Evidence map›Paper›PMID 31728894›Full record

Trial reportJournal of general internal medicine2020

PreView: a Randomized Trial of a Multi-site Intervention in Diverse Primary Care to Increase Rates of Age-Appropriate Cancer Screening.

Judith Walsh, Michael Potter, Rene Salazar, Elizabeth Ozer, Ginny Gildengorin, Natasha Dass, Lawrence Green

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02264782 (PreView), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.3field-weighted citation impact, top 36% 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.

NCT02264782 nacompletednot on this map

PreView: The Preventive Video Education in Waiting Rooms Program

TypeinterventionalSponsorUniversity of California, San FranciscoRan2013 to 2019Enrolled508ConditionsHealth Status UnknownArmsComputer-Assisted Intervention, Questionnaire Administration
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. 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 at 3 institutions in 1 country.

Judith WalshDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA. judith.walsh@ucsf.edu.
Michael PotterDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Rene SalazarDepartment of Medical Education, The University of Texas at Austin, Austin, TX, USA.
Elizabeth OzerDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
Ginny GildengorinDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Natasha DassDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Lawrence GreenHelen Diller Comprehensive Cancer Center and Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USOffice of Diversity and Inclusion · USThe University of Texas at Austin · US

Funding

PRE-VIEW An Interactive Video Doctor to Encourage Cancer ScreeningR01CA158027 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WALSH, JUDITH MARY EILEEN · 2012 to 2016
$2.0M
NCI NIH HHS R01 CA158027
6 · The paper itself

Abstract

backgroundWomen aged 50-70 should receive breast, cervical (until age 65), and colorectal cancer (CRC) screening; men aged 50-70 should receive CRC screening and should discuss prostate cancer screening (PSA). PreView, an interactive, individually tailored Video Doctor Plus Provider Alert Intervention, adresses all cancers for which average risk 50-70-year-old individuals are due for screening or screening discussion.

methodsWe conducted a randomized controlled trial in 6 clinical sites. Participants were randomized to PreView or a video about healthy lifestyle. Intervention group participants completed PreView before their appointment and their clinicians received a "Provider Alert." Primary outcomes were receipt of mammography, Pap tests (with or without HPV testing), CRC screening (FIT in last year or colonoscopy in last 10 years), and PSA screening discussion. Additional outcomes included breast, cervical, and CRC screening discussion.

resultsA total of 508 individuals participated, 257 in the control group and 251 in the intervention group. Screening rates were relatively high at baseline. Compared with baseline screening rates, there was no significant increase in mammography or Pap smear screening, and a nonsignificant increase (18% vs 12%) in CRC screening. Intervention participants reported a higher rate of PSA discussion than did control participants (58% vs 36%: P < 0.01). Similar increases were seen in discussions about mammography, cervical cancer, and CRC screening.

conclusionIn clinics with relatively high overall screening rates at baseline, PreView did not result in significant increases in breast, cervical, or CRC screening. PreView led to an increase in PSA screening discussion. Clinician-patient discussion of all cancer screenings significantly increased, suggesting that interventions like PreView may be most useful when discussion of the pros and cons of screening is recommended and/or with patients reluctant to undergo screening. Future research should investigate PreView's impact on those who are hesitant or reluctant to undergo screening.

trial registrationClinicalTrials.gov: NCT02264782.

Indexed as

Colorectal NeoplasmsProstatic NeoplasmsAgedEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedPrimary Health CareProstate-Specific AntigenProstate-Specific Antigencancer screeningprimary care intervention

Identifiers

PMID31728894
PMCPMC7018926
OpenAlexW2982855387

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.