ArticleBMJ open quality2025
Longitudinal quality improvement project to increase colorectal cancer screening for an underserved population in a resident physician-led primary care clinic.
Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe overall rates of colorectal cancer (CRC) in the US population have been declining steadily over the past 30 years, in large part due to timely cancer screenings. Despite the emergence of new screening modalities, a large portion of the population has not completed CRC screening in accordance with guidelines. Adequate and timely screening can prevent or detect CRC in earlier stages. Various factors have been identified that influence screening completion. Lower screening rates have been associated with the underserved population, especially in the immigrant community and patients with inadequate access to healthcare. In the USA, primary care clinics associated with internal and family medicine residency programmes often serve as catch-net clinics for the community, serving to provide care to those with a higher burden of social determinants of health.
objectiveWe aimed to increase the rates of CRC screening in a primary care clinic associated with the internal medicine residency programme of a large healthcare system. In October 2021, the clinic had a CRC screening rate of 55.40%.
methodsThis prospective quality improvement study was implemented from July 2022 to January 2025 at the resident-run clinic. Data on CRC screening completion were analysed monthly.
interventionsSix Plan-Do-Study-Act cycles were implemented over the course of the project. These interventions were developed from results of root-cause analyses as well as feedback from patients and providers.
resultsCRC screening rates rose from 55.40% to 65.79% over the period of interest with the implementation of sequential targeted interventions.
conclusionsUnderserved patients are at higher risk of CRC screening incompletion. Multifaceted interventions and multidisciplinary collaboration are essential for increasing CRC screening in this vulnerable population.
Indexed as
Identifiers
What OpenQuestion holds
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.