Evidence map›Paper›PMID 36594346›Full record

ArticleJournal of primary care & community health

Distance and Transportation Barriers to Colorectal Cancer Screening in a Rural Community.

Katharine M N Lee, Jean Hunleth, Liz Rolf, Julia Maki, Marquita Lewis-Thames, Kevin Oestmann, Aimee S James

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Recruiting Rural Patients for Clinical Research: Lessons From a Colorectal Cancer Screening Trial.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Trial
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  5. Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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 at 4 institutions in 1 country.

Katharine M N LeeTulane University, New Orleans, LA, USA.ORCID 0000-0001-8894-9816
Jean HunlethWashington University School of Medicine, St. Louis, MO, USA.
Liz RolfWashington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-4900-3133
Julia MakiWashington University School of Medicine, St. Louis, MO, USA.
Marquita Lewis-ThamesNorthwestern University, IL, USA.ORCID 0000-0001-5909-7167
Kevin OestmannSouthern Illinois Healthcare, IL, USA.
Aimee S JamesWashington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-1411-9307
Washington University in St. Louis · USNorthwestern University · USSouthern Illinois Healthcare · USTulane University · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCDERMOTT, MARY MCGRAE · 2020 to 2024
$7.1M
Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
Implementing multilevel colon cancer screening interventions to reduce rural cancer disparitiesR01CA233848 · NCI · WASHINGTON UNIVERSITY · PI JAMES, AIMEE S · 2019 to 2024
$2.5M
Improving adherence to posttreatment follow-up care for rural lung cancer survivors through a community-clinical survivorship care team modelK01CA262342 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEWIS, MARQUITA W. · 2021 to 2025
$801k
Reducing Rural Colon Cancer Disparities Through Multi-Level Intervention On Follow-Up After Abnormal Screening TestsU01CA209861 · NCI · WASHINGTON UNIVERSITY · PI JAMES, AIMEE S · 2017 to 2017
$476k
NCATS NIH HHS UL1 TR001422NCI NIH HHS K01 CA262342NCI NIH HHS R01 CA233848NCI NIH HHS T32 CA190194NCI NIH HHS U01 CA209861NIA NIH HHS P30 AG059988
6 · The paper itself

Abstract

Rural residents in underserved areas face many barriers to health services, including colonoscopies for colorectal cancer (CRC) screening, but rural healthcare providers may assist patients navigating these challenges due to familiarity with local contexts. In 2017 to 2018, we interviewed clinical practitioners and staff (n = 40) at 13 primary care and gastroenterology locations across rural Southern Illinois. We used a semi-structured interview guide that addressed system, provider, and patient levels including domains related to barriers, facilitators, and needs for intervention. This article focuses on 3 main elements related to distance and transportation that emerged from inductive coding. First, providers described long distance travel for care as normalized but not necessarily preferable. Second, they identified and described distance-related challenges specific to CRC screening, and third, providers discussed strategies, mostly related to transportation, they use to navigate those challenges. Finally, they suggested a variety of broader solutions to reduce distance and transportation barriers to screening. Overall, distance to care remains a challenge to increasing CRC screening and contributes to disparities in rural communities. To increase early detection and reduce rural cancer disparities, efforts to increase screening and follow-up must address ways to help patients and providers navigate this distance within their local communities and contexts.

Indexed as

Colorectal NeoplasmsHealth Services AccessibilityEarly Detection of CancerHumansIllinoisRural Populationcancer screeningcolon cancerimplementationrural healthcare

Identifiers

PMID36594346
PMCPMC9829879
OpenAlexW4313487832

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.