Navigation Links
A recipe for increased colorectal cancer screening rates
Date:8/14/2012

Screening for colorectal cancer (CRC) is cost-effective and saves lives by early detection. The ability to screen large numbers of individuals is especially important for states with tight health insurance budgets dealing with aging populations. However, in 2010 only 65 percent of US adults between ages 50 and 75 got the recommended screening. A University of Colorado Cancer Center study recently published in the American Journal of Managed Care demonstrates a systematic approach to improve screening rates.

"With an introductory phone call and then mailed testing kits, we saw CRC screening rates jump from 47 to 72 percent in three years. Those who were exposed to the outreach were almost four times more likely to screen," says Karin Kempe, MD, MPH, recent director of clinical prevention at Kaiser Permanente Colorado, a CU Cancer Center consortium partner.

Kempe and colleagues mailed 58,800 fecal immunochemical tests (FIT) to low-risk Kaiser members who were not up to date on screening for colorectal cancer. Members could either complete the stool test at home and mail it back or request colonoscopy through their provider. Of these hard-to-convince patients, 26,003 completed screening with FIT or colonoscopy. The increase in screening rates was especially high in those without recent primary or specialty care visits, suggesting that the protocol reached patients who may have been unaware of screening recommendations or who were not previously engaged in preventive care.

"What's especially exciting is that this first test seemed to be a foot in the door to further screening," Kempe says. Patients screened first through this study tended to migrate over time into the colonoscopy screening program.

Still, "while those groups that usually have lower rates of screening, such as African Americans or Latinos, did improve, their response was less than the in the white and Asian populations. Our current efforts are aimed at tailored interventions to increase screening rates in these groups," Kempe adds.

"Along with colleagues Holly Wolf, PhD, MSPH and Tim Byers, MD, MPH, the American Cancer Society and the Colorado Colorectal Screening Task Force, we've been strong advocates for improving screening rates in Colorado. And, in fact, Colorado has been steadily improving in CRC screening," Kempe says. "But continued effort and investment in this area is definitely required."

There are prerequisites for instituting a system like this, says Kempe, including strategies to identify low risk members appropriate for FIT, and the ability to track and manage the results of a massive number of screening kits. But results of the current study indicate that, done carefully, a protocol of phone calls and mailed kits can increase colorectal cancer screening, likely resulting in lower costs and better medical outcomes for program participants.


'/>"/>

Contact: Garth Sundem
garth.sundem@ucdenver.edu
University of Colorado Denver
Source:Eurekalert

Related medicine news :

1. AFTS Labs Partners With Physicians To Complement NY's Mandated I-STOP Tracking System For Pain Pill Prescriptions: A Recipe For A Safer Community
2. Fish Pedicure a Recipe for Bacterial Infection, Researchers Warn
3. Depression linked with increased risk of peripheral artery disease
4. Men with large waists face an increased risk of frequent urination
5. In-utero exposure to magnetic fields associated with increased risk of obesity in childhood
6. Bloodstream scavenger inhibits clotting without increased bleeding
7. Increased cardiovascular risk in HIV-infected patients may relate to arterial inflammation
8. HIV-infected women do not appear to be at increased risk of cervical cancer
9. Researchers link Kawasaki Disease in childhood with increased risk of adult heart disease
10. Study: Children abused by parents face increased cancer risk
11. Oral contraceptive use in girls and alcohol consumption in boys are associated with increased BP....
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... ... a legally blind and certified personal trainer is helping to develop a weight loss fitness ... to fix the two major problems leading the fitness industry today:, , ... They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits ... terms of the latter, setting the bar too high can result in disappointment, perhaps ... slow progress toward their goal. , Research from PsychTests.com reveals that ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension ... that it will receive two significant new grants to support its work to ... its 25th anniversary by recognizing patients, medical professionals and scientists for their work ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their ... Award, an essay contest in which patients and their families pay tribute to a ... the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
(Date:6/24/2016)... CAMBRIDGE, Mass. , June 24, 2016 /PRNewswire/ ... the Spaulding Rehabilitation Network,s Dean Center for ... of Physical Medicine and Rehabilitation, MIT Hacking Medicine, ... Center for Innovation, today announced the five finalists ... Hackathon for Lyme disease.  More than 100 scientists, ...
(Date:6/24/2016)... , June 24, 2016 ... of the "Structural Electronics 2015-2025: Applications, Technologies, ... In-Mold Electronics, Smart Skin, ... Photovoltaics Structural electronics involves electronic ... load-bearing, protective structures, replacing dumb structures such as ...
Breaking Medicine Technology: