Evidence map›Paper›PMID 32713846›Full record

ArticleBMJ open2020

Preferences for different diagnostic modalities to follow up abnormal colorectal cancer screening results: a hypothetical vignette study.

Aradhna Kaushal, Sandro Tiziano Stoffel, Robert Kerrison, Christian von Wagner

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Age-bias in assessments of medical decision-making capacity: a cross-sectional experimental vignette study.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025
    Article
  3. 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 at 2 institutions in 2 countries.

Aradhna KaushalResearch Department of Behavioural Science and Health, University College London, London, UK.ORCID 0000-0002-3815-0624
Sandro Tiziano StoffelResearch Department of Behavioural Science and Health, University College London, London, UK.
Robert KerrisonResearch Department of Behavioural Science and Health, University College London, London, UK.ORCID 0000-0002-8900-749X
Christian von WagnerResearch Department of Behavioural Science and Health, University College London, London, UK c.wagner@ucl.ac.uk.ORCID 0000-0002-7971-0691
The Behaviouralist (United Kingdom) · GBUniversity of Basel · CH

Funding

Cancer Research UK C68512/A28209
6 · The paper itself

Abstract

objectivesIn England, a significant proportion of people who take part in the national bowel cancer screening programme (BCSP) and have a positive faecal occult blood test (FOBt) result, do not attend follow-up colonoscopy (CC). The aim of this study was to investigate differences in intended participation in a follow-up investigation by diagnostic modality offered including CC, CT colonography (CTC) or capsule endoscopy (CE).

settingWe performed a randomised online experiment with individuals who had previously completed an FOBt as part of the English BCSP.

methodsParticipants (n=953) were randomly allocated to receive one of three online vignettes asking participants to imagine they had received an abnormal FOBt result, and that they had been invited for a follow-up test. The follow-up test offered was either: CC (n=346), CTC (n=302) or CE (n=305). Participants were then asked how likely they were to have their allocated test or if they refused, either of the other tests. Respondents were also asked to cite possible emotional and practical barriers to follow up testing. Multivariable logistic regression models were used to investigate intentions.

resultsIntention to have the test was higher in the CTC group (96.7%) compared with the CC group (91.8%; OR 2.64; 95% CI 1.22 to 5.73). CTC was considered less 'off-putting' (OR 0.66, 95% CI 0.47 to 0.94) and less uncomfortable compared with CC (OR 0.51, 95% CI 0.34 to 0.77). For those who did not intend to have the test they were offered, CE (39.7%) or no investigation (34.5%) was preferable to CC (8.6%) or CTC (17.2%).

conclusionsAlternative tests have the potential to increase attendance at diagnostic follow-up appointments.

Indexed as

AgedCapsule EndoscopyChoice BehaviorColonography, Computed TomographicColonoscopyColorectal NeoplasmsEnglandFemaleHumansIntentionMaleMiddle AgedOccult BloodPatient ComplianceRandom Allocationendoscopypreventive medicinepublic health

Identifiers

PMID32713846
PMCPMC7383951
OpenAlexW3044946504

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.