Evidence map›Paper›PMID 26351100›Full record

ArticleBMC research notes2015

The impact of preventive screening resource distribution on geographic and population-based disparities in colorectal cancer in Mississippi.

Fazlay S Faruque, Xu Zhang, Elizabeth N Nichols, Denae L Bradley, Royce Reeves-Darby, Vonda Reeves-Darby, Roy J Duhé

Abstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Black-White disparities across the colorectal cancer care continuum in the USA.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Who Performs Colonoscopy? Workforce Trends Over Space and Time.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018
    Article
  9. 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

7 authors.

Fazlay S FaruqueGIS and Remote Sensing Program, University of Mississippi Medical Center, Jackson, MS, 39216-4505, USA. ffaruque@umc.edu.
Xu ZhangCenter of Biostatistics and Bioinformatics, University of Mississippi Medical Center, Jackson, MS, 39216-4505, USA. xzhang2@umc.edu.
Elizabeth N NicholsMurrah High School, Jackson, MS, 39216, USA. elizabeth.n.nichols@vanderbilt.edu.
Denae L BradleyMurrah High School, Jackson, MS, 39216, USA. dlbradle@go.olemiss.edu.
Royce Reeves-DarbyUniversity of Pennsylvania, Philadelphia, PA, 19104, USA. roycer@sas.upenn.edu.
Vonda Reeves-DarbyGI Associates and Endoscopy Center, Jackson, MS, 39202, USA. vonda.reevesdarby@gastrodocs.net.
Roy J DuhéDepartment of Radiation Oncology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216-4505, USA. rduhe@umc.edu.

Funding

Howard Hughes Medical Institute
6 · The paper itself

Abstract

backgroundThe state of Mississippi has the highest colorectal cancer (CRC) mortality rate in the USA. The geographic distribution of CRC screening resources and geographic- and population-based CRC characteristics in Mississippi are investigated to reveal the geographic disparity in CRC screening.

methodsThe primary practice sites of licensed gastroenterologists and the addresses of licensed medical facilities offering on-site colonoscopies were verified via telephone surveys, then these CRC screening resource data were geocoded and analyzed using Geographic Information Systems. Correlation analyses were performed to detect the strength of associations between CRC screening resources, CRC screening behavior and CRC outcome data.

resultsAge-adjusted colorectal cancer incidence rates, mortality rates, mortality-to-incidence ratios, and self-reported endoscopic screening rates from the years 2006 through 2010 were significantly different for Black and White Mississippians; Blacks fared worse than Whites in all categories throughout all nine Public Health Districts. CRC screening rates were negatively correlated with CRC incidence rates and CRC mortality rates. The availability of gastroenterologists varied tremendously throughout the state; regions with the poorest CRC outcomes tended to be underserved by gastroenterologists.

conclusionsSignificant population-based and geographic disparities in CRC screening behaviors and CRC outcomes exist in Mississippi. The effects of CRC screening resources are related to CRC screening behaviors and outcomes at a regional level, whereas at the county level, socioeconomic factors are more strongly associated with CRC outcomes. Thus, effective control of CRC in rural states with high poverty levels requires both adequate preventive CRC screening capacity and a strategy to address fundamental causes of health care disparities.

Indexed as

AgedBlack or African AmericanColonoscopyColorectal NeoplasmsEarly Detection of CancerGeographyHealthcare DisparitiesHumansIncidenceMiddle AgedMississippiRegistriesRural HealthRural PopulationSigmoidoscopySocioeconomic Factors

Identifiers

PMID26351100
PMCPMC4562344

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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.