Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers

Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Alan B. Cantor, Jennifer Schroeder, Rania Abdulla, Seft Hunter, Thomas N. Chirikos and Jeffrey P. Krischer
The Annals of Family Medicine July 2004, 2 (4) 294-300; DOI: https://doi.org/10.1370/afm.101
Richard G. Roetzheim
MD, MSPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lisa K. Christman
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul B. Jacobsen
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alan B. Cantor
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jennifer Schroeder
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rania Abdulla
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Seft Hunter
MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Thomas N. Chirikos
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeffrey P. Krischer
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

BACKGROUND We assessed the efficacy of the Cancer Screening Office Systems (Cancer SOS), an intervention designed to increase cancer screening in primary care settings serving disadvantaged populations.

METHODS Eight primary care clinics participating in a county-funded health insurance plan in Hillsborough County, Fla, agreed to take part in a cluster-randomized experimental trial. The Cancer SOS had 2 components: a cancer-screening checklist with chart stickers that indicated whether specific cancer-screening tests were due, ordered, or completed; and a division of office responsibilities to achieve high screening rates. Established patients were eligible if they were between the ages of 50 and 75 years and had no contraindication for screening. Data abstracted from charts of independent samples collected at baseline (n = 1,196) and at a 12-month follow-up (n = 1,237) was used to assess whether the patient was up-to-date on one or more of the following cancer-screening tests: mammogram, Papanicolaou (Pap) smear, or fecal occult blood testing (FOBT).

RESULTS In multivariate analysis that controlled for baseline screening rates, secular trends, and other patient and clinic characteristics, the intervention increased the odds of mammograms (odds ratio [OR] = 1.62, 95% confidence interval [CI], 1.07–9.78, P = .023) and fecal occult blood tests (OR = 2.5, 95% CI, 1.65–4.0, P <.0001) with a trend toward greater use of Pap smears (OR = 1.57, 95% CI, 0.92–2.64, P = .096).

CONCLUSIONS The Cancer SOS intervention significantly increased rates of cancer screening among primary care clinics serving disadvantaged populations. The Cancer SOS intervention is one option for providers or policy makers who wish to address cancer related health disparities.

  • Mass screening
  • mammography
  • vaginal smears
  • occult blood
  • breast neoplasms
  • colorectal neoplasms
  • community health centers
  • primary health care
  • Received for publication June 11, 2003.
  • Revision received September 12, 2004.
  • Accepted for publication October 13, 2004.
  • © 2004 Annals of Family Medicine, Inc.
View Full Text
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 2 (4)
The Annals of Family Medicine: 2 (4)
Vol. 2, Issue 4
1 Jul 2004
  • Table of Contents
  • Index by author
  • The Issue in Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Alan B. Cantor, Jennifer Schroeder, Rania Abdulla, Seft Hunter, Thomas N. Chirikos, Jeffrey P. Krischer
The Annals of Family Medicine Jul 2004, 2 (4) 294-300; DOI: 10.1370/afm.101

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Alan B. Cantor, Jennifer Schroeder, Rania Abdulla, Seft Hunter, Thomas N. Chirikos, Jeffrey P. Krischer
The Annals of Family Medicine Jul 2004, 2 (4) 294-300; DOI: 10.1370/afm.101
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Footnotes
    • REFERENCES
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Clinical Population Medicine: Integrating Clinical Medicine and Population Health in Practice
  • Strategies to Improve Repeat Fecal Occult Blood Testing Cancer Screening
  • A Randomized Controlled Trial to Improve Colon Cancer Screening in Rural Family Medicine: An Iowa Research Network (IRENE) Study
  • Program to Improve Colorectal Cancer Screening in a Low-Income, Racially Diverse Population: A Randomized Controlled Trial
  • Principles of the Patient-Centered Medical Home and Preventive Services Delivery
  • Costs and Cost Effectiveness of a Health Care Provider-Directed Intervention to Promote Colorectal Cancer Screening
  • Improving Performance in Prevention
  • Costs and Cost-Effectiveness of a Low-Intensity Patient-Directed Intervention to Promote Colorectal Cancer Screening
  • Translation of an Efficacious Cancer-Screening Intervention to Women Enrolled in a Medicaid Managed Care Organization
  • In This Issue
  • Long-term Results From a Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
  • Questions, Interpretation, Exhortation
  • In This Issue: Practice Change and Patient Safety
  • Google Scholar

More in this TOC Section

  • Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India
  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
Show more Original Research

Similar Articles

Subjects

  • Domains of illness & health:
    • Prevention
  • Person groups:
    • Vulnerable populations
  • Methods:
    • Quantitative methods
  • Other research types:
    • PBRN research
    • POEMs
    • Translational research
  • Other topics:
    • Clinical population medicine
    • Quality improvement
    • Organizational / practice change

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine