Evidence map›Paper›PMID 26908517›Full record

ArticleBMJ open2016

Reducing income-related inequities in colorectal cancer screening: lessons learned from a retrospective analysis of organised programme and non-programme screening delivery in Winnipeg, Manitoba.

Kathleen M Decker, Alain A Demers, Zoann Nugent, Natalie Biswanger, Harminder Singh

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

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

  1. Pooled it
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  7. Colorectal Cancer Screening Program Results in Iran.Medical journal of the Islamic Republic of Iran · 2022
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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.

Kathleen M DeckerDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Alain A DemersDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Zoann NugentDepartment of Internal Medicine, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, Canada Medical Oncology and Haematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Natalie BiswangerScreening Programs, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Harminder SinghDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada Department of Internal Medicine, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, Canada Medical Oncology and Haematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined organised colorectal cancer (CRC) screening programme and non-programme faecal occult blood test (FOBT) use from 2008 to 2012 for individuals living in Winnipeg, Manitoba, by area-level income.

settingWinnipeg, Manitoba, a region with universal healthcare and an organised CRC screening programme.

participantsIndividuals who had a non-programme FOBT were identified from the Provincial Medical Claims database. Individuals who had a programme FOBT were identified from the provincial screening registry. Census data were used to determine average household income based on area of residence. STATISTICAL ANALYSIS: Trends in age-standardised FOBT rates were examined using Joinpoint Regression. Logistic regression was performed to explore the association between programme and non-programme FOBT use and income quintile.

resultsFOBT use (non-programme and programme) increased from 32.2% in 2008 to 41.6% in 2012. Individuals living in the highest income areas (Q5) were more likely to have a non-programme FOBT compared with those living in other areas. Individuals living in areas with the lowest average income level (Q1) were less likely to have had programme FOBT than those living in areas with the highest average income level (OR 0.80, 95% CI 0.77 to 0.82). There was no difference in programme FOBT use for individuals living in areas with the second lowest income level (Q2) compared with those living in areas with the highest. Individuals living in areas with a moderate-income level (Q3 and Q4) were more likely to have had a programme FOBT compared with those living in an area with the highest income level (OR 1.12, 95% CI 1.09 to 1.15 for Q3 and OR 1.10, 95% CI 1.07 to 1.13 for Q4).

conclusionsInequities by income observed for non-programme FOBTs were largely eliminated when programme FOBTs were examined. Targeted interventions within organised screening programmes in very low-income areas are needed.

Indexed as

IncomeOccult BloodAgedColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleManitobaMass ScreeningMiddle AgedRetrospective StudiesSocial ClassUniversal Health InsuranceONCOLOGYPREVENTIVE MEDICINEPUBLIC HEALTH

Identifiers

PMID26908517
PMCPMC4769429

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Registered trials

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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.