Evidence map›Paper›PMID 36384879›Full record

ArticleBMJ open quality2022

Implementation of a mailed faecal immunochemical test programme for colorectal cancer screening among Veterans.

Stefanie Ann Deeds, Christopher B Moore, Eric J Gunnink, Chelle L Wheat, Amy E Robinson, Mayan D Bomsztyk, John R Geyer, Anders Chen, Regina M Godbout, Karin M Nelson and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Colorectal Cancer Characteristics and Mortality From Propensity Score-Matched Cohorts of Urban and Rural Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  7. Observational
  8. Improving Colorectal Cancer Screening via Mailed Fecal Immunochemical Testing in a Veterans Affairs Health System.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  9. 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

12 authors at 1 institution in 1 country.

Stefanie Ann DeedsDepartment of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA stefanie.deeds@va.gov.ORCID 0000-0003-1398-1031
Christopher B MooreSierra Pacific Network, US Department of Veterans Affairs, Pleasant Hill, California, USA.
Eric J GunninkPuget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
Chelle L WheatPuget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
Amy E RobinsonSierra Pacific Network, US Department of Veterans Affairs, Pleasant Hill, California, USA.
Mayan D BomsztykSierra Pacific Network, US Department of Veterans Affairs, Pleasant Hill, California, USA.
John R GeyerDepartment of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Anders ChenDepartment of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Regina M GodboutSierra Pacific Network, US Department of Veterans Affairs, Pleasant Hill, California, USA.
Karin M NelsonDepartment of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Jason A DominitzPuget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
Ashok ReddyDepartment of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
United States Department of Veterans Affairs · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScreening for colorectal cancer (CRC) with faecal immunochemical test (FIT) is effective at reducing CRC mortality. Unfortunately, the COVID-19 pandemic has been associated with deferred care, especially screening for CRC.

aimWe sought to develop a mailed FIT programme (MFP) to increase CRC screening and make recommendations for adoption across the Veterans Health Administration (VHA) and for other large healthcare systems.

setting2 regional VA medical centres in California and Washington state.

participants5667 average risk veterans aged 50-75 overdue or due within 90 days for CRC screening. PROGRAMME DESCRIPTION: A multidisciplinary implementation team collaborated to mail an FIT kit to eligible veterans. Both sites mailed a primer postcard, and one site added an automated reminder call. PROGRAMME EVALUATION: We monitored FIT return and positivity rate, as well as impact of the programme on clinical staff. 34% of FIT kits were returned within 90 days and 7.8% were abnormal. DISCUSSION: We successfully implemented a population-based MFP at multiple regional VA sites and recommend that these efforts be spread across VA. Our model of regional leadership, facility champions and using centralised resources can be adaptable to other large healthcare systems. MFPs support catch-up from disrupted care by addressing access to CRC screening, unburden primary care visits and conserve limited procedural resources.

Indexed as

Colorectal NeoplasmsCOVID-19VeteransEarly Detection of CancerHumansPandemicsAmbulatory careCOLORECTAL CANCER SCREENINGHealth PromotionPRIMARY CAREQuality improvement

Identifiers

PMID36384879
PMCPMC9670919
OpenAlexW4309323586

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.