Evidence map›Paper›PMID 24094919›Full record

ArticlePatient education and counseling2014

Patient-physician colorectal cancer screening discussion content and patients' use of colorectal cancer screening.

Jennifer Elston Lafata, Greg Cooper, George Divine, Nancy Oja-Tebbe, Susan A Flocke

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06182475 (Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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.

NCT06182475 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication

TypeinterventionalSponsorTemple UniversityRan2026 to 2027Enrolled70ConditionsKidney Disease, Chronic, End Stage Renal Disease, Kidney ReplacementArmsEPPComm Provider Training
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Patient-Provider Communication and Colorectal Cancer Screening Completion Using Multi-target Stool DNA Testing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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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.

Jennifer Elston LafataVirginia Commonwealth University, Richmond, USA; Henry Ford Health System, Detroit, USA. Electronic address: jelstonlafat@vcu.ecu.
Greg CooperCase Western Reserve University, Cleveland, USA.
George DivineHenry Ford Health System, Detroit, USA.
Nancy Oja-TebbeHenry Ford Health System, Detroit, USA.
Susan A FlockeCase Western Reserve University, Cleveland, USA.

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
PHYSICIAN RECOMMENDATION AND COLORECTAL CANCER SCREENINGR01CA112379 · NCI · HENRY FORD HEALTH SYSTEM · PI ELSTON LAFATA, JENNIFER M · 2006 to 2009
$1.7M
NCATS NIH HHS UL1 TR000439NCI NIH HHS R01 CA112379
6 · The paper itself

Abstract

objectiveThe US Preventive Services Task Force recommends using the 5As (i.e., Assess, Advise, Agree, Assist and Arrange) when discussing preventive services. We evaluate the association of the 5As discussion during primary care office visits with patients' subsequent colorectal cancer (CRC) screening use.

methodsAudio-recordings of n=443 periodic health exams among insured patients aged 50-80 years and due for CRC screening were joined with pre-visit patient surveys and screening use data from an electronic medical record. Association of the 5As with CRC screening was assessed using generalized estimating equations.

results93% of patients received a recommendation for screening (Advise) and 53% were screened in the following year. The likelihood of screening increased as the number of 5A steps increased: compared to patients whose visit contained no 5A step, those whose visit contained 1-2 steps (OR=2.96 [95% CI 1.16, 7.53]) and 3 or more steps (4.98 [95% CI 1.84, 13.44]) were significantly more likely to use screening.

conclusionsPhysician CRC screening recommendations that include recommended 5A steps are associated with increased patient adherence. PRACTICE IMPLICATIONS: A CRC screening recommendation (Advise) that also describes patient eligibility (Assess) and provides help to obtain screening (Assist) may lead to improved adherence to CRC screening.

Indexed as

Physician-Patient RelationsPractice Patterns, Physicians'AgedAged, 80 and overColorectal NeoplasmsDecision MakingEarly Detection of CancerFemaleHealth Care SurveysHumansMaleMass ScreeningMiddle AgedOffice VisitsPatient Acceptance of Health CarePatient ComplianceColorectal cancer screeningDecision makingPatient–physician communication

Identifiers

PMID24094919
PMCPMC3865022

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.