Evidence map›Paper›PMID 31584952›Full record

ArticlePloS one2019

Geospatial analysis of the influence of family doctor on colorectal cancer screening adherence.

Fabrizio Stracci, Alessio Gili, Giulia Naldini, Vincenza Gianfredi, Morena Malaspina, Basilio Passamonti, Fortunato Bianconi

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Geographical Disparities in Faecal Immunochemical Test-Based Colorectal Cancer Screening Participation and Positivity Rates: A Systematic Review and Meta-Analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Pooled it
  2. Pooled it
  3. Area-Level Determinants in Colorectal Cancer Spatial Clustering Studies: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  7. Language as a barrier to colorectal cancer screening in flanders: an ecological study.Archives of public health = Archives belges de sante publique · 2025
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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.

Fabrizio StracciDepartment of Experimental Medicine, Public Health Section, University of Perugia, Perugia, Italy.
Alessio GiliUmbria Cancer Registry, Perugia, Italy.
Giulia NaldiniSchool of Specialization in Hygiene and Preventive Medicine, University of Perugia, Perugia, Italy.
Vincenza GianfrediSchool of Specialization in Hygiene and Preventive Medicine, University of Perugia, Perugia, Italy.ORCID 0000-0003-3848-981X
Morena MalaspinaAzienda USL Umbria 1,Laboratorio Unico di Screening, Perugia, Italy.
Basilio PassamontiAzienda USL Umbria 1,Laboratorio Unico di Screening, Perugia, Italy.
Fortunato BianconiUmbria Cancer Registry, Perugia, Italy.ORCID 0000-0002-3132-0061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the well-recognised relevance of screening in colorectal cancer (CRC) control, adherence to screening is often suboptimal. Improving adherence represents an important public health strategy. We investigated the influence of family doctors (FDs) as determinant of CRC screening adherence by comparing each FDs practice participation probability to that of the residents in the same geographic areas using the whole population geocoded.

methodsWe used multilevel logistic regression model to investigate factors associated with CRC screening adherence, among 333,843 people at their first screening invitation. Standardized Adherence Rates (SAR) by age, gender, and socioeconomic status were calculated comparing FDs practices to the residents in the same geographic areas using geocoded target population.

resultsScreening adherence increased from 41.0% (95% CI, 40.8-41.2) in 2006-2008 to 44.7% (95% CI, 44.5-44.9) in 2011-2012. Males, the most deprived and foreign-born people showed low adherence. FD practices and the percentage of foreign-born people in a practice were significant clustering factors. SAR for 145 (21.4%) FDs practices differed significantly from people living in the same areas. Predicted probabilities of adherence were 31.7% and 49.0% for FDs with low and high adherence, respectively. DISCUSSION: FDs showed a direct and independent effect to the CRC screening adherence of the people living in their practice. FDs with significantly high adherence level could be the key to adherence improvement. IMPACT: Most deprived individuals and foreigners represent relevant targets for interventions in public health aimed to improve CRC screening adherence.

Indexed as

Physician-Patient RelationsAgedColonoscopyColorectal NeoplasmsFemaleGeographyHumansItalyMaleMass ScreeningMiddle AgedPatient CompliancePhysicians, FamilySex Factors

Identifiers

PMID31584952
PMCPMC6777754

What OpenQuestion holds

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LicenceCC BY
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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.