Evidence map›Paper›PMID 41055680›Full record

ArticleJournal of general internal medicine2026

Longitudinal Adherence to Screening for Colorectal, Cervical, and Lung Cancer in a US Consortium.

Ethan A Halm, Natalie J Del Vecchio, Katharine A Rendle, Jasmin A Tiro, Yingye Zheng, Rachel L Winer, Jennifer S Haas, Douglas A Corley, Celette Sugg Skinner, Joanne Schottinger and 2 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. 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
–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

3 citing papers in PubMed.

  1. Trial
  2. Review
  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

12 authors.

Ethan A HalmDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, 112 Paterson Street, New Brunswick, NJ, 08901, USA. Ethan.halm@rutgers.edu.ORCID 0000-0003-3042-2741
Natalie J Del VecchioPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Katharine A RendleDepartment of Family Medicine & Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jasmin A TiroDepartment of Public Health Sciences, University of Chicago Biological Sciences Division, Chicago, IL, USA.
Yingye ZhengPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Rachel L WinerDepartment of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA.
Jennifer S HaasDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Douglas A CorleyDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Celette Sugg SkinnerPeter O'Donnell Jr. School of Public Health and Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Joanne SchottingerDepartment of Research & Evaluation, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Nirupa R GhaiDepartment of Research & Evaluation, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Jessica ChubakInvestigative Science Division, Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.

Funding

Center for Research to Optimize Precision Lung Cancer Screening in Diverse PopulationsUM1CA221939 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI RITZWOLLER, DEBRA P, VACHANI, ANIL · 2018 to 2023
$15.3M
NCI NIH HHS UM1 CA221939
6 · The paper itself

Abstract

backgroundEffective screening for colorectal, cervical, and lung cancer requires adherence over time, but little is known about repeat testing in real-world practice.

objectiveDescribe patterns of longitudinal screening adherence and identify patient and system factors associated with repeat testing.

designRetrospective cohort study of colorectal, cervical, or lung cancer screening in 2010-2019.

participantsAdults eligible for repeat colorectal (stool-based), cervical, or lung cancer screening following a negative index test in ten regional health systems comprising the US PROSPR consortium. MAIN MEASURES: Repeat screening based on guideline-recommended intervals. For the colorectal and lung cohorts with opportunities for multiple annual screening rounds, the main outcome was repeat screening categorized as none, inconsistent, or consistent.

resultsThe sample size was: 1,566,346 for colorectal, 216,344 for cervical, and 6,209 for lung cancer screening. For colorectal, cervical, and lung screeners, mean age at index was 58.2, 39.4, and 64.6 years, respectively, and 49%, 55% and 30% were Hispanic and/or non-white. Completion of the next screening round was 62% for colorectal, 56% for cervical, and 56% for lung cancer. For colorectal, over the next two rounds of testing, 53% were consistent, 33% inconsistent, and 14% no repeat screeners. The comparable percentages over 3 + rounds for colorectal were 40% consistent, 50% inconsistent, and 11% no repeat screeners. For lung, over the next two rounds, 47% were consistent, 31% inconsistent, and 22% no repeat screeners. The proportions over 3 + rounds for lung were 44% consistent, 42% inconsistent, and 14% no repeat screening. The health system was the strongest predictor of repeat and consistent testing with three- to ten-fold variation.

conclusionsAdherence to longitudinal screening for colorectal, cervical and lung cancer was suboptimal, particularly as the number of testing rounds increased. System-level strategies are needed to increase screening adherence given the strong relationship between health system and outcomes.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerGuideline AdherenceLung NeoplasmsMass ScreeningUterine Cervical NeoplasmsAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesUnited Statescervical cancercolorectal cancerlung cancerscreening adherence

Identifiers

PMID41055680
PMCPMC13176415

What OpenQuestion holds

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LicenceCC BY
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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.