Evidence map›Paper›PMID 22716124›Full record

ArticleHealth services research2013

Primary care physicians and disparities in colorectal cancer screening in the elderly.

Ashwani K Singal, Yu-Li Lin, Yong-Fang Kuo, Taylor Riall, James S Goodwin

Abstract read
In one paragraph

Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Health Care Segregation, Physician Recommendation, and Racial Disparities in BRCA1/2 Testing Among Women With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  5. Article
  6. Article
  7. Article
  8. Delivering high-quality and affordable care throughout the cancer care continuum.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Article
  9. Article
  10. 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

5 authors at 1 institution in 1 country.

Ashwani K SingalSealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555-0177, USA.
Yu-Li Lin
Yong-Fang Kuo
Taylor Riall
James S Goodwin
The University of Texas Medical Branch at Galveston · US

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Understanding Mechanisms of Ethnic Disparities in Colorectal Cancer ScreeningR01CA134275 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2008 to 2012
$1.3M
Established Investigator Award in Cancer Prevention & ControlK05CA134923 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2008 to 2019
$1.0M
Underutilization of Surgical Resection in Patients with Pancreatic CancerK07CA130983 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI RIALL, TAYLOR SOHN · 2008 to 2012
$633k
NCI NIH HHS 5K05CA134923NCI NIH HHS 5K07CA130983NCI NIH HHS 5R01CA134275NCI NIH HHS K05 CA134923NCI NIH HHS K07 CA130983NCI NIH HHS R01 CA134275NIA NIH HHS P30 AG024832
6 · The paper itself

Abstract

objectiveTo examine whether having a primary care physician (PCP) is associated with reduced ethnic disparities for colorectal cancer (CRC) screening and whether clustering of minorities within PCPs contributes to the disparities. DATA SOURCES/STUDY

settingRetrospective cohort study of Medicare beneficiaries age 66-75 in 2009 in Texas. STUDY

designThe percentage of beneficiaries up to date in CRC screening in 2009 was stratified by race/ethnicity. Multilevel models were used to study the effect of having a PCP and PCP characteristics on the racial and ethnic disparities on CRC screening. DATA COLLECTION/EXTRACTION

methodsMedicare data from 2000 to 2009 were used to assess prior CRC screening. PRINCIPAL

findingsOdds of undergoing CRC screening were more than twice as high in patients with a PCP (OR = 2.05, 95 percent CI 2.03-2.07). After accounting for clustering and PCP characteristics, the black-white disparity in CRC screening rates almost disappears and the Hispanic-white disparity decreases substantially.

conclusionsEthnic disparities in CRC screening in the elderly are mostly explained by decreased access to PCPs and by clustering of minorities within PCPs less likely to screen any of their patients.

Indexed as

AgedAge FactorsColonoscopyColorectal NeoplasmsComorbidityEarly Detection of CancerEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMedicarePhysicians, Primary CareRetrospective StudiesRisk Factors

Identifiers

PMID22716124
PMCPMC3480966
OpenAlexW2113869727

What OpenQuestion holds

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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.