Evidence map›Paper›PMID 33849524›Full record

ArticleBMC health services research2021

Transportation as a barrier to colorectal cancer care.

Shelley A Jazowski, Isabelle P Sico, Jennifer H Lindquist, Valerie A Smith, Hayden B Bosworth, Susanne Danus, Dawn Provenzale, Michael J Kelley, Leah L Zullig

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06972251 (Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 14% 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.

NCT06972251 nacompletednot on this mapstarted 2022, after this paper: background citation

Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Photo Elicitation and Intervention

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2025Enrolled34ConditionsDiabetes Mellitus, Type II, Type 2 Diabetes, Diabetes Distress, Self ManagementArmsTARDIS Photo Elicitation, TARDIS Intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  5. Financial hardship, financial toxicity, and transportation challenges among older cancer survivors treated with curative-intent surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  7. Review
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  14. Reducing disparities and achieving health equity in colorectal cancer screening.Techniques and innovations in gastrointestinal endoscopy · 2023
    Article
  15. Addressing Transportation Insecurity Among Patients With Cancer.Journal of the National Cancer Institute · 2022
    Article
  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

9 authors at 3 institutions in 1 country.

Shelley A JazowskiDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27701, USA.
Isabelle P SicoDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27701, USA.
Jennifer H LindquistCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Valerie A SmithDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27701, USA.
Hayden B BosworthDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27701, USA.
Susanne DanusCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Dawn ProvenzaleCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Michael J KelleyDepartment of Veterans Affairs, Specialty Care Services, Washington, DC, USA.
Leah L ZulligDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27701, USA. leah.zullig@duke.edu.ORCID http://orcid.org/0000-0002-6638-409X
Duke University · USDurham VA Health Care System · USUniversity of North Carolina at Chapel Hill · US

Funding

HSRD VA CDA 13-025HSRD VA IK6 HX003161
6 · The paper itself

Abstract

backgroundTransportation barriers limit access to cancer care services and contribute to suboptimal clinical outcomes. Our objectives were to describe the frequency of Veterans reporting and the factors associated with transportation barriers to or from colorectal cancer (CRC) care visits.

methodsBetween November 2015 and September 2016, Veterans with incident stage I, II, or III CRC completed a mailed survey to assess perceived barriers to recommended care. Participants who reported difficulty with transportation to or from CRC care appointments were categorized as experiencing transportation barriers. We assessed pairwise correlations between transportation barriers, transportation-related factors (e.g., mode of travel), and chaotic lifestyle (e.g., predictability of schedules), and used logistic regression to examine the association between the reporting of transportation difficulties, distance traveled to the nearest Veterans Affairs (VA) facility, and life chaos.

resultsOf the 115 Veterans included in this analysis, 18% reported experiencing transportation barriers. Distance to the VA was not strongly correlated with the reporting of transportation barriers (Spearman's ρ = 0.12, p = 0.19), but chaotic lifestyle was both positively and significantly correlated with experiencing transportation barriers (Spearman's ρ = 0.22, p = 0.02). Results from the logistic regression model modestly supported the findings from the pairwise correlations, but were not statistically significant.

conclusionsTransportation is an important barrier to or from CRC care visits, especially among Veterans who experience greater life chaos. Identifying Veterans who experience chaotic lifestyles would allow for timely engagement in behavioral interventions (e.g., organizational skills training) and with support services (e.g., patient navigation).

Indexed as

Colorectal NeoplasmsVeteransAppointments and SchedulesHealth Services AccessibilityHumansTransportationUnited StatesUnited States Department of Veterans AffairsAccess to careColorectal cancerLife chaosTransportationTravel distanceVeterans Affairs

Identifiers

PMID33849524
PMCPMC8045363
OpenAlexW3156428565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.