Evidence map›Paper›PMID 27597935›Full record

SynthesisCanadian journal of gastroenterology & hepatology2016

Colorectal Cancer Screening in Average Risk Populations: Evidence Summary.

Jill Tinmouth, Emily T Vella, Nancy N Baxter, Catherine Dubé, Michael Gould, Amanda Hey, Nofisat Ismaila, Bronwen R McCurdy, Lawrence Paszat

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Canadian journal of gastroenterology & hepatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
3.2field-weighted citation impact, top 7% of its field
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

28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Colorectal Cancer Screening in Average Risk Populations: Evidence Summary.Canadian journal of gastroenterology & hepatology · 2016
    Pooled it
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Screening for Colorectal Cancer.Hematology/oncology clinics of North America · 2022
    Review
  17. Article
  18. Review
  19. A Real-Time Endoscope Motion Tracker.IEEE journal of translational engineering in health and medicine · 2022
    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

9 authors at 7 institutions in 2 countries.

Jill TinmouthPrevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-0264-2176
Emily T VellaProgram in Evidence-Based Care, Cancer Care Ontario, Hamilton, ON, Canada.ORCID 0000-0001-9304-7956
Nancy N BaxterPrevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Catherine DubéPrevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Department of Medicine, Division of Gastroenterology, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada.
Michael GouldWilliam Osler Health Centre, Etobicoke, ON, Canada; Vaughan Endoscopy Clinic, Vaughan, ON, Canada.ORCID 0000-0003-2784-9576
Amanda HeyNortheast Cancer Centre Health Sciences North/Horizon Santé-Nord, Sudbury Outpatient Centre, Sudbury, ON, Canada.
Nofisat IsmailaAmerican Society of Clinical Oncology, Alexandria, VA, USA.ORCID 0000-0003-2074-1896
Bronwen R McCurdyPrevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada.ORCID 0000-0003-1291-4638
Lawrence PaszatDepartment of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-3595-1493
Cancer Care Ontario · CASunnybrook Health Science Centre · CAAmerican Society of Clinical Oncology · USHealth Sciences North · CASt. Michael's Hospital · CAUniversity of Ottawa · CAWilliam Osler Health System · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. The objectives of this systematic review were to evaluate the evidence for different CRC screening tests and to determine the most appropriate ages of initiation and cessation for CRC screening and the most appropriate screening intervals for selected CRC screening tests in people at average risk for CRC. Methods. Electronic databases were searched for studies that addressed the research objectives. Meta-analyses were conducted with clinically homogenous trials. A working group reviewed the evidence to develop conclusions. Results. Thirty RCTs and 29 observational studies were included. Flexible sigmoidoscopy (FS) prevented CRC and led to the largest reduction in CRC mortality with a smaller but significant reduction in CRC mortality with the use of guaiac fecal occult blood tests (gFOBTs). There was insufficient or low quality evidence to support the use of other screening tests, including colonoscopy, as well as changing the ages of initiation and cessation for CRC screening with gFOBTs in Ontario. Either annual or biennial screening using gFOBT reduces CRC-related mortality. Conclusion. The evidentiary base supports the use of FS or FOBT (either annual or biennial) to screen patients at average risk for CRC. This work will guide the development of the provincial CRC screening program.

Indexed as

Occult BloodPatient SelectionPractice Guidelines as TopicSigmoidoscopyAgedAge FactorsColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedObservational Studies as TopicOntario

Identifiers

PMID27597935
PMCPMC5002289
OpenAlexW2513379004

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.