Evidence map›Paper›PMID 26916898›Full record

SynthesisPreventing chronic disease2016

Stated Preference for Cancer Screening: A Systematic Review of the Literature, 1990-2013.

Carol Mansfield, Florence K L Tangka, Donatus U Ekwueme, Judith Lee Smith, Gery P Guy, Chunyu Li, A Brett Hauber

Abstract readSystematic Review
In one paragraph

Synthesis in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 12 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

44 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Screening for potentially inappropriate prescribing in primary care: Canadian guideline.Canadian family physician Medecin de famille canadien · 2026
    Guideline
  2. Pooled it
  3. Pooled it
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  5. Willingness-to-pay for cancer treatment and outcome: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2022
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
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  12. Pooled it
  13. Trial
  14. Comparative effectiveness of two interventions to increase colorectal cancer screening among females living in the rural Midwest.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Trial
  15. Trial
  16. Article
  17. Solid reasons to equitably screen.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  18. Patient preferences for investigating cancer-related symptoms in Australian general practice: a discrete-choice experiment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  19. Risk-Adapted Breast Screening for Women at Low Predicted Risk of Breast Cancer: An Online Discrete Choice Experiment.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  20. 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.

Carol MansfieldRTI Health Solutions, RTI International, Research Triangle Park, North Carolina.
Florence K L TangkaCenters for Disease Control and Prevention, 4770 Buford Hwy, NE, MS F-76, Atlanta, GA 30341. Email: ftangka@cdc.gov.
Donatus U EkwuemeCenters for Disease Control and Prevention, Atlanta, Georgia.
Judith Lee SmithCenters for Disease Control and Prevention, Atlanta, Georgia.
Gery P GuyCenters for Disease Control and Prevention, Atlanta, Georgia.
Chunyu LiCenters for Disease Control and Prevention, Atlanta, Georgia.
A Brett HauberRTI Health Solutions, RTI International, Research Triangle Park, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStated-preference methods provide a systematic approach to quantitatively assess the relative preferences for features of cancer screening tests. We reviewed stated-preference studies for breast, cervical, and colorectal cancer screening to identify the types of attributes included, the use of questions to assess uptake, and whether gaps exist in these areas. The goal of our review is to inform research on the design and promotion of public health programs to increase cancer screening.

methodsUsing the PubMed and EconLit databases, we identified studies published in English from January 1990 through July 2013 that measured preferences for breast, cervical, and colorectal cancer screening test attributes using conjoint analysis or a discrete-choice experiment. We extracted data on study characteristics and results. We categorized studies by whether attributes evaluated included screening test, health care delivery characteristics, or both.

resultsTwenty-two studies met the search criteria. Colorectal cancer was the most commonly studied cancer of the 3. Fifteen studies examined only screening test attributes (efficacy, process, test characteristics, and cost). Two studies included only health care delivery attributes (information provided, staff characteristics, waiting time, and distance to facility). Five studies examined both screening test and health care delivery attributes. Overall, cancer screening test attributes had a significant effect on a patient's selection of a cancer screening test, and health care delivery attributes had mixed effects on choice.

conclusionA growing number of studies examine preferences for cancer screening tests. These studies consistently find that screening test attributes, such as efficacy, process, and cost, are significant determinants of choice. Fewer studies have examined the effect of health care delivery attributes on choice, and the results from these studies are mixed. There is a need for additional studies on the barriers to cancer screening uptake, including health care delivery attributes, and the effect of education materials on preferences.

Indexed as

Patient PreferenceBreast NeoplasmsChoice BehaviorColorectal NeoplasmsDelivery of Health CareEarly Detection of CancerFemaleHumansMass ScreeningSurveys and QuestionnairesUterine Cervical Neoplasms

Identifiers

PMID26916898
PMCPMC4768876

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.