ArticleHealth services research2012
Colonoscopist and primary care physician supply and disparities in colorectal cancer screening.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis 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
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Explaining persistent under-use of colonoscopic cancer screening in African Americans: a systematic review.Preventive medicine · 2015Pooled it
- Longer travel times to acute hospitals are associated with lower likelihood of cancer screening receipt among rural-dwelling adults in the U.S. South.Cancer causes & control : CCC · 2025Article
- Article
- Community Health workers United to Reduce Colorectal cancer and cardiovascular disease among people at Higher risk (CHURCH): study protocol for a randomized controlled trial.Research square · 2024Article
- Predictors of intent to utilize the emergency department among a free clinic's patients.The American journal of emergency medicine · 2023Article
- Diminishing racial disparities in the treatment of colon adenocarcinoma.Surgery in practice and science · 2023Article
- Review
- Regional variations and associations between colonoscopy resource availability and colonoscopy utilisation: a population-based descriptive study in Ontario, Canada.BMJ open gastroenterology · 2022Article
- Disparities in Colorectal Cancer Screening in Latinos and Non-Hispanic Whites.American journal of preventive medicine · 2022Article
- Effects of the Affordable Care Act on the Receipt of Colonoscopies among the Insured Elderly.International journal of environmental research and public health · 2020Article
- Geographic and population-level disparities in colorectal cancer testing: A multilevel analysis of Medicaid and commercial claims data.Preventive medicine · 2017Article
- Potential capacity of endoscopic screening for gastric cancer in Japan.Cancer science · 2017Article
- Racial/Ethnic Disparities in Colorectal Cancer Screening Across Healthcare Systems.American journal of preventive medicine · 2016Article
- Knowledge of Polyp History and Recommended Follow-Up Among a Predominately African American Patient Population and the Impact of Patient Navigation.Journal of racial and ethnic health disparities · 2016Article
- Regional differences in recommended cancer treatment for the elderly.BMC health services research · 2016Article
- Health disparities in colorectal cancer among racial and ethnic minorities in the United States.Journal of gastrointestinal oncology · 2016Review
- Pathways to colonoscopy in the South: seeds of health disparities.American journal of public health · 2015Article
- Challenges and possible solutions to colorectal cancer screening for the underserved.Journal of the National Cancer Institute · 2014Review
- Disparities in endoscopy use for colorectal cancer screening in the United States.Digestive diseases and sciences · 2014Review
- Colorectal cancer disparities: issues, controversies and solutions.World journal of gastroenterology · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
OBJECTIVE. : To determine whether racial/ethnic disparities in colonoscopy use vary by physician availability. DATA SOURCE. : We used 100 percent Texas Medicare claims data for 2003-2007. STUDY DESIGN. : We identified beneficiaries aged 66-79 in 2007, examined racial/ethnic differences in colonoscopy use from 2003 to 2007, and estimated the percentage of white, black, and Hispanic beneficiaries who underwent colonoscopy by level of physician availability and area income. PRINCIPAL FINDINGS. : For the 974,879 beneficiaries, colonoscopy use was higher in whites (40.7 percent) compared to blacks (35.0 percent) and Hispanics (28.7 percent, p< .001). For whites, increasing availability of colonoscopists and primary care physicians (PCPs) was associated with higher colonoscopy use. For blacks and Hispanics, colonoscopy use was unchanged or decreased with increases in colonoscopist and PCP availability. In multilevel models, the odds of colonoscopy were 20 percent lower for blacks (OR 0.80, 95 percent CI 0.79-0.82) and 32 percent lower for Hispanics (OR 0.68, 95 percent CI 0.66-0.69) compared to whites; adjusting for availability of colonoscopists or PCPs did not attenuate racial/ethnic disparities. We found greater racial/ethnic disparities in areas with greater colonoscopist and PCP availability. CONCLUSIONS. : Greater area availability of colonoscopists and PCPs is associated with increased use of colonoscopy in whites but decreased use in minorities, resulting in larger racial/ethnic disparities.
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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.