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. 2022 Nov 16;5(11):e2242354. doi: 10.1001/jamanetworkopen.2022.42354

Table 2. Program Factors Associated With Reaching Target Monthly Screening Test Volumes After Participation in the National Return-to-Screening Quality Improvement Studya.

Characteristic Programs, No. (%) Adjusted OR (95% CI) P value
Reached target
No (n = 181 [21%]) Yes (n = 676 [79%])
Disease site
Breast 112 (25) 340 (75) 1 [Reference] NA
Colon 27 (20) 107 (80) 1.8 (1.0-3.2) .04
Lung 31 (13) 213 (87) 2.8 (1.7-4.7) <.001
Cervix 12 (41) 17 (59) 0.6 (0.3-1.3) .18
Facility location
Northeast 36 (20) 141 (80) 1 [Reference] NA
Midwest 51 (23) 173 (77) 1.0 (0.6-1.6) .88
South 60 (19) 257 (81) 1.2 (0.8-2.0) .38
West 34 (25) 105 (76) 0.9 (0.5-1.6) .80
Type of institution
Community cancer program 27 (20) 107 (80) 1 [Reference] NA
Comprehensive community cancer program 44 (19) 193 (81) 1.0 (0.6-1.8) .98
Academic or research program 15 (21) 58 (80) 0.9 (0.4-1.9) .78
Integrated network cancer program 30 (23) 101 (77) 0.7 (0.4-1.3) .23
Other program 6 (23) 20 (77) 0.8 (0.3-2.3) .70
National Accreditation Program of Breast Centers–accredited breast center 60 (23) 198 (77) 1.2 (0.7-2.0) .62
Baseline screening deficit
None 73 (19) 304 (81) 1 [Reference] NA
0%-10% 45 (22) 161 (78) 1.1 (0.7-1.6) .82
>10% 64 (23) 212 (77) 0.8 (0.5-1.2) .21
Intervention strategy
Single component 12 (17) 58 (83) 1 [Reference] NA
Multicomponent 170 (22) 619 (79) 0.8 (0.4-1.6) .51

Abbreviations: NA, not applicable; OR, odds ratio.

a

Target monthly screening test volume for each quality improvement project was calculated before the intervention according to differences in mean monthly screening test volume between representative prepandemic and pandemic time period. Reaching target during the 6-month intervention period indicated that programs achieved a minimum of 10% increase in monthly screening test volume as well as close any residual gaps in screening.