Evidence map›Paper›PMID 33687606›Full record

Trial reportCancer causes & control : CCC2021

The influence of multi-morbidities on colorectal cancer screening recommendations and completion.

Gloria D Coronado, Carrie M Nielson, Erin M Keast, Amanda F Petrik, Jerry M Suls

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Cancer causes & control : CCC, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01742065 (Strategies and Opportunities to Stop Colon Cancer in Priority Populations), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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.

NCT01742065 nacompletednot on this map

Strategies and Opportunities to Stop Colon Cancer in Priority Populations

TypeinterventionalSponsorKaiser PermanenteRan2013 to 2018Enrolled62,155ConditionsColorectal CancerArmsAuto Plus
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Perceptions of the Impact of Comorbidity on the Bowel Cancer Screening Programme: Qualitative Study With Bowel Screening Participants and Staff.Health expectations : an international journal of public participation in health care and health policy · 2024
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  13. Observational
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

5 authors.

Gloria D CoronadoKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA. gloria.d.coronado@kpchr.org.ORCID http://orcid.org/0000-0003-1130-6542
Carrie M NielsonKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.ORCID http://orcid.org/0000-0002-2619-7839
Erin M KeastKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.
Amanda F PetrikKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.ORCID http://orcid.org/0000-0002-8891-6042
Jerry M SulsCenter for Personalized Health, Feinstein Institute for Medical Research, New York, NY, 10022, USA.ORCID http://orcid.org/0000-0002-8436-7488

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Strategies and Opportunities to Stop Colon Cancer in Priority PopulationsUH3CA188640 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORONADO, GLORIA D · 2014 to 2017
$6.1M
Division of Cancer Epidemiology and Genetics, National Cancer Institute UH3CA188640NCCIH NIH HHS U24 AT009676NCI NIH HHS UH3 CA188640
6 · The paper itself

Abstract

purposePatients' chronic disease burden can influence the likelihood that providers will recommend cancer screening and that patients will participate in it. Using data from the STOP CRC pragmatic study, we examined associations between chronic disease burden and colorectal cancer screening recommendation and use.

methodsParticipating STOP CRC clinics (n = 26) received either usual care or training to implement a mailed fecal immunochemical test (FIT) outreach program. Selected clinic patients (n = 60,187 patients) were aged 50-74 and overdue for colorectal cancer screening. We used logistic regression to examine the associations between FIT recommendations and completion and patients' chronic disease burden, calculated using the Charlson Comorbidity Index and the Chronic Illness and Disability Payment System.

resultsFor each index, FIT recommendation odds were 8-9% higher among individuals with minimal chronic disease burden and 13-23% lower among individuals with high chronic disease burden (inverted U-shaped association). Among adults who were ordered a FIT, FIT completion odds were 20% lower for individuals with any, versus no, chronic condition and diminished with increasing disease burden (inverse linear association).

conclusionsAnalysis showed an inverted U-shaped association between patients' chronic disease burden and providers' recommendation of a FIT and an inverse linear association between patients' chronic disease burden and FIT completion. ClinicalTrials.gov registration: NCT01742065.

Indexed as

AgedColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedMorbidityOccult BloodPostal ServiceCharlson comorbidity indexChronic Illness and Disability Payment SystemColorectal cancer screeningFederally qualified health centersMultiple chronic conditions

Identifiers

PMID33687606
PMCPMC8717879

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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.