Still, Dr. Inadomi cautioned that these findings cannot be generalized to all populations that are not, as this one was, ethnically and racially diverse and in a safety net setting, with patients who tend to have lower socioeconomic status, education and income. He also cautioned that researchers looked only at the first episode of screening and that further research is being conducted to determine whether these findings are consistent when adherence to programmatic screening, as is required for FOBT, is evaluated.
Dr. Inadomi will present these data on Sunday, May 2 at 10:30 a.m. CT in 288-290, Ernest N. Morial Convention Center.
Adherence to Colorectal Cancer Screening Varies by Race/Ethnicity and Screening Strategy (Abstract #1039)
Limited English proficiency is not a barrier to colon cancer screening if access to health care is available, according to a new study by researchers at the University of California, San Francisco (UCSF).
Disparities in colorectal cancer (CRC) mortality exist between racial and ethnic groups, but mortality from CRC can be reduced by screening with fecal occult blood testing (FOBT) and colonoscopy. Researchers sought to determine whether these disparities represent disparities in access to screening or differences in utilization of screening. Nearly 1,000 patients at average risk for CRC were assigned to receive a recommendation from their primary care provider for FOBT alone, colonoscopy alone, or they could choose between the two.
System barriers were reduced by decreasing or eliminating patient costs of colonoscopy, providing procedure and preparation instructions in their preferred language, providing transportation if needed, and scheduling an appointment within two weeks. More than half (65.1 percent) adhered to any type of CRC strategy,
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