Evidence map›Paper›PMID 36085005›Full record

ArticleBMC primary care2022

Priorities for improvement across cancer and non-cancer related preventive services among rural and non-rural clinicians.

Michaela Brtnikova, Jamie L Studts, Elise Robertson, L Miriam Dickinson, Jennifer K Carroll, Alex H Krist, John T Cronin, Russell E Glasgow

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Michaela BrtnikovaAdult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado, 1890 N. Revere Court, Mailstop F443, Aurora, CO, 80045, USA. Michaela.Brtnikova@cuanschutz.edu.
Jamie L StudtsDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Elise RobertsonAmerican Academy of Family Physicians National Research Network, Leawood, KS, USA.
L Miriam DickinsonDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Jennifer K CarrollAmerican Academy of Family Physicians National Research Network, Leawood, KS, USA.
Alex H KristDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, USA.
John T CroninAdult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado, 1890 N. Revere Court, Mailstop F443, Aurora, CO, 80045, USA.
Russell E GlasgowAdult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado, 1890 N. Revere Court, Mailstop F443, Aurora, CO, 80045, USA.

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary CareP50CA244688 · NCI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E · 2019 to 2023
$4.9M
NCI NIH HHS P30 CA046934NCI NIH HHS P50 CA244688
6 · The paper itself

Abstract

introductionIt is not realistic for most clinicians to perform the multitude of recommended preventive primary care services. This is especially true in low resource and rural settings, creating challenges to delivering high-quality care. This study collected stakeholder input from clinicians on which services they most need to improve.

methodsThe authors conducted a survey of primary care physicians 9-12/2021, with an emphasis on rural practices, to assess areas in which clinicians felt the greatest needs for improvement. The survey focused on primary prevention (behavior change counseling) and cancer screening, and contrasted needs for improvement for these services vs. other types of screening, and between clinicians in rural vs. non-rural practices.

resultsThere were 326 respondents from 4 different practice-based research networks, a wide range of practice types, 49 states and included 177 clinicians in rural settings. Respondents rated the need to improve delivery of primary prevention counseling services highest, with needs for nutrition and dietary assessment and counseling rated highest followed by physical activity and with almost no differences between rural and nonrural. Needs for improvement in cancer screenings were rated higher than non-cancer screenings, except for blood pressure screening.

conclusionsBoth rural and nonrural primary care clinicians feel a need for improvement, especially with primary prevention activities. Although future research is needed to replicate these findings with different populations and other types of preventive service activities, greater priority should be given to development of practical, stakeholder informed assistance and resources for primary care to conduct primary prevention.

Indexed as

NeoplasmsPreventive Health ServicesCounselingDelivery of Health CareHumansRural PopulationSurveys and QuestionnairesCancer prevention and controlNeed for improvementPrimary careRuralScreening

Identifiers

PMID36085005
PMCPMC9462636

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.