Evidence map›Paper›PMID 38554066›Full record

ArticleJournal of primary care & community health

Abnormal Colorectal Cancer Test Follow-Up: A Quality Improvement Initiative at a Federally Qualified Health Center.

Faizah Shareef, Balambal Bharti, Felipe Garcia-Bigley, Monica Hernandez, Jesse Nodora, Jie Liu, Christian Ramers, Jill Dumbauld Nery, Jessica Marquez, Karina Moyano and 3 more

Registry-linked trialOpen 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. It is linked to trial NCT06929481 (Screening With Liquid Biopsies to Address Colorectal Cancer Inequities), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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.

NCT06929481 naactive not recruitingnot on this map

Screening With Liquid Biopsies to Address Colorectal Cancer Inequities

TypeinterventionalSponsorUniversity of California, San DiegoRan2025 to 2026Enrolled340ConditionsColorectal Cancer Screening, Colorectal Cancer (CRC)ArmsCell free DNA (cfDNA) blood test, At home Fecal Immunochemical Test (FIT) or Colonoscopy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

13 authors at 5 institutions in 1 country.

Faizah ShareefUniversity of California San Diego (Internal Medicine), La Jolla, CA, USA.
Balambal BhartiUniversity of California San Diego (Internal Medicine), La Jolla, CA, USA.
Felipe Garcia-BigleyFamily Health Centers of San Diego, San Diego, CA, USA.
Monica HernandezCasa Familiar (Development), San Diego, CA, USA.
Jesse NodoraUniversity of California San Diego (Radiation Medicine), La Jolla, CA, USA.
Jie LiuShang Consulting LLC, San Diego CA, USA.
Christian RamersFamily Health Centers of San Diego (Graduate Medical Education), San Diego, CA, USA.
Jill Dumbauld NerySan Diego State University, San Diego, CA, USA.
Jessica MarquezFamily Health Centers of San Diego, San Diego, CA, USA.
Karina MoyanoMoores Cancer Center, University of California San Diego, La Jolla, CA, USA.
Sarah RojasSharp Rees Stealy, San Diego, CA, USA.
Elva ArredondoSan Diego State University, San Diego, CA, USA.
Samir GuptaUniversity of California San Diego (Internal Medicine), La Jolla, CA, USA.ORCID 0000-0003-4192-5002
University of California San Diego · USFamily Health Centers of San Diego · USSan Diego State University · USABS Consulting (United States) · USSharp Rees-Stealy Medical Group · US

Funding

Research Education CoreU54CA132384 · NCI · SAN DIEGO STATE UNIVERSITY · PI CRIPPS, RICHARD MATTHEW, CROWE, SHEILA E. · 2008 to 2022
$20.7M
TALENT Shared Resources CoreU54CA285115 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI James D Murphy · 2023 to 2026
$6.6M
Research Education CoreU54CA285117 · NCI · SAN DIEGO STATE UNIVERSITY · PI Humberto Parada · 2023 to 2026
$6.2M
CRC-HUB-SPOKE: A ColoRectal Cancer screening Hub for Southern California community health centers.UH3CA233314 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GUPTA, SAMIR, HILL, LINDA L · 2020 to 2023
$4.9M
NCI NIH HHS U54 CA132384NCI NIH HHS U54 CA285115NCI NIH HHS U54 CA285117NCI NIH HHS UH3 CA233314
6 · The paper itself

Abstract

INTRODUCTION/

objectivesColonoscopy completion rates after an abnormal fecal immunochemical test (FIT) are suboptimal, resulting in missed opportunities for early detection and prevention of colorectal cancer. Patient navigation and structured follow-up may improve colonoscopy completion, but implementation of these strategies is not widespread.

methodsWe conducted a quality improvement study using a Plan-Do-Study-Act (PDSA) Model to increase colonoscopy completion after abnormal FIT in a large federally qualified health center serving a diverse and low-income population. Intervention components included patient navigation, and a checklist to promote completion of key steps required for abnormal FIT follow-up. Primary outcome was proportion of patients achieving colonoscopy completion within 6 months of abnormal FIT, assessed at baseline for 156 patients pre-intervention, and compared to 208 patients during the intervention period from April 2017 to December 2019. Drop offs at each step in the follow-up process were assessed.

resultsColonoscopy completion improved from 21% among 156 patients with abnormal FIT pre-intervention, to 38% among 208 patients with abnormal FIT during the intervention (

conclusionsPatient navigation and structured follow-up appear to improve colonoscopy completion after abnormal FIT. Additional strategies are needed to achieve optimal rates of completion.

Indexed as

Colorectal NeoplasmsQuality ImprovementColonoscopyEarly Detection of CancerHealth FacilitiesHumansMass ScreeningOccult Bloodabnormal fecal immunochemical test follow-upcare coordinationcolorectal cancer screeningfederally qualified health centerpatient navigation

Identifiers

PMID38554066
PMCPMC10981848
OpenAlexW4393347272

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.