Evidence map›Paper›PMID 41486813›Full record

ArticleHealth services research2026

Predictors of Colorectal Cancer Screening Rates in Federally Qualified Health Centers: Explicating Organizational Level Factors.

P J Zaire, L H Smith, J Hefner

Abstract read
In one paragraph

Article in Health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

3 authors.

P J ZaireCollege of Nursing, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0003-0680-8898
L H SmithCollege of Nursing, The Ohio State University, Columbus, Ohio, USA.
J HefnerCollege of Public Health, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0001-8083-8038

Funding

Interdisciplinary Research Training Center in Cancer Care DeliveryT32CA236621 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lauren P Wallner · 2020 to 2026
$2.8M
NCI NIH HHS T32 CA236621NCI NIH HHS T32-CA-236621
6 · The paper itself

Abstract

objectiveTo examine changes in colorectal cancer (CRC) screening rates over time and determine organizational-level factors influencing these shifts. STUDY SETTIGN AND

designThis longitudinal study used mixed effects models to analyze data from Federally Qualified Health Centers (FQHCs) in the United States (US). Key organizational-level factors included Patient-Centered Medical Home (PCMH) recognition and duration, hypertension and diabetes management, and center-level characteristics such as racial composition, location, and center volume/size. DATA SOURCES AND ANALYTIC SAMPLE: This study used Uniform Data System (UDS) data from 2017 to 2022 for US-based FQHCs receiving full Public Health Service Section 330 grants and reporting CRC screening measures, excluding school-based centers, US territories, and look-alike centers. PRINCIPAL

findingsAmong the 1282 FQHCs analyzed, CRC screening rates were increasing before the COVID-19 pandemic but declined during and remain below pre-pandemic levels. FQHCs with consistent PCMH recognition reported significantly higher screening rates (β = 8.50, p < 0.001). Screening rates were also positively associated with a higher rate of controlled hypertension (β = 0.354, p < 0.0001) but lower in FQHCs with larger Black patient populations, Southern locations, and smaller center volume/size.

conclusionsConsistent PCMH recognition and chronic disease management are essential for improving CRC screening rates in FQHCs. By integrating these population health management strategies, FQHCs can proactively address screening disparities. Prioritizing these organizational-level approaches may strengthen healthcare equity and expand CRC screening for historically marginalized communities.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerPatient-Centered CareSafety-net ProvidersCOVID-19FemaleHumansLongitudinal StudiesMaleMiddle AgedUnited Statescolorectal cancer screeningfederally qualified health centershistorically marginalizedorganizational predictors of screening

Identifiers

PMID41486813
PMCPMC12932028

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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.