Evidence map›Paper›PMID 32990049›Full record

ArticleHealth promotion practice2020

The Effectiveness and Cost to Improve Colorectal Cancer Screening in a Federally Qualified Homeless Clinic in Eastern Kentucky.

Vicky Hardin, Florence K L Tangka, Teri Wood, Brian Boisseau, Sonja Hoover, Amy DeGroff, Jennifer Boehm, Sujha Subramanian

Abstract read
In one paragraph

Article in Health promotion practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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  15. Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
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  16. 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

8 authors.

Vicky HardinLittle Flower Clinic, Hazard, KY, USA.
Florence K L TangkaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Teri WoodKentucky Department for Public Health, Frankfort, KY, USA.
Brian BoisseauKentucky Department for Public Health, Frankfort, KY, USA.
Sonja HooverRTI International, Waltham, MA, USA.ORCID 0000-0002-6205-1212
Amy DeGroffCenters for Disease Control and Prevention, Atlanta, GA, USA.
Jennifer BoehmCenters for Disease Control and Prevention, Atlanta, GA, USA.
Sujha SubramanianRTI International, Waltham, MA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

The objective of this study was to analyze the effectiveness and cost of patient incentives, together with patient navigation and patient reminders, to increase fecal immunochemical test (FIT) kit return rates and colorectal cancer screening uptake in one federally qualified health center (FQHC) in Appalachia. This FQHC is a designated homeless clinic, as 79.7% of its patient population are homeless. We collected process, outcome, and cost data from the FQHC for two time periods: usual care (September 2016-August 2017) and implementation (September 2017-September 2018). We reported the FIT kit return rate, the increase in return rate, and the additional number of individual screens. We also calculated the incremental cost per additional screen. The patient incentive program, with patient navigation and patient reminders, increased the number of FIT kits returned from the usual care period to the implementation period. The return rate increased by 25.9 percentage points (from 21.7% to 47.6%) with an additional 91 people screened at an incremental cost of $134.61 per screen. A patient incentive program, together with the assistance of patient navigators and supplemented with patient reminders, can help improve CRC screening uptake among vulnerable and homeless populations.

Indexed as

Colorectal NeoplasmsIll-Housed PersonsAppalachian RegionEarly Detection of CancerHumansKentuckyMass ScreeningOccult Bloodcancer screeningcolorectal cancereconomic evaluationevidence-based interventionsFQHChomelessness

Identifiers

PMID32990049
PMCPMC7894067

What OpenQuestion holds

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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.