Evidence map›Paper›PMID 29370789›Full record

ArticleBMC public health2018

Patterns and predictors of adherence to colorectal cancer screening recommendations in Alberta's Tomorrow Project participants stratified by risk.

Nathan M Solbak, Jian-Yi Xu, Jennifer E Vena, Ala Al Rajabi, Sanaz Vaseghi, Heather K Whelan, S Elizabeth McGregor

Abstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Inappropriate use of clinical practices in Canada: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Pooled it
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  15. Low Screening Rates for Diabetes Mellitus Among Family Members of Affected Relatives.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
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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

7 authors.

Nathan M SolbakCancer Measurement, Outcomes, Research and Evaluation, CancerControl Alberta, Alberta Health Services, Calgary, AB, Canada. nathan.solbak@ahs.ca.ORCID 0000-0003-3071-4613
Jian-Yi XuCancer Measurement, Outcomes, Research and Evaluation, CancerControl Alberta, Alberta Health Services, Calgary, AB, Canada.
Jennifer E VenaCancer Measurement, Outcomes, Research and Evaluation, CancerControl Alberta, Alberta Health Services, Calgary, AB, Canada.
Ala Al RajabiCancer Measurement, Outcomes, Research and Evaluation, CancerControl Alberta, Alberta Health Services, Calgary, AB, Canada.
Sanaz VaseghiDepartment of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Heather K WhelanDepartment of Health and Physical Education, Faculty of Health, Community and Education, Mount Royal University, Calgary, AB, Canada.
S Elizabeth McGregorPopulation, Public and Indigenous Health, Alberta Health Services, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) screening is an important modifiable behaviour for cancer control. Regular screening, following recommendations for the type, timing and frequency based on personal CRC risk, contributes to earlier detection and increases likelihood of successful treatment.

methodsTo determine adherence to screening recommendations in a large provincial cohort of adults, participants in Alberta's Tomorrow Project (n = 9641) were stratified based on increasing level of CRC risk: age (Age-only), family history of CRC (FamilyHx), personal history of bowel conditions (PersonalHx), or both (Family/PersonalHx) using self-reported information from questionnaires. Provincial and national guidelines for timing and frequency of screening tests were used to determine if participants were up-to-date based on their CRC risk. Screening status was compared between enrollment (2000-2006) and follow-up (2008) to determine screening pattern over time.

resultsThe majority of participants (77%) fell into the average risk Age-only strata. Only a third of this strata were up-to-date for screening at baseline, but the proportion increased across the higher risk strata, with > 90% of the highest risk Family/PersonalHx strata up-to-date at baseline. There was also a lower proportion (< 25%) of the Age-only group who were regular screeners over time compared to the higher risk strata, though age, higher income and uptake of other screening tests (e.g. mammography) were associated with a greater likelihood of regular screening in multinomial logistic regression.

conclusionsThe low (< 50%) adherence to regular CRC screening in average and moderate risk strata highlights the need to further explore barriers to uptake of screening across different risk profiles.

Indexed as

AgedAlbertaCohort StudiesColorectal NeoplasmsEarly Detection of CancerFemaleGuideline AdherenceHumansMaleMiddle AgedRiskCohortColonoscopyColorectal cancerEarly diagnosisScreening

Identifiers

PMID29370789
PMCPMC5784699

What OpenQuestion holds

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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.