Evidence map›Paper›PMID 39209342›Full record

ArticleBMJ open quality2024

Improving uptake of colorectal cancer screening by complex patients at an academic primary care practice: a feasibility study.

Charlotte Desponds, Cyril Ducros, Carine Rochat, Laure Galassini, Patrick Bodenmann, Veronique S Grazioli, Ekaterina Plys, Christian von Plessen, Alexandre Gouveia, Kevin Selby

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In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Charlotte DespondsUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Cyril DucrosUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Carine RochatUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Laure GalassiniUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Patrick BodenmannUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Veronique S GrazioliUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Ekaterina PlysUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Christian von PlessenUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Alexandre GouveiaUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
Kevin SelbyUniversity Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland kevin.selby@unisante.ch.ORCID http://orcid.org/0000-0002-9096-0720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegular screening reduces mortality from colorectal cancer (CRC). The Canton of Vaud, Switzerland, has a regional screening programme offering faecal immunochemical tests (FITs) or colonoscopy. Participation in the screening programme has been low, particularly among complex patients. Patient navigation has strong evidence for increasing the CRC screening rate. DESIGN AND

objectiveThis feasibility study tested patient navigation performed by medical assistants for complex patients at an academic primary care practice. BASELINE MEASUREMENTS: A review of 328 patients' medical charts revealed that 51% were up-to-date with screening (16% within the programme), 24% were ineligible, 5% had a documented refusal and 20% were not up-to-date, of whom 58 (18%) were complex patients. INTERVENTION FEBRUARY 2023 TO MAY 2023: We tried to help complex patients participate in the screening programme using either in-person or telephone patient navigation. Each intervention was piloted by a physician-researcher and then performed by a medical assistant. Based on the reach, effectiveness, adoption, implementation, maintenance framework, we collected: Intervention participation and refusal, screening acceptance and completion and both patients and medical assistant acceptability (ie, qualitative interviews).

resultsOnly 4/58 (7%) patients participated in the in-person patient navigation test phase due to scheduling problems. All four patients accepted a prescription and 2/4 (50%) completed their test. We piloted a telephone intervention to bypass scheduling issues but all patients refused a telephone discussion with the medical assistant. At two months after the last intervention, the proportion of patients up-to-date increased from 51% to 56%.

conclusionOur overall approach was resource-intensive and had little impact on the overall participation rate. It was likely not sustainable. New approaches and reimbursement for a specific patient navigator role are needed to increase CRC screening of complex patients.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerFeasibility StudiesPrimary Health CareAgedFemaleHumansMaleMass ScreeningMiddle AgedPatient Acceptance of Health CarePatient NavigationSwitzerlandCANCERComplexityPrimary care

Identifiers

PMID39209342
PMCPMC11367402

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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.