Evidence map›Paper›PMID 29578594›Full record

Trial reportCancer2018

A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.

Angela Sun, Janice Y Tsoh, Elisa K Tong, Joyce Cheng, Edward A Chow, Susan L Stewart, Tung T Nguyen

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 43% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors at 4 institutions in 1 country.

Angela SunChinese Community Health Resource Center, San Francisco, California.ORCID 0000-0002-7474-9597
Janice Y TsohDepartment of Psychiatry, University of California at San Francisco, San Francisco, California.
Elisa K TongDepartment of Internal Medicine, University of California at Davis, Sacramento, California.
Joyce ChengChinese Community Health Resource Center, San Francisco, California.
Edward A ChowJade Health Care Medical Group, San Francisco, California.
Susan L StewartDepartment of Public Health Sciences, University of California at Davis, Davis, California.ORCID 0000-0002-1593-440X
Tung T NguyenDivision of General Internal Medicine, University of California at San Francisco, San Francisco, California.
Chinese Community Health Resource Center · USUniversity of California, San Francisco · USSan Francisco Department of Public Health · USUniversity of California, Davis · US

Funding

Research ProjectU54CA153499 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHEN, MOON SHAO-CHUANG, CHOW, EDWARD A. · 2010 to 2015
$6.7M
NCI NIH HHS U54 CA153499
6 · The paper itself

Abstract

backgroundAmong Chinese American individuals, only approximately 42% of cases of colorectal cancer (CRC) are diagnosed at an early stage, possibly because these patients are less likely than non-Hispanic white individuals to undergo CRC screening.

methodsPrimary care physicians (PCPs) were recruited from a local independent practice association serving Chinese Americans and randomized into early-intervention and delayed-intervention groups. PCPs in the early-intervention group received continuing medical education (CME), and their patients received an intervention mailer, consisting of a letter with the PCP's recommendation, a bilingual educational booklet, and a fecal occult blood test (FOBT) kit in year 1. PCPs in the delayed-intervention group received no CME, and their patients received the mailers in year 2.

resultsA total of 20 PCPs were assigned to the early-intervention and 22 PCPs to the delayed-intervention group. A total of 3120 patients of these participating PCPs who had undergone CRC screening that was due during the study period were included. A total of 915 mailers were sent in year 1 and 830 mailers were sent in year 2. FOBT screening rates increased from 26.7% at baseline to 58.5% in year 1 in the early-intervention group versus 19.6% at baseline to 22.2% in year 1 in the delayed-intervention group (P<.0001). The overall effect size of the mailer intervention with or without CME was estimated as a difference of 26.6 percentage points (95% confidence interval, 22.0-31.2 percentage points) from baseline compared with usual care. The intervention was found to have no impact on rates of colonoscopy or sigmoidoscopy.

conclusionsThe results of the current pilot study demonstrated that a mailer including educational materials and FOBT kits can increase CRC screening rates with or without CME for the PCPs. Cancer 2018;124:1568-75. © 2018 American Cancer Society.

Indexed as

Health Knowledge, Attitudes, PracticePhysicians, Primary CareAgedAsian PeopleColorectal NeoplasmsEarly Detection of CancerEarly Intervention, EducationalFemaleHumansMaleMiddle AgedPilot ProjectsPractice Guidelines as TopicPractice Patterns, Physicians'PrognosisChinesecolorectal cancer screeningfecal occult blood test (FOBT)/fecal immunochemical test (FIT)physician networkprovider initiated

Identifiers

PMID29578594
PMCPMC5873593
OpenAlexW2796268988

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.