Evidence map›Paper›PMID 27864601›Full record

ArticleAbdominal radiology (New York)2017

Predictors of primary care provider adoption of CT colonography for colorectal cancer screening.

Jennifer M Weiss, David H Kim, Maureen A Smith, Aaron Potvien, Jessica R Schumacher, Ronald E Gangnon, B Dustin Pooler, Patrick R Pfau, Perry J Pickhardt

Abstract read
In one paragraph

Article in Abdominal radiology (New York), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Jennifer M WeissDivision of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, Room 4230, Madison, WI, 53705-2281, USA. jmw@medicine.wisc.edu.
David H KimDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Maureen A SmithDepartment of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Aaron PotvienDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jessica R SchumacherDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Ronald E GangnonDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
B Dustin PoolerDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Patrick R PfauDivision of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, Room 4230, Madison, WI, 53705-2281, USA.
Perry J PickhardtDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Nihal Ahmad · 1985 to 2026
$142.6M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Virtual Colonoscopy and Colorectal Cancer ScreeningR01CA144835 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI PICKHARDT, PERRY, SMITH, MAUREEN A · 2010 to 2013
$2.1M
NCATS NIH HHS UL1 TR000427NCI NIH HHS L30 CA153384NCI NIH HHS P30 CA014520NCI NIH HHS R01 CA144835
6 · The paper itself

Abstract

purposeTo examine factors influencing primary care provider (PCP) adoption of CT colonography (CTC) for colorectal cancer (CRC) screening. MATERIALS AND

methodsWe performed a retrospective cohort study linking electronic health record (EHR) data with PCP survey data. Patients were eligible for inclusion if they were not up-to-date with CRC screening and if they had CTC insurance coverage in the year prior to survey administration. PCPs were included if they had at least one eligible patient in their panel and completed the survey (final sample N = 95 PCPs; N = 6245 patients). Survey data included perceptions of CRC screening by any method, as well as CTC specifically. Multivariate logistic regression estimated odds ratios and 95% confidence intervals for PCP and clinic predictors of CRC screening by any method and screening with CTC.

resultsSubstantial variation in CTC use was seen among PCPs and clinics (range 0-16% of CRC screening). Predictors of higher CTC use were PCP perceptions that CTC is effective in reducing CRC mortality, higher number of perceived advantages to screening with CTC, and Internal Medicine specialty. Factors not associated with CTC use were PCP perceptions of less organizational capacity to meet demand for colonoscopy, number of perceived disadvantages to screening with CTC, PCP age and gender, and clinic factors.

conclusionSignificant variation in PCP adoption of CTC exists. PCP perceptions of CTC and specialty practice were related to CTC adoption. Strategies to increase PCP adoption of CTC for CRC screening should include emphasis on the effectiveness and advantages of CTC.

Indexed as

Primary Health CareAdultAgedColonography, Computed TomographicColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMedical Record LinkageMiddle AgedPractice Patterns, Physicians'Retrospective StudiesColorectal cancer screeningCT colonographyPrimary care providers

Identifiers

PMID27864601
PMCPMC5382059

What OpenQuestion holds

Textmetadata
LicenceTDM
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.