Evidence map›Paper›PMID 31594738›Full record

ArticleThe Journal of emergency medicine2019

An Intervention to Increase Uptake of Cervical Cancer Screening Among Emergency Department Patients: Results of a Randomized Pilot Study.

David Adler, Beau Abar, Nancy Wood, Adrienne Bonham

Abstract read
In one paragraph

Article in The Journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Low-cost interventions to increase uptake of cervical cancer screening among emergency department patients: Results of a randomized clinical trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Trial
  5. Evaluating follow-up rates in cancer screening interventions among emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  6. Emergency Department Visits Before Cancer Diagnosis Among Women at Mayo Clinic.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Lung cancer in the emergency department.Emergency cancer care · 2023
    Review
  11. Article
  12. Article
  13. Targeted HIV screening in the emergency department.Internal and emergency medicine · 2021
    Review
  14. Article
  15. 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

4 authors.

David AdlerDepartment of Emergency Medicine, University of Rochester, Rochester, New York.
Beau AbarDepartment of Emergency Medicine, University of Rochester, Rochester, New York.
Nancy WoodDepartment of Emergency Medicine, University of Rochester, Rochester, New York.
Adrienne BonhamDepartment of Obstetrics & Gynecology, University of Rochester, Rochester, New York.

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
NCATS NIH HHS UL1 TR002001
6 · The paper itself

Abstract

backgroundEmergency departments (EDs) have the potential to promote critical public and preventive health interventions. Cervical cancer (CC) screening has been a cornerstone of preventive health efforts for decades. Approximately 20% of U.S. women are not adherent with CC screening guidelines-considerably below the U.S. Federal Government's target. ED patients are disproportionately nonadherent with CC screening guidelines. The ED, therefore, is an optimal setting to target women with an intervention that promotes CC screening.

objectivesTo assess the feasibility and potential efficacy of an intervention, grounded in behavioral change theory, to promote uptake of CC screening among ED patients.

methodsDesign: Randomized clinical trial pilot study; Patients: Women aged 21-65 years that were identified in the ED to be nonadherent with CC screening recommendations; Setting: Single center urban academic ED.

resultsAmong enrolled participants, 355 (79%) were determined to be adherent with screening recommendations and 95 (21%) were determined to be either nonadherent or have uncertain adherence. Among the nonadherent/uncertain group, 47 were randomized to the control condition (referral only) and 48 were randomized to the intervention condition. Thirty-six percent of participants in the control condition received or scheduled screening during the follow-up period. In the intervention condition, 43% received or scheduled screening during the follow-up period-a 19% relative improvement over the control condition.

conclusionThis pilot study demonstrates feasibility and preliminary efficacy of a behavioral intervention to increase uptake of CC screening among ED patients.

Indexed as

AdultAgedEarly Detection of CancerEmergency Service, HospitalFemaleHumansMass ScreeningMiddle AgedPatient Acceptance of Health CarePilot ProjectsUterine Cervical Neoplasmscervical canceremergency medicineshort message servicetheory of planned behavior

Identifiers

PMID31594738
PMCPMC6904518

What OpenQuestion holds

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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.