Observational studyAmerican journal of preventive medicine2022
Community Health Centers' Performance in Cancer Screening and Prevention.
Observational study 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 27 papers.
What it found
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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.
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.
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Who cites it
27 citing papers in PubMed.
- From SMS Text Messaging to Screening Completion: Understanding How SMS Responses Influence Cancer Screening Uptake in Federally Qualified Health Center Clinics.Health services research · 2026Trial
- Evaluating the Reach of a Patient Navigation Program for Follow-up Colonoscopy in a Large Federally Qualified Health Center.Cancer prevention research (Philadelphia, Pa.) · 2024Trial
- A multilevel, low literacy dual language intervention to promote colorectal cancer screening in community clinics in Florida: A randomized controlled trial.Preventive medicine · 2022Trial
- Time to Cancer Screening Completion Following an SMS Reminder Intervention in a Large Federally Qualified Health Center Network: Secondary Data Analysis.JMIR mHealth and uHealth · 2026Article
- Cancer and Health Inequalities.British journal of cancer · 2026Review
- Monitoring of Colorectal Cancer Screening Adherence Among African American Patients of North Florida Community Health Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- 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 · 2026Article
- Attitudes and beliefs regarding colorectal cancer screening among African American patients of community health centers in North-Central Florida and stakeholder perspectives: a qualitative study.BMC public health · 2026Article
- From Counseling to Capacity: Patient-Care-Team Perspectives on Healthy Eating Support in Underserved Community Clinics.Research square · 2026Article
- Building capacity for equitable cervical cancer screening and follow-up in an FQHC-NCI cancer center partnership: a mixed-methods study of multilevel implementation determinants.BMC primary care · 2026Article
- An analysis of primary care safety-nets' preventive service provision with a new composite reporting measure.Family practice · 2025Article
- Effectiveness of a community health advisor colorectal cancer screening educational intervention on stool test completion in an African American primary care patient population: a pragmatic randomized controlled trial.BMC global and public health · 2025Article
- The Effect of an EHR Order Set on Cancer Screening Order Rates in Community-Based Health Centers.Applied clinical informatics · 2025Article
- Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Services Administration.Preventive medicine reports · 2025Article
- The revised colorectal cancer screening guideline and screening burden at community health centers.Scientific reports · 2025Article
- Impacts of pragmatic implementation science in a primary care laboratory.Journal of clinical and translational science · 2025Article
- Clinician Staffing and Quality of Care in US Health Centers.JAMA network open · 2024Article
- Applying cognitive walkthrough methodology to improve the usability of an equity-focused implementation strategy.Implementation science communications · 2024Article
- Equity in Cancer and Chronic Disease Prevention through a Multi-Pronged Network Intervention: Works-in-Progress.International journal of environmental research and public health · 2024Article
- Leveraging an implementation science partnership network to understand how Federally Qualified Health Centers operationalize and address health equity.Translational behavioral medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionLittle is known about what clinic-level factors differentiate community health centers that achieve high performance on cancer-preventive care metrics. This study aims to describe the longitudinal trends in the delivery of 3 cancer-preventive care metrics (cervical and colorectal cancer screenings and tobacco-cessation intervention) and define and compare community health centers with high cancer-preventive care performance with those with low cancer-preventive care performance.
methodsThis observational study used 2012-2019 community health center data (N=933) from the Uniform Data System. High/low performance was based on Healthy People 2020 targets and sample distribution. For each cancer-preventive care metric, the percentage of community health centers that met high (≥70.5% at cervical or colorectal cancer screening or >80% tobacco-cessation intervention) and low thresholds at 1, 2, and all the 3 screenings was estimated. Multivariable generalized estimating equations logistic regression modeling was used to assess the community health center‒level factors associated with screening performance.
resultsThe community health centers' performance for tobacco-cessation intervention remained at ≥80%, with a small increase over time. Performance for cervical cancer screening remained unchanged with about 50% of patients screened. Colorectal cancer screening performance increased from around 30% in 2012 to 44% in 2019. Very few community health centers reached high performance (3%) in all the 3 indicators, and 13% of community health centers were high in any 2 of the outcomes in 2019. Higher patient volume, a greater proportion of Hispanic patients, fewer uninsured patients, and community health centers located in the Northeast region were associated with high performance in 2019.
conclusionsVery few community health centers meet all Healthy People 2020 goals in cancer screenings and may struggle to achieve the 2030 goals. Very few indicators differentiated high performers from low performers.
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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.