Evidence map›Paper›PMID 34649735›Full record

ArticleAmerican journal of preventive medicine2022

Disparities in Colorectal Cancer Screening in Latinos and Non-Hispanic Whites.

John D Heintzman, David N Ezekiel-Herrera, Ana R Quiñones, Jennifer A Lucas, Joseph E Carroll, Sophia H Gielbultowicz, Erika C Cottrell, Miguel Marino

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Lung Cancer Screening by Nativity Among Latino Community Health Center Patients.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  11. Review
  12. Primary Care, Health Services, and the Latino Mortality Paradox.Journal of immigrant and minority health · 2025
    Article
  13. Article
  14. Developing Patient-Refined Messaging for Follow-Up Colonoscopy After Abnormal Fecal Testing in Hispanic Communities: Key Learnings from Virtual Boot Camp Translation.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2024
    Review
  15. Article
  16. Article
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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

8 authors at 3 institutions in 1 country.

John D HeintzmanDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon; OCHIN Inc., Portland, Oregon. Electronic address: heintzma@ohsu.edu.
David N Ezekiel-HerreraDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Ana R QuiñonesDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Jennifer A LucasDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Joseph E CarrollOpen Door Community Health Centers, Arcata, California.
Sophia H GielbultowiczOCHIN Inc., Portland, Oregon.
Erika C CottrellOCHIN Inc., Portland, Oregon.
Miguel MarinoDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Oregon Health & Science University · USOchin · USBreast and GYN Health Project · US

Funding

PAST-DUE (Prevention and Social Determinants: Disparities and Utilization in Latino Elders)R01AG056337 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2018 to 2022
$2.3M
NIA NIH HHS R01 AG056337
6 · The paper itself

Abstract

introductionColorectal cancer is the second leading cause of cancer deaths in Latinos in the U.S., but it is unclear, from previous research, whether Latinos have differing rates of colorectal cancer screening methods from those of non-Hispanic Whites.

methodsThis study used electronic health records from 686 community health centers across 21 states in the Accelerating Data Value Across a National Community Health Center of the National Patient-Centered Clinical Research Network. Records from English-preferring Latinos, Spanish-preferring Latinos, and non-Hispanic Whites aged 50-75 years were included. A total of 5 outcomes were compared between 2012 and 2017 to provide a comprehensive view of colorectal cancer screening: (1) any colorectal cancer screening, (2) stool-based screening, (3) annual rates of stool testing, (4) any referral for lower gastrointestinal endoscopy, and (5) endoscopy referral among patients with a positive stool-based screening.

resultsIn this study (N=204,243), Spanish-preferring Latinos had higher odds of any colorectal cancer screening (OR=1.44, 95% CI=1.23, 1.68) and stool-based testing (OR=1.82, 95% CI=1.55, 2.13) than non-Hispanic Whites. English- and Spanish-preferring Latinos had lower odds of having ever had a referral for endoscopy in the study period than non-Hispanic Whites (English: OR=0.23, 95% CI=0.15, 0.34; Spanish: OR=0.55, 95% CI=0.40, 0.74), even with a positive stool-based screening (English: OR=0.14, 95% CI=0.06, 0.33; Spanish: OR=0.33, 95% CI=0.19, 0.57).

conclusionsIn a multistate network of community health centers, Latino patients aged >50 years were more likely to receive stool-based screening tests for colorectal cancer than non-Hispanic Whites but were less likely to receive endoscopy referrals than non-Hispanic Whites, even when experiencing a positive stool-based screening test. Initiatives to improve Latino colorectal cancer outcomes should encourage indicated referrals for lower gastrointestinal endoscopy.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerHealthcare DisparitiesHispanic or LatinoHumansMass ScreeningUnited StatesWhite

Identifiers

PMID34649735
PMCPMC11458137
OpenAlexW3205345738

What OpenQuestion holds

Textmetadata
LicenceTDM
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.