancer Screening Among Vegetarians, Adventist Health Study-2.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Black and White Differences in Colorectal Cancer Screening and Screening Outcomes: A Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

9 authors.

Diana J BurgessCenter for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, MN 55417, USA. diana.burgess@va.gov
Michelle van Ryn
Joseph Grill
Siamak Noorbaloochi
Joan M Griffin
Jennifer Ricards
Sally W Vernon
Deborah A Fisher
Melissa R Partin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe examined the presence and correlates of Black/White racial disparities in adherence to guidelines for colorectal cancer screening (CRCS).

methodsThe sample included 328 Black and 1827 White patients age 50-75 from 24 VA medical facilities who responded to a mailed survey with phone follow-up (response rate: 73% for Blacks and 89% for Whites). CRCS adherence and race were obtained through surveys and supplemented with administrative data. Logistic regressions estimated the contribution of demographic, health, cognitive, and environmental factors to racial disparities in adherence to CRCS guidelines.

resultsIn unadjusted analyses, Blacks had slightly lower rates of adherence to CRCS guidelines than Whites (72% versus 77%, p<0.05). This racial disparity in CRCS adherence was explained by race differences in demographic, health, and environmental factors but not by cognitive factors. Tests for interactions revealed that the association of race with adherence varied significantly across levels of income, education, and marital status. In particular, among those who were married with higher levels of education, CRCS adherence was significantly higher for Whites; whereas among those who were unmarried, with low levels of education, adherence was significantly higher for Blacks.

conclusionWe found that disparities in CRCS are greatly attenuated in the VA system and both Whites and Blacks have substantially higher rates of CRCS than the national average. These results point to the success of the VA at implementing CRCS system-wide. Our findings also suggest additional initiatives may be needed for unmarried low income white men and higher income black men.

Indexed as

AgedBlack or African AmericanColorectal NeoplasmsFemaleFollow-Up StudiesGuideline AdherenceHealthcare DisparitiesHealth SurveysHospitals, VeteransHumansMaleMass ScreeningMiddle AgedRacial GroupsVeteransWhite People

Identifiers

PMID21088920
PMCPMC3043189

What OpenQuestion holds

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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.