Evidence map›Paper›PMID 31637870›Full record

ArticleCancer medicine2019

Physician-office vs home uptake of colorectal cancer screening using FOBT/FIT among screening-eligible US adults.

Onyema Greg Chido-Amajuoyi, Anushree Sharma, Rajesh Talluri, Irene Tami-Maury, Sanjay Shete

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Guideline
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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

5 authors at 2 institutions in 1 country.

Onyema Greg Chido-AmajuoyiDepartment of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Anushree SharmaDepartment of Behavioral Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rajesh TalluriDepartment of Data Science, The University of Mississippi Medical Center, Jackson, MS, USA.
Irene Tami-MauryDepartment of Behavioral Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sanjay SheteDepartment of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-7622-376X
The University of Texas MD Anderson Cancer Center · USJackson Memorial Hospital · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Betty B. Marcus Chair in Cancer PreventionCancer Prevention Research Institute of Texas RP170259Laura and John Arnold FoundationMrs Harry C. Wiess Cancer Research FundNCI NIH HHS P30 CA016672NCI NIH HHS P30CA016672
6 · The paper itself

Abstract

backgroundGuidelines of the American Cancer Society and US Preventive Services Task Force specify that colorectal cancer (CRC) screening using guaiac-based fecal occult blood test (FOBT)/fecal immunochemical test (FIT) should be done at home. We therefore examined the prevalence and correlates of CRC screening using FOBT/FIT in physicians' office vs at home.

methodsAnalysis of 9493 respondents 50-75 years old from the Cancer Control Supplement of the 2015 National Health Interview Survey was conducted. Weighted multivariable logistic regression was used to identify the determinants of in-office vs home use of FOBT/FIT for CRC screening.

resultsOf the overall sample of screening-eligible adults (n = 9403), only 937 (10.4%) respondents underwent CRC screening using FOBT/FIT within the past year; among this screening population, 279 (28.3%) respondents were screened in-office. We found that sociodemographic factors alone, not CRC risk factors, determined whether FOBT/FIT would be used in-office or at home. Hispanics had greater odds of being screened in-office using FOBT/FIT (aOR: 2.04; 95% CI: 1.05-3.99). Compared with those 50-59 years old, respondents 70-75 years old were less likely to be screened in-office using FOBT/FIT (aOR: 0.44, 95% CI: 0.25-0.79). Similarly, individuals residing in the Western region of the country had lower odds of in-office FOBT/FIT (aOR: 0.26; 95% CI: 0.11-0.58).

conclusionAmid low overall uptake rates of FOBT/FIT in the United States, in-physician office testing is high, indicative of a missed opportunity for effective screening and poor adherence of physicians to national guidelines. Sociodemographic factors are determinants of uptake of FOBT/FIT at home or in-office and should be considered in designing interventions aimed at providers and the general population.

Indexed as

AgedAge FactorsColorectal NeoplasmsEarly Detection of CancerFemaleGuideline AdherenceHealth SurveysHumansMaleMass ScreeningMiddle AgedOccult BloodOffice VisitsPractice Guidelines as TopicSocioeconomic FactorsUnited Statescancer screeningcolorectal cancerdisparitiesfecal occult blood test (FOBT)/fecal immunochemical test (FIT)

Identifiers

PMID31637870
PMCPMC6885889
OpenAlexW2982243031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.