Evidence map›Paper›PMID 38618885›Full record

ArticleThe European journal of general practice2024

Effectiveness of tailored talks between a cancer screening specialist and general practitioners to improve the uptake of colorectal cancer screening in Ancona (Italy) during the pandemic period.

Cecilia Acuti Martellucci, Giusi Giacomini, Maria Elena Flacco, Lamberto Manzoli, Margherita Morettini, Mosè Martellucci, Sara Rosati, Silvia Bizzarri, Matthew Palmer, Lidia Pascucci and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in The European journal of general practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. The Family Doctor in the "COVID-19 Era".Healthcare (Basel, Switzerland) · 2024
    Review
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 7 institutions in 4 countries.

Cecilia Acuti MartellucciDepartment of Environmental and Prevention Sciences, University of Ferrara, Ferrara, Italy.
Giusi GiacominiOncologic Screening Unit, Ancona Healthcare Agency, Ancona, Italy.
Maria Elena FlaccoDepartment of Environmental and Prevention Sciences, University of Ferrara, Ferrara, Italy.
Lamberto ManzoliDepartment of Medicine and Surgery, University of Bologna, Bologna, Italy.
Margherita MorettiniOncologic Screening Unit, Ancona Healthcare Agency, Ancona, Italy.
Mosè MartellucciDepartment of Environmental and Prevention Sciences, University of Ferrara, Ferrara, Italy.
Sara RosatiDepartment of Biomedical Sciences and Public Health, University of the Marche Region, Ancona, Italy.
Silvia BizzarriDepartment of Biomedical Sciences and Public Health, University of the Marche Region, Ancona, Italy.
Matthew PalmerThe Daffodil Centre, University of Sydney, A Joint Venture with Cancer Council NSW, Sydney, Australia.
Lidia PascucciDepartment of Biomedical Sciences and Public Health, University of the Marche Region, Ancona, Italy.
Marco UnciniDepartment of Biomedical Sciences and Public Health, University of the Marche Region, Ancona, Italy.
Francesca PasqualiniOncologic Screening Unit, Ancona Healthcare Agency, Ancona, Italy.
Marche Polytechnic University · ITCancer Council NSW · AUCentro de Pesquisas Oncológicas · BRGNA University · INOspedali Riuniti di Ancona · ITUniversity of Ferrara · ITUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) screening uptake in many countries has been low and further impacted by the COVID-19 pandemic. General Practitioners (GPs) are key facilitators, however research on their impact on organised CRC screening is still limited.

objectivesTo evaluate the effectiveness of tailored talks with GPs to increase population uptake of the long-established CRC screening programme in Ancona province, Italy.

methodsIn this prospective cohort study, one-to-one tailored talks were organised in January 2020 between the GPs of one county of the province (with GPs from other counties as controls) and the screening programme physician-in-chief to discuss the deployment and effectiveness of organised screening. Data was extracted from the National Healthcare System datasets and linear regression was used to assess the potential predictors of CRC screening uptake.

resultsThe mean CRC screening uptake remained stable from 39.9% in 2018-19 to 40.8% in 2020-21 in the 22 GPs of the intervention county, whereas it statistically significantly decreased from 38.7% to 34.7% in the 232 control GPs. In multivariate analyses, belonging to the intervention county was associated with an improved uptake compared to the control counties (+5.1%; 95% Confidence Intervals - CI: 2.0%; 8.1%).

conclusionPersons cared for by GPs who received a tailored talk with a cancer screening specialist avoided a drop in CRC screening adherence, which characterised all other Italian screening programmes during the COVID-19 emergency. If future randomised trials confirm the impact of tailored talks, they may be incorporated into existing strategies to improve population CRC screening uptake.

Indexed as

COVID-19General PractitionersNeoplasmsEarly Detection of CancerHumansItalyPandemicsProspective Studiescancer screeningColorectal cancergeneral practiceItaly

Identifiers

PMID38618885
PMCPMC11020593
OpenAlexW4394814672

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.