Evidence map›Paper›PMID 29740804›Full record

ArticleThe patient2018

Colorectal Cancer Screening: Preferences, Past Behavior, and Future Intentions.

Carol Mansfield, Donatus U Ekwueme, Florence K L Tangka, Derek S Brown, Judith Lee Smith, Gery P Guy, Chunyu Li, Brett Hauber

Abstract read
In one paragraph

Article in The patient, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Comparative effectiveness of two interventions to increase colorectal cancer screening among females living in the rural Midwest.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Trial
  5. Article
  6. Feasibility of Using College Students to Increase Cancer Screening Behaviors Among Their Parents.International journal of environmental research and public health · 2026
    Article
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  13. Review
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  15. Article
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  17. Article
  18. Article
  19. Article
  20. Heparan Sulfate Proteoglycans in Human Colorectal Cancer.Analytical cellular pathology (Amsterdam) · 2018
    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

8 authors.

Carol MansfieldRTI Health Solutions, RTI International, 200 Park Offices Drive, PO Box 12194, Research Triangle Park, NC, 27709-2194, USA. carolm@rti.org.
Donatus U EkwuemeDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Florence K L TangkaDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Derek S BrownBrown School, Washington University in St. Louis, St. Louis, MO, USA.
Judith Lee SmithDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Gery P GuyDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Chunyu LiDivision of Global HIV and TB, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Brett HauberRTI Health Solutions, RTI International, 200 Park Offices Drive, PO Box 12194, Research Triangle Park, NC, 27709-2194, USA.

Funding

CDC HHS Contract 200-2008-27958CDC HHS Task Order 25Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundScreening rates for colorectal cancer are below the Healthy People 2020 goal. There are several colorectal cancer screening tests that differ in terms of accuracy, recommended frequency, and administration. In this article, we compare how a set of personal characteristics correlates with preferences for colorectal cancer screening test attributes, past colorectal cancer screening behavior, and future colorectal cancer screening intentions.

methodsWe conducted a discrete-choice experiment survey to assess relative preferences for attributes of colorectal cancer screening tests among adults aged 50-75 years in USA. We used a latent class logit model to identify classes of preferences and calculated willingness to pay for changes in test attributes. A set of personal characteristics were included in the latent class analysis and analyses of self-reported past screening behavior and self-assessed likelihood of future colorectal cancer screening.

resultsLatent class analysis identified three types of respondents. Class 1 valued test accuracy, class 2 valued removing polyps and avoiding discomfort, and class 3 valued cost. Having had a prior colonoscopy and a higher income were predictors of the likelihood of future screening and membership in classes 1 and 2. Health insurance and a self-reported higher risk of developing colorectal cancer were associated with prior screening and higher future screening intentions, but not class membership.

conclusionWe identified distinct classes of preferences focusing on different test features and personal characteristics associated with reported behavior and intentions. Healthcare providers should engage in a careful assessment of patient preferences when recommending colorectal cancer test options to encourage colorectal cancer screening uptake.

Indexed as

Patient PreferenceAgedAge FactorsChoice BehaviorColorectal NeoplasmsDecision Support TechniquesEarly Detection of CancerFemaleGenetic Predisposition to DiseaseHumansIntentionMaleMiddle AgedPatient Acceptance of Health CareSex FactorsSocioeconomic Factors

Identifiers

PMID29740804
PMCPMC6226356

What OpenQuestion holds

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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.