Navigation Links
A recipe for increased colorectal cancer screening rates

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
University of Colorado Denver

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:
(Date:6/27/2016)... ... June 27, 2016 , ... A revolution is underway. ... transport experience for the millions of people who require these medical transport services ... industry through the use of technology. Now, SmartEMS has put forth an industry-changing ...
(Date:6/26/2016)... , ... June 26, 2016 , ... Pixel Film Studios ... X. , "Film editors can give their videos a whole new perspective by using ... - CEO of Pixel Film Studios. , ProSlice Levels contains over 30 Different ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... First ... United States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell ... facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive ...
(Date:6/25/2016)... Canada (PRWEB) , ... June 25, 2016 , ... Conventional ... pursuit of success. In terms of the latter, setting the bar too high can ... risk more than just slow progress toward their goal. , Research from ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... "The World Market for Companion Diagnostic Tests" report to ... World Market for Companion Diagnostics The World ... diagnostic and personalized medicine diagnostics. Market analysis in the report ... Diagnostics Test Market (In Vitro Diagnostic Kits) by Region (N. ...
(Date:6/24/2016)... --  Pulmatrix, Inc ., (NASDAQ: PULM ), ... today that it was added to the Russell Microcap ... set of U.S. and global equity indexes on June ... for Pulmatrix," said Chief Executive Officer Robert Clarke ... in developing drugs for crucial unmet medical needs, and ...
(Date:6/24/2016)... 2016  Arkis BioSciences, a leading innovator in ... durable cerebrospinal fluid treatments, today announced it has ... is led by Innova Memphis, followed by Angel ... investors.  Arkis, new financing will accelerate the commercialization ... release of its in-licensed Endexo® technology. ...
Breaking Medicine Technology: