ArticleContemporary clinical trials2020
Patient randomized trial of a targeted navigation program to improve rates of follow-up colonoscopy in community health centers.
Article in Contemporary clinical trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03925883 (Predicting and Addressing Colonoscopy in Safety Net Settings), which is not on this map. Cited by 19 papers.
What it found
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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.
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.
Predicting and Addressing Colonoscopy in Safety Net Settings
Who cites it
19 citing papers in PubMed, 17 citations in OpenAlex.
- Implementing a successful patient navigation program for follow-up colonoscopy: Lessons from the PRECISE study.PloS one · 2026Trial
- Patient Navigation to Improve Colonoscopy Completion After an Abnormal Stool Test Result : A Randomized Controlled Trial.Annals of internal medicine · 2025Trial
- Mailed Outreach and Patient Navigation for Colorectal Cancer Screening Among Rural Medicaid Enrollees: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Evaluating the Reach of a Patient Navigation Program for Follow-up Colonoscopy in a Large Federally Qualified Health Center.Cancer prevention research (Philadelphia, Pa.) · 2024Trial
- Take 2: The maintenance of a colorectal cancer screening program in intervention clinics and roll out in usual care clinics during the second year of a pragmatic trial.Research square · 2026Article
- Navigation activities in an organized colorectal cancer screening program improve follow-up colonoscopy completion.Scientific reports · 2026Article
- What makes patient navigation work? Identifying functions and forms and conducting causal loop diagramming to specify components of a successful colorectal cancer patient navigation program.Implementation science communications · 2026Article
- A Qualitative Study of Staff and Provider Experiences with Follow-up Colonoscopy in a Community Health Center and Gastroenterology Specialty.Journal of cancer prevention · 2025Article
- Community-clinic partnership to address social needs and improve colorectal cancer screening outcomes: The PRIME stepped-wedge study.Contemporary clinical trials · 2025Article
- Role of medico-administrative database in the selection of the target population in colorectal cancer screening program.Therapeutic advances in gastroenterology · 2025Article
- Randomized in error in pragmatic clinical trials.Contemporary clinical trials · 2025Article
- Adaptations to a patient navigation program for follow-up colonoscopy in rural primary care practices.Journal of evaluation in clinical practice · 2024Article
- Acceptability of Patient Navigation to Promote Follow-up Colonoscopy.American journal of health behavior · 2024Article
- The recalibration and redevelopment of a model to calculate patients' probability of completing a colonoscopy following an abnormal fecal test.Journal of medical screening · 2024Article
- Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Mailed fecal testing and patient navigation versus usual care to improve rates of colorectal cancer screening and follow-up colonoscopy in rural Medicaid enrollees: a cluster-randomized controlled trial.Implementation science communications · 2022Article
- Follow-up colonoscopy after an abnormal stool-based colorectal cancer screening result: analysis of steps in the colonoscopy completion process.BMC gastroenterology · 2021Article
- Evaluating a Prostate Cancer Education and Navigation to Screening Program for Black Men in South Carolina, U.S.Cancer control : journal of the Moffitt Cancer CenterArticle
- Effort Required and Lessons Learned From Recruiting Health Plans and Rural Primary Care Practices for a Cancer Screening Outreach Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundColorectal cancer (CRC) screening by annual fecal immunochemical test (FIT) is an accessible and cost-effective strategy to lower CRC incidence and mortality. However, this mode of screening depends on follow-up colonoscopy after a positive FIT result. Unfortunately, nearly one-half of FIT-positive patients fail to complete this essential screening component. Patient navigation may improve follow-up colonoscopy adherence. To deliver patient navigation cost-effectively, health centers could target navigation to patients who are unlikely to complete the procedure on their own.
objectivesThe Predicting and Addressing Colonoscopy Non-adherence in Community Settings (PRECISE) clinical trial will validate a risk model of follow-up colonoscopy adherence and test whether patient navigation raises rates of colonoscopy adherence overall and among patients in each probability stratum (low, moderate, and high probability of adherence without intervention).
methodsPRECISE is a collaboration with a large community health center whose patient population is 37% Latino. Eligible patients will be aged 50-75, have an abnormal FIT result in the past month, and be due for a follow-up colonoscopy. Patients will be randomized to patient navigation or usual care. Primary outcomes will be colonoscopy completion within one year of a positive FIT result, cost, and cost-effectiveness. Secondary outcomes will include time to colonoscopy receipt, adequacy of bowel prep, and communication of results to primary care providers. Primary and secondary outcomes will be reported overall and by probability stratum. DISCUSSION: This innovative clinical trial will test the effectiveness and financial feasibility of using a precision health intervention to improve CRC screening completion in community health centers.
trial registrationNational Clinical Trial (NCT) Identifier: NCT03925883.
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What OpenQuestion holds
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.