Evidence map›Paper›PMID 36301437›Full record

ArticleJournal of gastrointestinal cancer2023

Barriers for Participation in the Danish Colorectal Cancer Screening Program: a Qualitative Study.

Sofie Phillipsen, Louise Kongsmark Weltz, Jannie Dressler, Marie Konge Nielsen, Morten Rasmussen, Lars Nannestad Jorgensen, Anna Thit Johnsen

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

7 authors.

Sofie PhillipsenFaculty of Health Sciences, University of Southern Denmark, J.B. Winsløvs Vej 19.3, DK-5000, Odense, Denmark. phillipsen.sofie@gmail.com.ORCID http://orcid.org/0000-0002-2358-8279
Louise Kongsmark WeltzFaculty of Health Sciences, University of Southern Denmark, J.B. Winsløvs Vej 19.3, DK-5000, Odense, Denmark.
Jannie DresslerDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2903-2412
Marie Konge NielsenUser Perspectives and Community-Based Interventions, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-3683-8361
Morten RasmussenDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2560-1772
Lars Nannestad JorgensenDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-7465-5374
Anna Thit JohnsenInstitute of Psychology, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0003-0753-9634

Funding

Capital Regions Research Foundation A6205Dansk Kræftforsknings Fond FID20823Helsefonden 19-B-0032Inge og Jørgen Larsens Mindelegat 10537-003The Gangsted Foundation A35137
6 · The paper itself

Abstract

purposeThe participation rate in the Danish National Screening Program for Colorectal Cancer is around 60%. Since early detection of cancer through the colorectal cancer screening program (CRCS) reduces mortality rates, it is important to understand why people do not participate. The aim of this study was therefore to examine in depth why some people do not participate in the Danish CRCS program.

methodsIndividual semi-structured interviews were conducted with 18 people who had not participated in the national CRCS program. Data was analyzed using an inductive hermeneutic approach.

resultsThe analysis uncovered three main themes describing barriers to screening: (a) the accountability for ensuring personal health covered the following sub-themes: (i) when invitation is out of sight it is out of mind, (ii) aversion against own stool sample collection, and (iii) the perceived risk of getting colorectal cancer (CRC); (b) attitudes towards the healthcare system and its organization covered the following sub-themes: (i) positivity towards CRCS, (ii) trust in the healthcare system, (iii) lack of internal communication in the healthcare system, and (iv) wish for involvement of the general practitioner (GP); (c) knowledge about disease and screening covered the following sub-themes: (i) knowledge about CRC and CRCS, (ii) wish for information via new channels, and (iii) CRC is rarely something you talk about.

conclusionAmong the informants included in this study, lack of participation in the CRCS program was not due to an active opt-out, as most informants had intentions of participating. The informants thought it would motivate them to participate if their GP would remind them of the screening program.

Indexed as

Colorectal NeoplasmsDenmarkEarly Detection of CancerHumansMass ScreeningBarriersColorectal cancerQualitative studyScreening

Identifiers

PMID36301437

What OpenQuestion holds

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Registered trials

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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.