Evidence map›Paper›PMID 30359479›Full record

ArticleCancer2018

Colorectal cancer screening interventions in 2 health care systems serving disadvantaged populations: Screening uptake and cost-effectiveness.

Christen L Lara, Kelly L Means, Krystal D Morwood, Westley R Lighthall, Sonja Hoover, Florence K L Tangka, Cynthia French, Krystal D Gayle, Amy DeGroff, Sujha Subramanian

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Christen L LaraColorado Department of Public Health and Environment, Denver, Colorado.
Kelly L MeansColorado Department of Public Health and Environment, Denver, Colorado.
Krystal D MorwoodColorado Department of Public Health and Environment, Denver, Colorado.
Westley R LighthallColorado Department of Public Health and Environment, Denver, Colorado.
Sonja HooverRTI International, Waltham, Massachusetts.ORCID 0000-0002-6205-1212
Florence K L TangkaDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Cynthia FrenchDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Krystal D GayleDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Amy DeGroffDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sujha SubramanianRTI International, Waltham, Massachusetts.ORCID 0000-0003-2415-9721
Centers for Disease Control and Prevention · USColorado Department of Public Health and Environment · USRTI International · US

Funding

CDC HHSIntramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe objectives of the current study were to assess changes in colorectal cancer (CRC) screening uptake and the cost-effectiveness of implementing multiple evidence-based interventions (EBIs). EBIs were implemented at 2 federally qualified health centers that participated in the Colorado Department of Public Health and Environment's Clinic Quality Improvement for Population Health initiative.

methodsInterventions included patient and provider reminder systems (health system 1), provider assessment and feedback (health systems 1 and 2), and numerous support activities (health systems 1 and 2). The authors evaluated health system 1 from July 2013 to June 2015 and health system 2 from July 2014 to June 2017. Evaluation measures included annual CRC screening uptake, EBIs implemented, funds received and expended by each health system to implement EBIs, and intervention costs to the Colorado Department of Public Health and Environment and health systems.

resultsCRC screening uptake increased by 18 percentage points in health system 1 and 10 percentage points in health system 2. The improvements in CRC screening uptake, not including the cost of the screening tests, were obtained at an added cost ranging from $24 to $29 per person screened.

conclusionsIn both health systems, the multicomponent interventions implemented likely resulted in improvements in CRC screening. The results suggest that significant increases in CRC screening uptake can be achieved in federally qualified health centers when appropriate technical support and health system commitment are present. The cost estimates of the multicomponent interventions suggest that these interventions and support activities can be implemented in a cost-effective manner.

Indexed as

Delivery of Health CareEarly Detection of CancerReminder SystemsVulnerable PopulationsAdultAgedColoradoColorectal NeoplasmsCost-Benefit AnalysisEvidence-Based MedicineFemaleHealth Services AccessibilityHumansMaleMass ScreeningMiddle Agedcancer screeningColoradocolorectal cancercost-effectiveevaluation

Identifiers

PMID30359479
PMCPMC6263828
OpenAlexW2898554620

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.