Evidence map›Paper›PMID 22089360›Full record

ArticleSouthern medical journal2011

Prevalence of colorectal cancer screening among a multimorbid rural Appalachian population.

Steven T Fleming, Nancy E Schoenberg, Yelena N Tarasenko, Kevin A Pearce

Open access · greenAbstract read
In one paragraph

Article in Southern medical journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Development and Evaluation of Patient Navigation Training for Rural and Appalachian Populations.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  2. Outcomes associated with use of thePreventive medicine reports · 2019
    Article
  3. Patient and provider perspectives on the relationship between multiple morbidity management and disease prevention.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2015
    Article
  4. Article
  5. Review
  6. Article
  7. The relationship between perceived burden of chronic conditions and colorectal cancer screening among Appalachian residents.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2014
    Article
  8. Article
  9. Article
  10. Article
  11. 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

4 authors at 1 institution in 1 country.

Steven T FlemingUniversity of Kentucky College of Public Health and the College of Medicine, Lexington, KY, USA. stflem2@uky.edu
Nancy E Schoenberg
Yelena N Tarasenko
Kevin A Pearce
University of Kentucky · US

Funding

Increasing Colorectal Cancer Screening for Patients with Multiple MorbiditiesR21CA129881 · NCI · UNIVERSITY OF KENTUCKY · PI SCHOENBERG, NANCY E. · 2008 to 2009
$363k
NCI NIH HHS R21 CA129881NCI NIH HHS R21CA129881-01
6 · The paper itself

Abstract

objectivesThe purpose of this study was to determine the relation among multiple morbidities and the prevalence of colorectal cancer (CRC) screening among older adult Appalachian residents of Kentucky. This is the first known study to address multiple morbidities exclusively with a health-disparities population.

methodsThis was a cross-sectional study of 1153 subjects, aged 50 to 76 years, from Appalachian Kentucky.

resultsWhite race, post-high school education, and perception of having more than enough income on which to survive were associated with higher rates of any guideline concordant CRC screening. Statistically significant trends in the outcome of adjusted odds ratios for colonoscopy with greater number of morbidities (P < 0.05) were noted; the higher number of morbidities, the higher rates of screening.

conclusionsContrary to much existing research, within a health-disparities population, we found a dose-response relation between comorbidities and greater likelihood of CRC screening. Future research in this area should focus on explanations for this seldom-described finding. In addition, this finding has meaningful clinical and behavioral implications, including ensuring provider screening recommendation during routine office visits and outreach, perhaps through community clinics and public health departments, to extremely vulnerable populations lacking access to preventive care.

Indexed as

AgedAppalachian RegionChi-Square DistributionColonoscopyColorectal NeoplasmsComorbidityCross-Sectional StudiesEducational StatusFemaleHealthcare DisparitiesHumansIncomeKentuckyLogistic ModelsMaleMass Screening

Identifiers

PMID22089360
PMCPMC3233263
OpenAlexW1571896966

What OpenQuestion holds

Textmetadata
LicenceTDM
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.