Evidence map›Paper›PMID 24002626›Full record

Trial reportJournal of general internal medicine2014

Get screened: a randomized trial of the incremental benefits of reminders, recall, and outreach on cancer screening.

Robert J Fortuna, Amna Idris, Paul Winters, Sharon G Humiston, Steven Scofield, Samantha Hendren, Patricia Ford, Shirley X L Li, Kevin Fiscella

Open access · bronzeAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 8 pooled it
2.5field-weighted citation impact, top 10% 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

30 citing papers in PubMed, 8 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Application of patient navigation programs across the entire continuum of breast cancer care: a GRADE-assessed systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  6. Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018
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  11. Repeat Annual Colorectal Cancer Screening in Rural Community Clinics: A Randomized Clinical Trial to Evaluate Outreach Strategies to Sustain Screening.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020
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  19. What Multilevel Interventions Do We Need to Increase the Colorectal Cancer Screening Rate to 80%?Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Robert J FortunaCenter for Primary Care and Department of Internal Medicine, Culver Medical Group, University of Rochester School of Medicine and Dentistry, 913 Culver Road, Rochester, NY, 14609, USA, Robert_Fortuna@URMC.Rochester.edu.
Amna Idris
Paul Winters
Sharon G Humiston
Steven Scofield
Samantha Hendren
Patricia Ford
Shirley X L Li
Kevin Fiscella
University of Rochester · USChildren's Mercy Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Improving Rectal Cancer Surgery Through Regional CollaborationK07CA163665 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HENDREN, SAMANTHA KATHLEEN · 2012 to 2015
$700k
NCI NIH HHS K07 CA163665
6 · The paper itself

Abstract

backgroundRates of breast cancer (BC) and colorectal cancer (CRC) screening are particularly low among poor and minority patients. Multifaceted interventions have been shown to improve cancer-screening rates, yet the relative impact of the specific components of these interventions has not been assessed. Identifying the specific components necessary to improve cancer-screening rates is critical to tailor interventions in resource limited environments.

objectiveTo assess the relative impact of various components of the reminder, recall, and outreach (RRO) model on BC and CRC screening rates within a safety net practice.

designPragmatic randomized trial.

participantsMen and women aged 50-74 years past due for CRC screen and women aged 40-74 years past due for BC screening.

interventionsWe randomized 1,008 patients to one of four groups: (1) reminder letter; (2) letter and automated telephone message (Letter + Autodial); (3) letter, automated telephone message, and point of service prompt (Letter + Autodial + Prompt); or (4) letter and personal telephone call (Letter + Personal Call). MAIN MEASURES: Documentation of mammography or colorectal cancer screening at 52 weeks following randomization. KEY

resultsCompared to a reminder letter alone, Letter + Personal Call was more effective at improving screening rates for BC (17.8 % vs. 27.5 %; AOR 2.2, 95 % CI 1.2-4.0) and CRC screening (12.2 % vs. 21.5 %; AOR 2.0, 95 % CI 1.1-3.9). Compared to letter alone, a Letter + Autodial + Prompt was also more effective at improving rates of BC screening (17.8 % vs. 28.2 %; AOR 2.1, 95 % CI 1.1-3.7) and CRC screening (12.2 % vs. 19.6 %; AOR 1.9, 95 % CI 1.0-3.7). Letter + Autodial was not more effective than a letter alone at improving screening rates.

conclusionsThe addition of a personal telephone call or a patient-specific provider prompt were both more effective at improving mammogram and CRC screening rates compared to a reminder letter alone. The use of automated telephone calls, however, did not provide any incremental benefit to a reminder letter alone.

Indexed as

Reminder SystemsAdultAgedBreast NeoplasmsColonoscopyColorectal NeoplasmsCorrespondence as TopicEarly Detection of CancerFemaleHealth PromotionHumansMaleMammographyMiddle AgedNew YorkPatient Acceptance of Health Care

Identifiers

PMID24002626
PMCPMC3889981
OpenAlexW2128683352

What OpenQuestion holds

Textmetadata
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.