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Research ArticleOriginal Research

Long-term Results From a Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers

Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Jennifer Schroeder, Rania Abdulla and Seft Hunter
The Annals of Family Medicine March 2005, 3 (2) 109-114; DOI: https://doi.org/10.1370/afm.240
Richard G. Roetzheim
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Lisa K. Christman
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Paul B. Jacobsen
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Jennifer Schroeder
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Rania Abdulla
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Seft Hunter
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    Table 1.

    Cancer Screening at Baseline, 12 Months’, and 24 Months’ Follow-up

    Percentage of Patients Up-To-Date
    VariableBaseline12 Months24 Months
    Papanicolaou smears
        Control57.648.245.3
        Intervention61.962.447.3
    Mammograms
        Control75.971.164.5
        Intervention71.475.767.0
    Fecal occult blood tests
        Total sample
            Control22.111.912.6
            Intervention35.940.128.2
        Men
            Control22.512.211.0
            Intervention28.341.427.3
        Women
            Control22.111.913.0
            Intervention38.139.728.5
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    Table 2.

    Results of Multivariate Analyses on Intervention Effects

    VariableOdds Ratio95% CIPValue
    CI = confidence interval; FOBT = fecal occult blood test.
    Papanicolaou smears (n = 1,103)0.880.68–1.15.34
    Mammograms (n = 1,844)1.261.02–1.55.03
    FOBT (n = 2,009)1.170.92–1.48.19
    Men1.330.78–2.27.30
    Women1.130.87–1.46.37

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  • The Article in Brief

    As described in the November/December 2004 issue of the Annals, a system was developed to promote three cancer screening tests (mammograms, Pap smears, and fecal occult blood tests) in primary care clinics that serve disadvantaged patients. In this follow-up study, researchers found that after 2 years, the system had an ongoing, but modest, effect on screening for cancer. Patients who received care at a clinic using the system were up-to-date on a greater number of targeted screening tests and had 26% greater odds of mammography screening compared with other patients. The system still had an effect after 2 years, but the effect was less than it had been at 1 year. Further work is needed to develop longer term solutions.

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The Annals of Family Medicine: 3 (2)
The Annals of Family Medicine
Vol. 3, Issue 2
1 Mar 2005
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Long-term Results From a Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Jennifer Schroeder, Rania Abdulla, Seft Hunter
The Annals of Family Medicine Mar 2005, 3 (2) 109-114; DOI: 10.1370/afm.240

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Long-term Results From a Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers
Richard G. Roetzheim, Lisa K. Christman, Paul B. Jacobsen, Jennifer Schroeder, Rania Abdulla, Seft Hunter
The Annals of Family Medicine Mar 2005, 3 (2) 109-114; DOI: 10.1370/afm.240
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