ArticleAmerican journal of preventive medicine2016
Racial/Ethnic Disparities in Colorectal Cancer Screening Across Healthcare Systems.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.
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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.
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.
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Who cites it
59 citing papers in PubMed.
- Equity Evaluation of an Intervention to Increase Colorectal Cancer Screening at Federally Qualified Health Centers.Annals of family medicine · 2026Trial
- Effect of Patient-Directed Messaging on Colorectal Cancer Screening: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Effects of culturally targeted message framing on colorectal cancer screening among African Americans.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Trial
- Effect of Financial Incentives on Patient Use of Mailed Colorectal Cancer Screening Tests: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Factors Associated with Ever Undergoing Colorectal Cancer Testing Among Adults in the United States.Diseases (Basel, Switzerland) · 2026Article
- Disparities in colonoscopy adherence and neoplasia detection after positive fecal immunochemical test: a retrospective matched cohort study.Cancer causes & control : CCC · 2026Article
- Colorectal Cancer Screening and Mortality Trends in the United States Over 25 Years: A Story of Success and Inequity.Digestive diseases and sciences · 2026Article
- Protocol paper for an implementation science approach to promoting colorectal cancer screening in Federally Qualified Health Center Clinics: A stepped-wedge, multilevel intervention trial.Contemporary clinical trials · 2026Article
- Sociodemographic Determinants Associated with the Receipt of Adjuvant Chemotherapy in Stage III Colorectal Cancer: A Population-Based Study from the SEER Registry.Journal of gastrointestinal cancer · 2025Article
- Gaps in care across the cancer screening continuum for cervical, colorectal, and lung cancers.Journal of the National Cancer Institute · 2025Article
- Modeled Cost-Effectiveness of a Rideshare Program to Facilitate Colonoscopy Completion.JAMA network open · 2025Article
- Impact of racial disparities in follow-up and quality of colonoscopy on colorectal cancer outcomes.Journal of the National Cancer Institute · 2024Article
- Association Between Race and Comorbid Conditions Among Older Adults with Dementia.Journal of clinical medicine · 2024Article
- Integrating causal pathway diagrams into practice facilitation to address colorectal cancer screening disparities in primary care.BMC health services research · 2024Article
- Colorectal cancer screening participation in First Nations populations worldwide: a systematic review and data synthesis.EClinicalMedicine · 2024Article
- Black-White disparities in colorectal cancer outcomes: a simulation study of screening benefit.Journal of the National Cancer Institute. Monographs · 2023Article
- Medical mistrust, culturally targeted message framing, and colorectal cancer screening among African Americans.Journal of behavioral medicine · 2023Article
- Who, where, when: Colorectal cancer disparities by race and ethnicity, subsite, and stage.Cancer medicine · 2023Article
- Message Framing for Men? Gender Moderated Effects of Culturally Targeted Message Framing on Colorectal Cancer Screening Receptivity among African Americans.Psychology of men & masculinity · 2023Article
- Modifiable patient-reported factors associated with cancer-screening knowledge and participation in a community-based health assessment.American journal of surgery · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
introductionRacial/ethnic disparities in colorectal cancer (CRC) screening and diagnostic testing present challenges to CRC prevention programs. Thus, it is important to understand how differences in CRC screening approaches between healthcare systems are associated with racial/ethnic disparities.
methodsThis was a retrospective cohort study of patients aged 50-75 years who were members of the Population-based Research Optimizing Screening Through Personalized Regimens cohort from 2010 to 2012. Data on race/ethnicity, CRC screening, and diagnostic testing came from medical records. Data collection occurred in 2014 and analysis in 2015. Logistic regression models were used to calculate AORs and 95% CIs comparing completion of CRC screening between racial/ethnic groups. Analyses were stratified by healthcare system to assess differences between systems.
resultsThere were 1,746,714 participants across four healthcare systems. Compared with non-Hispanic whites (whites), odds of completing CRC screening were lower for non-Hispanic blacks (blacks) in healthcare systems with high screening rates (AOR=0.86, 95% CI=0.84, 0.88) but similar between blacks and whites in systems with lower screening rates (AOR=1.01, 95% CI=0.93, 1.09). Compared with whites, American Indian/Alaskan Natives had lower odds of completing CRC screening across all healthcare systems (AOR=0.76, 95% CI=0.72, 0.81). Hispanics had similar odds of CRC screening (AOR=0.99, 95% CI=0.98, 1.00) and Asian/Pacific Islanders had higher odds of CRC screening (AOR=1.16, 95% CI=1.15, 1.18) versus whites.
conclusionsRacial/ethnic differences in CRC screening vary across healthcare systems, particularly for blacks, and may be more pronounced in systems with intensive CRC screening approaches.
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