Evidence map›Paper›PMID 34772714›Full record

ArticleCanadian family physician Medecin de famille canadien2021

Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario.

Onye Nnorom, Antonia Sappong-Kumankumah, Oluwatobi R Olaiya, Mervin Burnett, Nancy Akor, Nan Shi, Patricia Wright, Abel Gebreyesus, Liben Gebremikael, Aisha Lofters

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Unpacking cancer diagnosis among Latin Americans in Canada: disparities and protective patterns.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Impact of the COVID-19 Pandemic on Black Communities in Canada.International journal of environmental research and public health · 2023
    Article
  11. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  12. Ensuring equitable access to cancer care for Black patients in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    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.

Onye NnoromFamily physician and Public Health and Preventive Medicine Specialist in Toronto, Ont, Associate Program Director of the Public Health and Preventive Medicine Residency Program at the Dalla Lana School of Public Health, Black Health Theme Lead in the Faculty of Medicine, and Equity, Diversity and Inclusion Lead for the Department of Family and Community Medicine, all at the University of Toronto. onye.nnorom@utoronto.ca.
Antonia Sappong-KumankumahFamily doctor at Inner City Health Associates in Toronto.
Oluwatobi R OlaiyaResident in the Michael G. Degroote School of Medicine at McMaster University in Hamilton, Ont.
Mervin BurnettResearch assistant in the Department of Laboratory Medicine and Pathology at the University of Alberta in Edmonton.
Nancy AkorRegistered nurse at TAIBU Community Health Centre (CHC) in Toronto and Coordinator for the Ontario Telemedicine Network.
Nan ShiPhysician assistant in the University Health Network in Toronto.
Patricia WrightNurse practitioner at TAIBU CHC.
Abel GebreyesusData Management Coordinator at TAIBU CHC and Data Coach (E-QIP) at Addictions and Mental Health Ontario.
Liben GebremikaelExecutive Director of TAIBU CHC.
Aisha LoftersFamily doctor and Chair in Implementation Science at Women's College Hospital, Associate Professor in the Department of Family and Community Medicine at the University of Toronto, Senior Scientist at ICES, and Provincial Primary Care Lead for the Ontario Health (Cancer Care Ontario) Cancer Screening Portfolio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

problem addressedBlack and immigrant populations across Canada have lower screening rates than Canadian-born white populations, predisposing them to increased cancer morbidity and mortality. Effective interventions are required to increase cancer screening rates among these populations. OBJECTIVE OF PROGRAM: To improve breast, colorectal, and cervical cancer screening rates at TAIBU Community Health Centre, which has a mandate to provide primary health care services to the Black and immigrant community in the greater Toronto area. PROGRAM DESCRIPTION: An Afrocentric quality improvement program was developed and implemented, consisting of provider audits, cancer screening education programs, a patient call-back program, and a mammography promotion day.

conclusionTAIBU Community Health Centre's continuous quality improvement approach was successful in engaging health care providers and patients to increase cancer screening participation sustainably in a racially and socioeconomically diverse setting. Rates of breast, colorectal, and cervical cancer screening offered to eligible patients increased from 17% to 72%, 18% to 67%, and 59% to 70%, respectively, between 2011 and 2018.

Indexed as

Breast NeoplasmsColorectal NeoplasmsEmigrants and ImmigrantsUterine Cervical NeoplasmsEarly Detection of CancerFemaleHumansMass ScreeningOntario

Identifiers

PMID34772714
PMCPMC8589122

What OpenQuestion holds

Textmetadata
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.