ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2018
Social Disadvantage, Healthcare Utilization, and Colorectal Cancer Screening: Leveraging Longitudinal Patient Address and Health Records Data.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effective strategies for Fecal Immunochemical Tests (FIT) programs to improve colorectal cancer screening uptake among populations with limited access to the healthcare system: a rapid review.BMC health services research · 2024Pooled it
- Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Precision risk assessment for pediatric hospitalization using address-level data in Cincinnati, Ohio.Journal of clinical and translational science · 2026Article
- Article
- "But if you don't know what my needs are, you can't help me": Health seeking experiences of older Black and Latinx cancer survivors.Journal of cancer policy · 2025Article
- Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration.Medical care · 2024Article
- Geospatial analysis and participant characteristics associated with colorectal cancer screening participation in Alberta, Canada: a population-based cross-sectional study.BMC health services research · 2023Article
- Structural Racism, Lifestyle Behaviors, and Obesity-related Cancers among Black and Hispanic/Latino Adults in the United States: A Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Review
- The Texas Health Resources Clinical Scholars Program: Learning healthcare system workforce development through embedded translational research.Learning health systems · 2022Article
- County-Level Social Vulnerability and Breast, Cervical, and Colorectal Cancer Screening Rates in the US, 2018.JAMA network open · 2022Article
- Examining the Association of Food Insecurity and Being Up-to-Date for Breast and Colorectal Cancer Screenings.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Antibiotics Use and Subsequent Risk of Colorectal Cancer: A Swedish Nationwide Population-Based Study.Journal of the National Cancer Institute · 2022Article
- Spatial Insights for Understanding Colorectal Cancer Screening in Disproportionately Affected Populations, Central Texas, 2019.Preventing chronic disease · 2021Article
- Low Colorectal Cancer Screening Uptake and Persistent Disparities in an Underserved Urban Population.Cancer prevention research (Philadelphia, Pa.) · 2020Article
- Population-Based Registry Linkages to Improve Validity of Electronic Health Record-Based Cancer Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Conceptual Framework to Support Clinical Trial Optimization and End-to-End Enrollment Workflow.JCO clinical cancer informatics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundSocial disadvantage predicts colorectal cancer outcomes across the cancer care continuum for many populations and places. For medically underserved populations, social disadvantage is likely intersectional-affecting individuals at multiple levels and through membership in multiple disadvantaged groups. However, most measures of social disadvantage are cross-sectional and limited to race, ethnicity, and income. Linkages between electronic health records (EHR) and external datasets offer rich, multilevel measures that may be more informative.
methodsWe identified urban safety-net patients eligible and due for colorectal cancer screening from the Parkland-UT Southwestern PROSPR cohort. We assessed one-time screening receipt (via colonoscopy or fecal immunochemical test) in the 18 months following cohort entry via the EHR. We linked EHR data to housing and Census data to generate measures of social disadvantage at the parcel- and block-group level. We evaluated the association of these measures with screening using multilevel logistic regression models controlling for sociodemographics, comorbidity, and healthcare utilization.
resultsAmong 32,965 patients, 45.1% received screening. In adjusted models, residential mobility, residence type, and neighborhood majority race were associated with colorectal cancer screening. Nearly all measures of patient-level social disadvantage and healthcare utilization were significant.
conclusionsAddress-based linkage of EHRs to external datasets may have the potential to expand meaningful measurement of multilevel social disadvantage. Researchers should strive to use granular, specific data in investigations of social disadvantage. IMPACT: Generating multilevel measures of social disadvantage through address-based linkages efficiently uses existing EHR data for applied, population-level research.
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