Navigation Links
Provider influence and patient barriers affect use of colorectal cancer screening

A new study shows that health care providers play a key role in the likelihood their patients are screened for colorectal cancer. The findings suggest that interventions targeting both the provider and the patient are needed to boost colorectal cancer screening rates, and in particular must take into account patient barriers such as concerns about payment and worries that cancer will be discovered. The study is published in the March 15, 2008 issue of CANCER, a peer-reviewed journal of the American Cancer Society.

Colorectal cancer is the third leading cause of cancer death in both men and women in the United States. While there has been a growing recognition of the importance of colorectal cancer screening in reducing cancer mortality, national screening rates remain relatively low.

To assess the potential barriers to screening, Dr. Melissa M. Farmer, a VA career development awardee, analyzed data from a study conducted at UCLAs Jonsson Comprensive Cancer Center and the UCLA School of Public Health. Dr. Farmer and colleagues examined trends and predictors of colorectal cancer screening from telephone surveys done prior to and after a quality improvement intervention for screening within a large managed care health plan. The study design allowed them to examine issues related to screening in a setting in which access to care is not a barrier.

Survey participants included 498 individuals aged 50 years and older surveyed in 2000 and 482 individuals in the same age group surveyed in 2003. The researchers assessed whether individuals received colorectal cancer screening within specified guidelines, including a fecal occult blood test every year, sigmoidoscopy every 5 years, or colonoscopy every 10 years.

The investigators found that even though colorectal cancer screening rates increased over the three-year period, there was evidence of ongoing under-utilization. In 2000, only 38 percent of patients reported that they had been screened with any test (23 percent reported screening by endoscopy [sigmoidoscopy or colonoscopy], and 22 percent reported screening by fecal occult blood test). In 2003, screening rates increased to 50 percent for any test (39 percent for endoscopy, and 24 percent for fecal occult blood test).

Individuals who reported that they had discussed colorectal cancer screening with their doctor were significantly more likely to be screened. Conversely, those who reported barriers to colorectal cancer screening, like concerns about cost or fears that cancer would be discovered, were less likely to be screened.

The authors concluded that the results suggest that interventions focused solely on educating patients are not likely to increase rates significantly. They noted that it is also important that the provider and related health care system must be able to include discussions and recommendations for colorectal cancer screening in practice.


Contact: Amy Molnar

Related medicine news :

1. 4-Star Gen. Barry McCaffrey, Former U.S. Drug Czar, and Dr. Barry Karlin, Nations #1 Drug Treatment Provider, to Spearhead Drug Treatment WVA Advocacy Day Feb 13-14; 142,000 Need, Dont Get Treatment in State
2. VMware Desktop Virtualization Helps Healthcare Providers Improve Patient Care
3. Gentiva(R) Health Services Agrees to Acquire Major Home Health Provider in CON State of Mississippi
4. Leading Network of Aesthetic Service Providers Offers Unique Gift Ideas for Valentines Day
5. FTC Opposes Collective Bargaining for Providers in Puerto Rico
6. Health Care Solutions Provider Payformance Health Standardizes on PGP Encryption for Data Security
7. NightHawk Radiology exclusive radiology provider for high-risk plaque research initiative
8. Time Domain Adds Eleven Partners to its Channel Reseller Network of PLUS(TM) Ultra Wideband Solutions Providers
9. Align Technology Launches Aligntech Institute to Help Invisalign Providers Enhance Treatment Success and Practice Economics
10. Hospice and palliative care providers unite to discuss
11. Increased Usage of Mifeprex(R) Helps Slow Decline in Abortion Providers
Post Your Comments:
(Date:6/24/2016)... ... , ... People across the U.S. are sharpening their pencils and honing their ... in which patients and their families pay tribute to a genetic counselor by nominating ... of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, ...
(Date:6/24/2016)... New York, NY (PRWEB) , ... June 24, ... ... lifestyle publication Haute Living, is proud to recognize Dr. Barry M. Weintraub as ... believes that “the most beautiful women in the world, and the most handsome ...
(Date:6/24/2016)... ... June 24, 2016 , ... Strategic Capital Partners, LLC (SCP) ... obtaining investment capital for emerging technology companies. SCP has delivered investment events ... in more than a million dollars of capital investment for five companies. ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... is supporting the upcoming 2016 Miss Arizona pageant as its official Medspa Sponsor. ... Scottsdale, Tempe, Mesa, and Chandler, Arizona. , Dr. Olson says the decision ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)... Ill. and INDIANAPOLIS , ... students receiving a Lilly Diabetes Tomorrow,s Leaders Scholarship is ... 2016 scholarship winners, announced today online at ... let type 1 diabetes stand in the way of ... has supported the Foundation,s scholarship program since 2012, and ...
(Date:6/23/2016)... -- Revolutionary technology includes multi-speaker listening to ... leaders in advanced audiology and hearing aid technology, has ... the world,s first internet connected hearing aid that opens ...      (Photo: ) , ... firsts,: , TwinLink™ - the first dual ...
Breaking Medicine Technology: