Evidence map›Paper›PMID 26957375›Full record

Trial reportJournal of the American Board of Family Medicine : JABFM

Colorectal Cancer Screening Rates Increased after Exposure to the Patient-Centered Medical Home (PCMH).

Beverly B Green, Melissa L Anderson, Jessica Chubak, Laura Mae Baldwin, Leah Tuzzio, Sheryl Catz, Alison Cole, Sally W Vernon

Registry-linked trialAbstract readMulticenter StudyRandomized 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 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  10. Practical Strategies for Assessing Patient Physical Activity Levels in Primary Care.Mayo Clinic proceedings. Innovations, quality & outcomes · 2017
    Review
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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

8 authors.

Beverly B GreenFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV). green.b@ghc.org.
Melissa L AndersonFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Jessica ChubakFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Laura Mae BaldwinFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Leah TuzzioFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Sheryl CatzFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Alison ColeFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).
Sally W VernonFrom Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV).

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

objectiveThe patient-centered medical home (PCMH) includes comprehensive chronic illness and preventive services, including identifying patients who are overdue for colorectal cancer screening (CRCS). The association between PCMH implementation and CRCS during the Systems of Support to Increase Colorectal Cancer Screening Trial (SOS) is described.

methodsThe SOS enrolled 4664 patients from 21 clinics from August 2008 to November 2009. Patients were randomized to usual care, mailed fecal kits, kits plus brief assistance, or kits plus assistance and navigation. A PCMH model that included a workflow for facilitating CRCS was implemented at all study clinics in late 2009. Patients enrolled early had little exposure to the PCMH, whereas patients enrolled later were exposed during most of their first year in the trial. Logistic regression models were used to assess the association between PCMH exposure and CRCS.

resultsUsual care patients with ≥8 months in the PCMH had higher CRCS rates than those with ≤4 months in the PCMH (adjusted difference, 10.1%; 95% confidence interval, 5.7-14.6). SOS interventions led to significant increases in CRCS, but the magnitude of effect was attenuated by exposure to the PCMH (P for interaction = .01).

conclusionExposure to a PCMH was associated with higher CRCS rates. Automated mailed and centrally delivered stepped interventions increased CRCS rates, even in the presence of a PCMH.

Indexed as

AgedColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMiddle AgedPatient-Centered CareSpecimen HandlingWashingtonCancer ScreeningColon CancerMedical Home

Identifiers

PMID26957375
PMCPMC4868497

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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.