Evidence map›Paper›PMID 33750307›Full record

ArticleBMC gastroenterology2021

Does self-reported symptom questionnaire play a role in nonadherence to colonoscopy for risk-increased population in the Tianjin colorectal cancer screening programme?

Lizhong Zhao, Xiaorui Zhang, Yongjie Chen, Yuan Wang, Weihua Zhang, Wenli Lu

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Lizhong ZhaoDepartment of Gastroenterology, Tianjin Union Medical Center, Tianjin, China.
Xiaorui ZhangDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Yongjie ChenDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Yuan WangDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Weihua ZhangDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Wenli LuDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China. luwenli@tmu.edu.cn.
Tianjin Medical University · CNTianjin People's Hospital · CN

Funding

National Natural Science Foundation of China 72074166
6 · The paper itself

Abstract

backgroundA colorectal cancer screening programme (CCSP) was implemented from 2012 to 2017 in Tianjin, China. Residents with a positive faecal immunochemical test (FIT) or positive self-reported symptom questionnaire (SRSQ) were recommended to undergo colonoscopy. The objective was to investigate the potential factors associated with nonadherence to colonoscopy among a risk-increased population.

methodsData were obtained from the CCSP database, and 199,522 residents with positive FIT or positive SRSQ during two screening rounds (2012-2017) were included in the analysis. Logistic regression analysis was performed to assess the association between nonadherence to colonoscopy and potential predictors.

resultsA total of 152,870 (76.6%) individuals did not undergo colonoscopy after positive FIT or positive SRSQ. Residents with positive SRSQ but without positive FIT were more likely not to undergo colonoscopy (negative FIT: OR, 2.35; 95% CI, 2.29-2.41, no FIT: OR, 1.27; 95% CI, 1.24-1.31). Patients without a cancer history were less likely to undergo colonoscopy even if they received risk-increased reports based on the SRSQ.

conclusionIn the CCSP, seventy-seven percent of the risk-increased population did not undergo colonoscopy. FIT should be recommended since positive FIT results are related to improved adherence to colonoscopy. Residents with negative FIT but positive SRSQ should be informed of the potential cancer risk to ensure adherence to colonoscopy.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerChinaColonoscopyHumansMass ScreeningOccult BloodSelf ReportSurveys and QuestionnairesColonoscopyColorectal cancerEarly diagnosisScreening

Identifiers

PMID33750307
PMCPMC7944887
OpenAlexW3139205534

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.