0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Telephone Care Management To Improve Cancer Screening among Low-Income Women: A Randomized, Controlled Trial

Allen J. Dietrich, MD; Jonathan N. Tobin, PhD; Andrea Cassells, MPH; Christina M. Robinson, MS; Mary Ann Greene, MS; Carol Hill Sox, Engr; Michael L. Beach, MD, PhD; Katherine N. DuHamel, PhD; and Richard G. Younge, MD, MPH
[+] Article and Author Information

From Norris Cotton Cancer Center and Dartmouth Medical School, Hanover, New Hampshire; Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Group, and Fordham Family Practice, Bronx, New York; and Clinical Directors Network, Mount Sinai School of Medicine, and Beth Israel Medical Center, New York City, New York.


Acknowledgments: The authors thank Joseph P. Addabbo Family Health Center, Bedford Stuyvesant Family Health Center, Betances Health Center, Brownsville Multi-Service Family Health Center, East Harlem/Boriken Community Health Center, Family Physician Health Center, Montefiore Medical Group and Comprehensive Family Care Center, Morris Heights Community Health Center, Park Ridge Health Center, Ryan-NENA Community Health Center, Sunset Park Family Health Center Network, Urban Health Plan, and William F. Ryan Community Health Center.

Grant Support: By the National Cancer Institute (R01 CA-87776).

Potential Conflicts of Interest: None disclosed.

Requests for Single Reprints: Allen J. Dietrich, MD, Department of Community and Family Medicine, Dartmouth Medical School, 7250 Strasenburgh Hall, Hanover, NH 03755; e-mail, Allen.J.Dietrich@dartmouth.edu.

Current Author Addresses: Dr. Dietrich, Ms. Robinson, Ms. Greene, and Ms. Sox: Dartmouth Medical School, 7250 Strasenburgh Hall, Hanover, NH 03755.

Dr. Tobin and Ms. Cassells: Clinical Directors Network, Inc., 5 West 37th Street, 10th Floor, New York, NY 10018.

Dr. Beach: Department of Anesthesiology, Dartmouth Medical School, HB7900, Hanover, NH 03755.

Dr. DuHamel: Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1130, New York, NY 10029.

Dr. Younge: Montefiore Medical Group, 1 Fordham Plaza, Bronx, NY 10458.

Author Contributions: Conception and design: A.J. Dietrich, J.N. Tobin, C.H. Sox, K.N. DuHamel, R.G. Younge.

Analysis and interpretation of the data: A.J. Dietrich, J.N. Tobin, C.M. Robinson, M.A. Greene, M.L. Beach, K.N. DuHamel.

Drafting of the article: A.J. Dietrich, J.N. Tobin, C.M. Robinson, M.A. Greene, M.L. Beach.

Critical revision of the article for important intellectual content: A.J. Dietrich, J.N. Tobin, C.M. Robinson, C.H. Sox, K.N. DuHamel, R.G. Younge.

Final approval of the article: A.J. Dietrich, J.N. Tobin, A. Cassells, C.M. Robinson, M.A. Greene, C.H. Sox, M.L. Beach, K.N. DuHamel, R.G. Younge.

Provision of study materials or patients: A. Cassells.

Statistical expertise: J.N. Tobin, M.L. Beach.

Obtaining of funding: A.J. Dietrich, J.N. Tobin, A. Cassells.

Administrative, technical, or logistic support: A.J. Dietrich, J.N. Tobin, A. Cassells, C.M. Robinson, M.A. Greene, C.H. Sox.

Collection and assembly of data: A. Cassells, M.A. Greene.


Ann Intern Med. 2006;144(8):563-571. doi:10.7326/0003-4819-144-8-200604180-00006
Text Size: A A A

We found that a telephone-based intervention increased screening rates for all 3 types of cancer in this sample. Rates of colorectal cancer screening showed the largest increase, but changes in all 3 rates were clinically meaningful. The increases in mammography and colorectal cancer screening of 0.10 and 0.24, respectively, represent improvements of 17% and 60% over baseline; the lower boundaries of these confidence intervals for change were 0.05 or more. The rate of Papanicolaou testing increased by only 0.07, but this still represents a 10% improvement over baseline.

First Page Preview

View Large
First page PDF preview

Figures

Grahic Jump Location
Figure.
Flow of study participants through recruitment, eligibility assessment, randomization, intervention, and outcome analysis.

PCM = prevention care management.

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)