Evidence map›Paper›PMID 25381076›Full record

Trial reportJournal of the American Board of Family Medicine : JABFM

Results of nurse navigator follow-up after positive colorectal cancer screening test: a randomized trial.

Beverly B Green, Melissa L Anderson, Ching-Yun Wang, Sally W Vernon, Jessica Chubak, Richard T Meenan, Sharon Fuller

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00697047 (Systems of Support to Increase Colon Cancer Screening and Follow-up), which is not on this map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 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.

NCT00697047 nacompletednot on this map

Systems of Support to Increase Colon Cancer Screening and Follow-up

TypeinterventionalSponsorKaiser PermanenteRan2008 to 2019Enrolled4,653ConditionsColorectal CancerArmsAutomated Mailing, Automated Mailing Plus Assisted, Auto Plus Assisted Plus Navigation
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  8. Precision Patient Navigation to Improve Rates of Follow-up Colonoscopy, An Individual Randomized Effectiveness Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Trial
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  11. Patient Navigation for Colonoscopy Completion: Results of an RCT.American journal of preventive medicine · 2017
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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

7 authors.

Beverly B GreenFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM). green.b@ghc.org.
Melissa L AndersonFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).
Ching-Yun WangFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).
Sally W VernonFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).
Jessica ChubakFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).
Richard T MeenanFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).
Sharon FullerFrom the Group Health Cooperative and Group Health Research Institute, Seattle, WA (BBG, MLA, JC, SF); the Department of Epidemiology, University of Washington School of Public Health, Seattle (JC); the Fred Hutchinson Cancer Center, Seattle, WA (C-YW); the Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston (SWV); and the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RTM).

Funding

Systems of Support (SOS) to Increase Colon Cancer Screening and Follow-upR01CA121125 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GREEN, BEVERLY BETH · 2007 to 2017
$8.0M
NCI NIH HHS R01 CA121125NCI NIH HHS R01CA121125
6 · The paper itself

Abstract

backgroundFollow-up after a positive colorectal cancer screening test is necessary for screening to be effective. We hypothesized that nurse navigation would increase the completion of colonoscopy after a positive screening test.

methodsThis study was conducted between 2008 and 2012 at 21 primary care medical centers in western Washington State. Participants in the Systems of Support to Increase Colorectal Cancer Screening study who had a positive fecal occult blood test (FOBT) or flexible sigmoidoscopy needing follow-up were randomized to usual care (UC) or a nurse navigator (navigation). UC included an electronic health record-based positive FOBT registry and physician reminder system. Navigation included UC plus care coordination and patient self-management support from a registered nurse who tracked and assisted patients until they completed or refused colonoscopy. The primary outcome was completion of colonoscopy within 6 months. After 6 months, both groups received navigation.

resultsWe randomized 147 participants with a positive FOBT or sigmoidoscopy. Completion of colonoscopy was higher in the intervention group at 6 months, but differences were not statistically significant (91.0% in navigation group vs 80.8% in UC group; adjusted difference, 10.1%; P = .10). Reasons for no or late colonoscopies included refusal, failure to schedule or missed appointments, concerns about risks or costs, and competing health concerns.

conclusionsNavigation did not lead to a statistically significant incremental benefit at 6 months. IMPACT: Follow-up rates after a positive colorectal cancer (CRC) screening test are high in a health care system where UC included a registry and physician reminders. Because of high follow-up rates in a health care system where UC included a registry and physician reminders, and small sample size, we cannot rule out incremental benefits of nurse navigation.

Indexed as

Patient NavigationAgedColonoscopyColorectal NeoplasmsFemaleFollow-Up StudiesHumansMaleMass ScreeningMiddle AgedCancer ScreeningColonoscopyColorectal CancerPatient Navigators

Identifiers

PMID25381076
PMCPMC4278960

What OpenQuestion holds

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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.