Racial/Ethnic Patterns of Uptake of Colorectal Screening, National Health Interview Survey 2000-2008

Shavers, Vickie L.; Jackson, Monica; Sheppard, Vanessa B.

doi:10.1016/s0027-9684(15)30640-4

Cited by 49 publications

(52 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…31 The benefi ts of colon cancer screening and disparities in its uptake have been widely reported. 32,33,34 Our fi ndings are consistent with previous studies documenting disparities in colonoscopy uptake between Whites and Asian Americans, African Americans, and Hispanics. 33,34 It is unclear whether BRCA carriers are also at higher risk of colon cancer, 35,36 so the recommended age to begin colonoscopy for most of this study population would be 50 years old.…”

Section: Discussionsupporting

confidence: 89%

“…32,33,34 Our fi ndings are consistent with previous studies documenting disparities in colonoscopy uptake between Whites and Asian Americans, African Americans, and Hispanics. 33,34 It is unclear whether BRCA carriers are also at higher risk of colon cancer, 35,36 so the recommended age to begin colonoscopy for most of this study population would be 50 years old. Even when we restricted our analysis to the 700 women who were 50 and older, we found that 85% of Diller participants reported having colon cancer screening versus 62% of SFGH participants (p<.0001).…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Genetic Counseling, Cancer Screening, Breast Cancer Characteristics, and General Health among a Diverse Population of BRCA Genetic Testers

Beattie¹,

Copeland²,

Fehniger³

et al. 2013

hpu

View full text Add to dashboard Cite

Outcomes after genetic testing for hereditary breast and ovarian cancer (HBOC) syndrome have not been well studied in underserved populations. We surveyed 1,123 BRCA testers from a genetic counseling program serving an academic cancer center (n=1,045) and a public county hospital (n=78) a median of 3.7 years after testing for mutations in BRCA1 and BRCA2 (breast cancer susceptibility genes). We compared genetic counseling outcomes, cancer screening rates, and self-reported general health. We found no differences in genetic counseling outcomes between hospitals. Breast cancer screening rates were similarly high at both hospitals, which are warranted in this high-risk population. Screening rates for ovarian, colon, and skin cancer were significantly lower in participants from the public hospital. BRCA results were not a predictor of general health at either hospital. When creating a genetic counseling program that serves women in different hospital settings, providers should emphasize guidelines-based screening recommendations for all patients.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Genetic Counseling, Cancer Screening, Breast Cancer Characteristics, and General Health among a Diverse Population of BRCA Genetic Testers

Beattie¹,

Copeland²,

Fehniger³

et al. 2013

hpu

View full text Add to dashboard Cite

show abstract

“…The United States Preventive Services Task Force (USPSTF) gives CRC screening its highest recommendation, 2 and mortality from CRC has declined as screening rates have increased. 3,4 Screening rates still lag for Hispanics, African Americans, low-income individuals, and immigrants, [5][6][7] however, contributing to disparities in CRC morbidity and mortality. 3 Telephone outreach, provided by practice or research-based staff or patient navigators, has increased CRC screening in many studies.…”

Section: Introductionmentioning

confidence: 99%

Telephone Outreach to Increase Colon Cancer Screening in Medicaid Managed Care Organizations: A Randomized Controlled Trial

Dietrich

Robinson

Cassells

et al. 2013

The Annals of Family Medicine

View full text Add to dashboard Cite

PURPOSE Health Plans are uniquely positioned to deliver outreach to members. We explored whether telephone outreach, delivered by Medicaid managed care organization (MMCO) staff, could increase colorectal cancer (CRC) screening among publicly insured urban women, potentially reducing disparities. METHODSWe conducted an 18-month randomized clinical trial in 3 MMCOs in New York City in 2008-2010, randomizing 2,240 MMCO-insured women, aged 50 to 63 years, who received care at a participating practice and were overdue for CRC screening. MMCO outreach staff provided cancer screening telephone support, educating patients and helping overcome barriers. The primary outcome was the number of women screened for CRC during the 18-month intervention, assessed using claims.RESULTS MMCO staff reached 60% of women in the intervention arm by telephone. Although significantly more women in the intervention (36.7%) than in the usual care (30.6%) arm received CRC screening (odds ratio [OR] = 1.32; 95% CI, 1.08-1.62), increases varied from 1.1% to 13.7% across the participating MMCOs, and the overall increase was driven by increases at 1 MMCO. In an as-treated comparison, 41.8% of women in the intervention arm who were reached by telephone received CRC screening compared with 26.8% of women in the usual care arm who were not contacted during the study (OR = 1.84; 95% CI, 1.38, 2.44); 7 women needed to be reached by telephone for 1 to become screened. CONCLUSIONSThe telephone outreach intervention delivered by MMCO staff increased CRC screening by 6% more than usual care among randomized women, and by 15.1% more than usual care among previously overdue women reached by the intervention. Our research-based intervention was successfully translated to the health plan arena, with variable effects in the participating MMCOs. INTRODUCTIONC olorectal cancer (CRC) remains the second leading cause of cancer death in the United States 1 despite screening tests that can detect and prevent it. The United States Preventive Services Task Force (USPSTF) gives CRC screening its highest recommendation, 2 and mortality from CRC has declined as screening rates have increased.3,4 Screening rates still lag for Hispanics, African Americans, low-income individuals, and immigrants, [5][6][7] however, contributing to disparities in CRC morbidity and mortality. 3 Telephone outreach, provided by practice or research-based staff or patient navigators, has increased CRC screening in many studies. [8][9][10][11][12][13][14][15][16][17][18][19][20][21] Patient navigators, who commonly begin outreach after patients receive T EL EPHONE OU T R E ACH F OR COLON C A NC ER S CR EENINGreferrals, have played an important role in CRC outreach in New York City and elsewhere, 11-19 improving screening rates particularly among patients whose primary language was not English or who were black 18 or Hispanic. 12In a previous randomized controlled trial, research staff provided telephone support to women recruited in Federally qualified Community Health Centers in New...

show abstract

“…Studies suggest that Hispanics do not get colonoscopies because of the lack of awareness and education and because of inadequate income, and because they are less likely to visit a physician for preventive services (MMWR, 2010). Researchers have found that minorities are not always compliant with recommended screening; therefore, their cancers may not be detected until advanced stages (Colon Cancer Alliance, 2009;Shavers, Jackson, & Sheppard, 2010). Strategies are clearly needed to increase the number of minorities undergoing colonoscopy screening.…”

Section: Limitationsmentioning

confidence: 99%

A National Study Comparing the Tolerability and Effectiveness of Colon-Cleansing Preparations

Daniels

Schmelzer²,

Handy³

et al. 2012

Gastroenterology Nursing

View full text Add to dashboard Cite

The aim of this multisite study (N = 412) was to identify which colon-cleansing preparations used before colonoscopy work best with specific patient populations. A comparative, descriptive approach was used to (1) describe bowel-cleansing preparations being used across the United States, (2) compare their cleansing effectiveness and tolerability, and (3) compare their effectiveness in patients with various health characteristics. A descriptive demographic data form adapted from the Society of Gastroenterology Nurses and Associates Minimum Data Set was used to collect baseline information, identify preprocedure instructions, and describe compliance with preparations. Subjects completed an 11-item subject experience with the bowel-cleansing form before their colonoscopy. A colon cleanliness scale was completed during the colonoscopy to evaluate the effectiveness of the preparation. The preparations revealed a "good" to "excellent" rating and there was no statistical difference in the cleansing effectiveness of the preparations. Subjects experienced a variety of discomforts. Future studies that involve the pooling of data from multiple sites in different geographical areas may provide more precise criteria for the selection of colon-cleansing preparation for specific patients and increase the cultural diversity of the sample.

show abstract

Racial/Ethnic Patterns of Uptake of Colorectal Screening, National Health Interview Survey 2000-2008

Cited by 49 publications

References 32 publications

Genetic Counseling, Cancer Screening, Breast Cancer Characteristics, and General Health among a Diverse Population of BRCA Genetic Testers

Genetic Counseling, Cancer Screening, Breast Cancer Characteristics, and General Health among a Diverse Population of BRCA Genetic Testers

Telephone Outreach to Increase Colon Cancer Screening in Medicaid Managed Care Organizations: A Randomized Controlled Trial

A National Study Comparing the Tolerability and Effectiveness of Colon-Cleansing Preparations

Contact Info

Product

Resources

About