PMID- 27923667
OWN - NLM
STAT- MEDLINE
DCOM- 20171204
LR  - 20191210
IS  - 1096-0260 (Electronic)
IS  - 0091-7435 (Linking)
VI  - 96
DP  - 2017 Mar
TI  - Evaluation of the effect of an audit and feedback reporting tool on screening 
      participation: The Primary Care Screening Activity Report (PCSAR).
PG  - 135-143
LID - S0091-7435(16)30397-8 [pii]
LID - 10.1016/j.ypmed.2016.12.002 [doi]
AB  - Participation in cancer screening is critical to its effectiveness in reducing 
      the burden of cancer. The Primary Care Screening Activity Report (PCSAR), an 
      electronic report, was developed as an innovative audit and feedback tool to 
      increase screening participation in Ontario's cancer screening programs. This 
      study aims to assess its impact on patient screening participation. This study 
      used a retrospective cohort design to evaluate the effectiveness of the 2014 
      PCSAR on screening participation in Ontario's three screening programs (breast, 
      cervix and colorectal). The 3 cohorts comprised all participants eligible for 
      each of the programs enrolled with a primary care physician in Ontario. Two 
      exposures were evaluated for each cohort: enrollment with a physician who was 
      registered to receive the PCSAR and enrollment with a registered physician who 
      also logged into the PCSAR. Logistic regression modelling was used to assess the 
      magnitude of the effect of PCSAR on participation, adjusting for participant and 
      physician characteristics. Across all three screening programs, 63% of eligible 
      physicians registered to receive the PCSAR and 38% of those registered logged-in 
      to view it. Patients of physicians who registered were significantly more likely 
      to participate in screening, with odds ratios ranging from 1.06 [1.04;1.09] to 
      1.15 [1.12;1.19]. The adjusted odds ratios associated with PCSAR log-in were 1.07 
      [1.03;1.12] to 1.18 [1.14;1.22] across all screening programs. Implementation of 
      the PCSAR was associated with a small increase in screening participation. The 
      PCSAR appears to be modestly effective in assisting primary care physicians in 
      optimizing cancer screening participation among their patients.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Jonah, Leigh
AU  - Jonah L
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada.
FAU - Pefoyo, Anna Kone
AU  - Pefoyo AK
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Dalla 
      Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
FAU - Lee, Alex
AU  - Lee A
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada.
FAU - Hader, Joanne
AU  - Hader J
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada.
FAU - Strasberg, Suzanne
AU  - Strasberg S
AD  - Provincial Primary Care Lead, Cancer Care Ontario, Canada.
FAU - Kupets, Rachel
AU  - Kupets R
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Division 
      of Gynecologic Oncology, Sunnybrook Regional Cancer Centre, Toronto, ON, Canada.
FAU - Chiarelli, Anna M
AU  - Chiarelli AM
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; Dalla 
      Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
FAU - Tinmouth, Jill
AU  - Tinmouth J
AD  - Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada; 
      Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; 
      Institute of Health Policy, Management and Evaluation, University of Toronto, 
      Toronto, ON, Canada; Department of Medicine, University of Toronto, Canada. 
      Electronic address: jill.tinmouth@sunnybrook.ca.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20161205
PL  - United States
TA  - Prev Med
JT  - Preventive medicine
JID - 0322116
SB  - IM
MH  - Aged
MH  - Breast Neoplasms/diagnosis
MH  - Colorectal Neoplasms/diagnosis
MH  - *Early Detection of Cancer
MH  - *Feedback
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening/*methods
MH  - Middle Aged
MH  - Ontario
MH  - Physicians, Primary Care/statistics & numerical data
MH  - *Primary Health Care
MH  - Retrospective Studies
MH  - Surveys and Questionnaires/*statistics & numerical data
MH  - Uterine Cervical Neoplasms/diagnosis
OTO - NOTNLM
OT  - Audit and feedback
OT  - Breast screening
OT  - Cervical screening
OT  - Colorectal screening
OT  - Organized cancer screening
OT  - Physician reporting
OT  - Screening participation
EDAT- 2016/12/08 06:00
MHDA- 2017/12/05 06:00
CRDT- 2016/12/08 06:00
PHST- 2016/09/07 00:00 [received]
PHST- 2016/11/28 00:00 [revised]
PHST- 2016/12/01 00:00 [accepted]
PHST- 2016/12/08 06:00 [pubmed]
PHST- 2017/12/05 06:00 [medline]
PHST- 2016/12/08 06:00 [entrez]
AID - S0091-7435(16)30397-8 [pii]
AID - 10.1016/j.ypmed.2016.12.002 [doi]
PST - ppublish
SO  - Prev Med. 2017 Mar;96:135-143. doi: 10.1016/j.ypmed.2016.12.002. Epub 2016 Dec 5.