Evidence map›Paper›PMID 34193094›Full record

ArticleBMC public health2021

Decreased colorectal cancer incidence and mortality in a diverse urban population with increased colonoscopy screening.

Jennifer J Brown, Charles K Asumeng, David Greenwald, Matthew Weissman, Ann Zauber, Jared Striplin, Olivia Weng, Justin M List, Shannon M Farley, Sidney J Winawer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07171853 (The Carbon Footprint Study of Colonoscopy for Colorectal Cancer Screening and Various Techniques of Colonic Polypectomy), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 8% 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.

NCT07171853 completednot on this mapstarted 2025, after this paper: background citation

The Carbon Footprint Study of Colonoscopy for Colorectal Cancer Screening and Various Techniques of Colonic Polypectomy

TypeobservationalSponsorKing Chulalongkorn Memorial HospitalRan2025 to 2026Enrolled362ConditionsColonoscopy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Colorectal Cancer Mortality in Kazakhstan: Spatio-Temporal Epidemiological Assessment.Asian Pacific journal of cancer prevention : APJCP · 2022
    Article
  19. Trends of Colorectal Cancer Incidence in Kazakhstan.Asian Pacific journal of cancer prevention : APJCP · 2021
    Article
  20. 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

10 authors at 4 institutions in 1 country.

Jennifer J BrownBureau of Chronic Disease Prevention, NYC Department of Health and Mental Hygiene, New York, NY, USA. Jbrown24@health.nyc.gov.ORCID 0000-0001-6104-0573
Charles K AsumengBureau of Chronic Disease Prevention, NYC Department of Health and Mental Hygiene, New York, NY, USA.
David GreenwaldMount Sinai Beth Israel/Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Matthew WeissmanMount Sinai Beth Israel/Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ann ZauberMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Jared StriplinBureau of Chronic Disease Prevention, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Olivia WengBureau of Chronic Disease Prevention, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Justin M ListNYC Health + Hospitals, New York, NY, USA.
Shannon M FarleyBureau of Chronic Disease Prevention, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Sidney J WinawerMemorial Sloan Kettering Cancer Center, New York, NY, USA.
New York City Department of Health and Mental Hygiene · USMemorial Sloan Kettering Cancer Center · USMount Sinai Beth Israel · USNew York City Health and Hospitals Corporation · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundAlthough colorectal cancer screening has contributed to decreased incidence and mortality, disparities are present by race/ethnicity. The Citywide Colon Cancer Control Coalition (C5) and NYC Department of Health and Mental Hygiene (DOHMH) promoted screening colonoscopy from 2003 on, and hypothesized future reductions in CRC incidence, mortality and racial/ethnic disparities.

methodsWe assessed annual percent change (APC) in NYC CRC incidence, stage and mortality rates through 2016 in a longitudinal cross-sectional study of NY State Cancer Registry, NYC Vital Statistics, and NYC Community Health Survey (CHS) data. Linear regression tested associations between CRC mortality rates and risk factors.

resultsOverall CRC incidence rates from 2000 decreased 2.8% yearly from 54.1 to 37.3/100,000 population in 2016, and mortality rates from 2003 decreased 2.9% yearly from 21.0 to 13.9 in 2016 at similar rates for all racial/ethnic groups. Local stage disease decreased overall with a transient increase from 2002 to 2007. In 2016, CRC incidence was higher among Blacks (42.5 per 100,000) than Whites (38.0), Latinos (31.7) and Asians (30.0). In 2016, Blacks had higher mortality rates (17.9), than Whites (15.2), Latinos (10.4) and Asians (8.8). In 2016, colonoscopy rates among Blacks were 72.2%, Latinos 71.1%, Whites 67.2%, and Asians, 60.9%. CRC mortality rates varied by neighborhood and were independently associated with Black race, CRC risk factors and access to care.

conclusionsIn a diverse urban population, a citywide campaign to increase screening colonoscopy was associated with decreased incidence and mortality among all ethnic/racial groups. Higher CRC burden among the Black population demonstrate more interventions are needed to improve equity.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerColonoscopyCross-Sectional StudiesHumansIncidenceMass ScreeningUrban PopulationColonoscopyColorectal cancerDisparitiesNew York City

Identifiers

PMID34193094
PMCPMC8247120
OpenAlexW3175131690

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.