Evidence map›Paper›PMID 31348188›Full record

ArticleJournal of public health management and practice : JPHMP

Effect Modification of the Association Between Race and Stage at Colorectal Cancer Diagnosis by Socioeconomic Status.

Kaitlin M McGrew, Jennifer D Peck, Sara K Vesely, Amanda E Janitz, Cuyler A Snider, Tyler M Dougherty, Janis E Campbell

Abstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Colorectal Cancer in the American Indian and Alaska Native Community: A Holistic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  2. Article
  3. Area Socioeconomic Status and Early Onset Rectal Cancer in a Comprehensive Cancer Center: Evidence from Wisconsin.WMJ : official publication of the State Medical Society of Wisconsin · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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

7 authors.

Kaitlin M McGrewDepartment of Biostatistics and Epidemiology, Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Ms McGrew and Drs Peck, Vesely, Janitz, and Campbell); and Oklahoma Area Tribal Epidemiology Center, Southern Plains Tribal Health Board, Oklahoma City, Oklahoma (Messrs Snider and Dougherty).
Jennifer D Peck
Sara K Vesely
Amanda E Janitz
Cuyler A Snider
Tyler M Dougherty
Janis E Campbell

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Robert Hal Scofield · 2013 to 2026
$68.2M
Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Wade Williams · 2018 to 2026
$27.1M
ADVANCED TRAINING IN HEALTH SERVICES RESEARCHT32HS000009 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI PAULY, MARK · 1986 to 2012
$2.9M
Addressing Health Disparities among Oklahoma Minority and Rural Communities through Clinical Research Education and Career DevelopmentR25MD011564 · NIMHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HOUCHEN, COURTNEY WAYNE, STAVRAKIS, STAVROS · 2017 to 2021
$2.7M
Oklahoma Area Tribal Health Comprehensive Prevention Program: PPHF2014U58DP005513 · DP · SOUTHERN PLAINS TRIBAL HEALTH BOARD FOUNDATION · PI ANDERSON, TOM · 2014 to 2014
$850k
AHRQ HHS T32 HS000009NCCDPHP CDC HHS U58 DP005513NCI NIH HHS P30 CA225520NIGMS NIH HHS U54 GM104938NIMHD NIH HHS R25 MD011564
6 · The paper itself

Abstract

objectivesTo compare risks of distant-stage colorectal cancer (CRC) diagnosis between whites and American Indian/Alaska Natives (AI/ANs) and to explore effect modification by area-based socioeconomic status (SES).

designRetrospective cohort study using data from the Oklahoma Central Cancer Registry.

settingOklahoma.

participantsWhite and AI/AN cases of CRC diagnosed in Oklahoma between 2001 and 2008 (N = 8 438). A subanalysis was performed on the cohort of those aged 50 years and older (N = 7 728).

main outcome measureRisk of distant-stage CRC diagnosis stratified by SES score.

resultsRace and SES were independently associated with distant-stage diagnosis. In SES-stratified analyses, AI/ANs in the 2 lowest SES groups experienced increased risks in the overall cohort and among those aged 50 years and older. In multivariable models, risks remained significant among those aged 50 years and older in the lowest SES groups (Adjusted risk ratio SES score of 2: 1.31, 95% confidence interval: 1.06-1.63 and adjusted risk ratio SES score of 1: 1.21, 95% confidence interval: 1.01-1.44).

conclusionSocioeconomic status is an effect modifier in the association between race/ethnicity and stage at CRC diagnosis. Disparities in stage at CRC diagnosis exist between AI/ANs and whites with lower estimated SES. Efforts are needed to increase CRC screening among lower SES AI/ANs.

Indexed as

Social ClassAdultAgedAged, 80 and overCohort StudiesColorectal NeoplasmsCorrelation of DataEarly Detection of CancerFemaleHumansIndians, North AmericanMaleMiddle AgedNeoplasm StagingOklahomaRacial Groups

Identifiers

PMID31348188
PMCPMC7043013

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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.