Evidence map›Paper›PMID 31658375›Full record

ArticleCancer2020

Direct-to-member mailed colorectal cancer screening outreach for Medicaid and Medicare enrollees: Implementation and effectiveness outcomes from the BeneFIT study.

Gloria D Coronado, Beverly B Green, Imara I West, Malaika R Schwartz, Jennifer K Coury, William M Vollmer, Jean A Shapiro, Amanda F Petrik, Laura-Mae Baldwin

Open access · hybridAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Facilitation of Health Plan-Clinic Partnerships to Improve Colorectal Cancer Screening for Rural Medicaid Enrollees: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  6. Observational
  7. Article
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  9. Review
  10. The Reach of Calls and Text Messages for Mailed FIT Outreach in the PROMPT Stepped-Wedge Colorectal Cancer Screening Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  11. Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation.Progress in community health partnerships : research, education, and action · 2024
    Article
  12. Article
  13. Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
  14. Improving colorectal cancer screening in rural primary care: Preliminary effectiveness and implementation of a collaborative mailed fecal immunochemical test pilot.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023
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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

9 authors at 4 institutions in 1 country.

Gloria D CoronadoThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon.ORCID 0000-0003-1130-6542
Beverly B GreenHealth Research Institute, Kaiser Permanente Washington, Seattle, Washington.ORCID 0000-0003-3040-3436
Imara I WestDepartment of Family Medicine, University of Washington, Seattle, Washington.
Malaika R SchwartzDepartment of Family Medicine, University of Washington, Seattle, Washington.
Jennifer K CouryQuality Improvement, CareOregon Inc, Portland, Oregon.ORCID 0000-0002-3597-9517
William M VollmerThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon.ORCID 0000-0003-1216-323X
Jean A ShapiroDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Amanda F PetrikThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon.ORCID 0000-0002-8891-6042
Laura-Mae BaldwinDepartment of Family Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-2236-1216
Kaiser Permanente Center for Health Research · USUniversity of Washington · USCenters for Disease Control and Prevention · USKaiser Permanente Washington Health Research Institute · US

Funding

Health Promotion and Disease Prevention Research CenterU48DP005013 · DP · UNIVERSITY OF WASHINGTON · PI HANNON, MARGARET A · 2014 to 2018
$13.3M
NCCDPHP CDC HHS U48DP005013
6 · The paper itself

Abstract

backgroundColorectal cancer screening uptake is low, particularly among individuals enrolled in Medicaid. To the authors' knowledge, little is known regarding the effectiveness of direct-to-member outreach by Medicaid health insurance plans to raise colorectal cancer screening use, nor how best to deliver such outreach.

methodsBeneFIT is a hybrid implementation-effectiveness study of 2 program models that health plans developed for a mailed fecal immunochemical test (FIT) intervention. The programs differed with regard to whether they used a centralized approach (Health Plan Washington) or collaborated with health centers (Health Plan Oregon). The primary implementation outcome of the current study was the percentage of eligible enrollees to whom the plans delivered each intervention component. The primary effectiveness outcome was the rate of FIT completion within 6 months of mailing of the introductory letter.

resultsThe health plans identified 12,000 eligible enrollees (8551 in Health Plan Washington and 3449 in Health Plan Oregon). Health Plan Washington mailed an introductory letter and FIT kit to 8551 enrollees (100%) and delivered a reminder call to 839 (10.3% of the 8132 attempted). Health Plan Oregon mailed an introductory letter, and a letter and FIT kit plus a reminder postcard to 2812 enrollees (81.5%) and 2650 enrollees (76.8%), respectively. FIT completion rates were 18.2% (1557 of 8551 enrollees) in Health Plan Washington. In Health Plan Oregon, completion rates were 17.4% (488 of 2812 enrollees) among enrollees who were mailed an introductory letter and 18.3% (484 of 2650 enrollees) among enrollees who also were mailed a FIT kit plus reminder postcard.

conclusionsThe implementation of mailed FIT outreach by health plans may be effective and could reach many individuals at risk of developing colorectal cancer.

Indexed as

AgedColorectal NeoplasmsEarly Detection of CancerFecesFemaleHumansMaleMass ScreeningMedicaidMedicareMiddle AgedOccult BloodOregonPostal ServiceUnited StatesWashingtoncolorectal cancer screeningdirect mailfecal immunochemical testhealth plansMedicaid

Identifiers

PMID31658375
PMCPMC7004121
OpenAlexW2982540146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.