Evidence map›Paper›PMID 29594933›Full record

Trial reportJournal of general internal medicine2018

HPV Self-Sampling for Cervical Cancer Screening Among Ethnic Minority Women in South Florida: a Randomized Trial.

Olveen Carrasquillo, Julia Seay, Anthony Amofah, Larry Pierre, Yisel Alonzo, Shelia McCann, Martha Gonzalez, Dinah Trevil, Tulay Koru-Sengul, Erin Kobetz

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02121548 (Research Project of the South Florida Center for Reducing Cancer Disparities), which is not on this map. Cited by 41 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 9 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.

NCT02121548 nacompletednot on this map

Research Project of the South Florida Center for Reducing Cancer Disparities (SUCCESS): Testing CHWs and HPV Self-Sampling to Increase Cervical Cancer Screening Among Minority Immigrants in Miami-Dade County:

TypeinterventionalSponsorUniversity of MiamiRan2011 to 2015Enrolled601ConditionsCervical CancerArmsCHW Outreach and HPV Self-sampling, CHW Outreach
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
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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

10 authors.

Olveen CarrasquilloDepartment of Medicine, Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. oc6@med.miami.edu.
Julia SeayDepartment of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Anthony AmofahHealth Choice Network, Miami-Dade County, FL, USA.
Larry PierreCenter for Haitian Studies, Miami-Dade County, FL, USA.
Yisel AlonzoDepartment of Medicine, Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Shelia McCannHealth Choice Network, Miami-Dade County, FL, USA.
Martha GonzalezDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Dinah TrevilDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Tulay Koru-SengulDepartment of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Erin KobetzDepartment of Medicine, Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI George S. Grills · 2019 to 2026
$24.1M
Training ProgramU54CA153705 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, COOK, NICOLE JILL · 2010 to 2015
$4.4M
Increasing Uptake of Evidence Based Screening Services though a CHW-led multi-modality program: The South Florida Center for Reducing Health DisparitiesU01MD010614 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, KOBETZ, ERIN N · 2016 to 2019
$2.4M
Increasing Uptake of Evidence Based Screening Services though a CHW-led multi-modality program: The South Florida Center for Reducing Health DisparitiesR01MD010614 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, KOBETZ, ERIN N · 2020 to 2020
$480k
NCI NIH HHS P30 CA240139NIMHD NIH HHS R01 MD010614NIMHD NIH HHS U01 MD010614
6 · The paper itself

Abstract

backgroundEthnic minority women are at increased risk of cervical cancer. Self-sampling for high-risk human papillomavirus (HPV) is a promising approach to increase cervical screening among hard-to-reach populations.

objectiveTo compare a community health worker (CHW)-led HPV self-sampling intervention with standard cervical cancer screening approaches.

designA 26-week single-blind randomized pragmatic clinical trial.

participantsFrom October 6, 2011 to July 7, 2014, a total of 601 Black, Haitian, and Hispanic women aged 30-65 years in need of cervical cancer screening were recruited, 479 of whom completed study follow-up.

interventionsParticipants were randomized into three groups: (1) outreach by CHWs and provision of culturally tailored cervical cancer screening information (outreach), (2) individualized CHW-led education and navigation to local health care facilities for Pap smear (navigation), or (3) individualized CHW-led education with a choice of HPV self-sampling or CHW-facilitated navigation to Pap smear (self-swab option). MAIN MEASURES: The proportion of women in each group whom self-reported completion of cervical cancer screening. Women lost to follow-up were considered as not having been screened. KEY

resultsOf the 601 women enrolled, 355 (59%) were Hispanic, 210 (35%) were Haitian, and 36 (6%) were non-Haitian Black. In intent-to-treat analyses, 160 of 207 (77%) of women in the self-swab option group completed cervical cancer screening versus 57 of 182 (31%) in the outreach group (aOR 95% CI, p < 0.01) and 90 of 212 (43%) in the navigation group (aOR CI, p = 0.02).

conclusionsAs compared to more traditional approaches, CHW-facilitated HPV self-sampling led to increased cervical cancer screening among ethnic minority women in South Florida.

trial registrationClinical Trials.gov Identifier: NCT02121548.

Indexed as

Community Health CentersMinority GroupsAdultAgedEarly Detection of CancerEthnicityFemaleFloridaHumansMiddle AgedPapillomaviridaeReagent Kits, DiagnosticSelf CareSingle-Blind MethodUterine Cervical NeoplasmsReagent Kits, Diagnostic

Identifiers

PMID29594933
PMCPMC6025679

What OpenQuestion holds

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Registered trials

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.