Evidence map›Paper›PMID 29729288›Full record

ArticlePreventive medicine2018

Colorectal cancer screening in the United States: Trends from 2008 to 2015 and variation by health insurance coverage.

Janet S de Moor, Robin A Cohen, Jean A Shapiro, Marion R Nadel, Susan A Sabatino, K Robin Yabroff, Stacey Fedewa, Richard Lee, V Paul Doria-Rose, Cheryl Altice and 1 more

Abstract read
In one paragraph

Article in Preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Facilitation of Health Plan-Clinic Partnerships to Improve Colorectal Cancer Screening for Rural Medicaid Enrollees: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  9. Article
  10. Use of Cancer Screening Tests, United States, 2023.Preventing chronic disease · 2025
    Article
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  13. Residential Segregation and Colorectal Cancer Screening in the United States, 2010 to 2018.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  14. Article
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  16. Review
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28 more citing papers are in PubMed but not listed here.

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

11 authors.

Janet S de MoorDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, United States. Electronic address: demoorjs@mail.nih.gov.
Robin A CohenDivision of Health Interview Statistics, National Center for Health Statistics, Hyattsville, MD, United States.
Jean A ShapiroDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Marion R NadelDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Susan A SabatinoDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
K Robin YabroffDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, United States.
Stacey FedewaSurveillance and Health Services Research Program, American Cancer Society, Atlanta, GA, United States.
Richard LeeInformation Management Services, Inc., Calverton, MD, United States.
V Paul Doria-RoseDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, United States.
Cheryl AlticeDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, United States.
Carrie N KlabundeOffice of Disease Prevention, National Institutes of Health, Bethesda, MD, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Regular colorectal cancer (CRC) screening is recommended for reducing CRC incidence and mortality. This paper provides an updated analysis of CRC screening in the United States (US) and examines CRC screening by several features of health insurance coverage. Recommendation-consistent CRC screening was calculated for adults aged 50-75 in 2008, 2010, 2013 and 2015 using data from the National Health Interview Survey. CRC screening prevalence in 2015 was described overall and by sociodemographic subgroups. CRC screening by health insurance coverage was further examined using multivariable logistic regression, stratified by age (50-64 years and 65-75 years) and adjusted for age, race/ethnicity, sex, education, income, time in US, and comorbid conditions. Recommendation-consistent screening increased from 51.6% in 2008 to 58.3% in 2010 (p < 0.001). Use plateaued from 2010 to 2013 but increased to 61.3% in 2015 (p < 0.001). In 2015, adults aged 50-64 years with traditional employer-sponsored private insurance were more likely to be screened (62.2%) than those with traditional private direct purchase plans (50.9%) and the uninsured (24.8%) (p < 0.01, respectively). After multivariable adjustment, differences between traditional employer-sponsored private insurance and the uninsured remained statistically significant. Adults aged 65-75 with Medicare and private insurance were more likely to be screened (76.3%) than those with Medicare, no supplemental insurance (68.8%) or Medicare and Medicaid (65.2%) (p < 0.001). After multivariable adjustment, the differences between Medicare and private insurance and Medicare no supplemental insurance remained statistically significant. CRC screening rates have increased over time, but certain segments of the population, especially the uninsured, continue to screen below recommended levels.

Indexed as

AgedColorectal NeoplasmsEarly Detection of CancerFemaleHealth Services AccessibilityHealth SurveysHumansInsurance CoverageInsurance, HealthMaleMass ScreeningMiddle AgedRacial GroupsUnited StatesColorectal cancerInsurance coverageScreening

Identifiers

PMID29729288
PMCPMC6202023

What OpenQuestion holds

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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.