Mo1610 THE ASSOCIATION OF PATIENTS' PERCEPTION OF THEIR HEALTH STATUS AND COLORECTAL CANCER SCREENING UPTAKE AMONG US ADULTS

ObjectivesCancer screening is a form of secondary prevention for a disease which is now the leading cause of death in France. Various socioeconomic indicators have been identified as potential factors for disparities in breast, cervical and colorectal cancer screening uptake. We aimed to identify the socioeconomic inequalities, which persisted in screening uptake for these cancers, and to quantify these disparities over a 5-year period.SettingThe Cancer Barometer was a population-based-survey carried out in 2005 and 2010 in France.ParticipantsA randomly selected sample of participants aged 15–85 years (n=3820 in 2005 and n=3727 in 2010) were interviewed on their participation in breast, cervical and colorectal cancer screening-programmes and their socioeconomic profile.Primary and secondary outcome measuresFor each type of screening programme, we calculated participation rates, OR and relative inequality indices (RII) for participation, derived from logistic regression of the following socioeconomic variables: income, education, occupation, employment and health insurance. Changes in participation between 2005 and 2010 were then analysed.ResultsParticipation rates for breast and colorectal screening increased significantly among the majority of socioeconomic categories, whereas for cervical cancer screening there were no significant changes between 2005 and 2010. RIIs for income remained significant for cervical smear in 2005 (RII=0.25, 95% CI 0.13 to 0.48) and in 2010 (RII=0.31, 95% CI 0.15 to 0.64). RIIs for education in mammography (RII=0.43, 95% CI 0.19 to 0.98) and cervical smear (RII=0.36, 95% CI 0.21 to 0.64) were significant in 2005 and remained significant for cervical smear (RII=0.40, 95% CI 0.22 to 0.74) in 2010.ConclusionsThere was a persistence of socioeconomic inequalities in the uptake of opportunistic cervical cancer screening. Conversely, organised screening programmes for breast and colorectal cancer saw a reduction in relative socioeconomic inequalities, even though the results were not statistically significant. The findings suggest that organised cancer screening programmes may have the potential to reduce socioeconomic disparities in participation.

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Adherence to national guidelines for colorectal cancer screening in Israel: Comprehensive multi-year assessment based on electronic medical records

Journal of Medical Screening ◽

10.1177/0969141320919152 ◽

2020 ◽

pp. 096914132091915 ◽

Cited By ~ 1

Author(s):

Ora Paltiel ◽

Aravah Keidar Tirosh ◽

Orit Paz Stostky ◽

Ronit Calderon-Margalit ◽

Arnon D Cohen ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Colorectal Cancer Screening ◽

Blood Test ◽

Fecal Occult Blood Test ◽

Occult Blood ◽

Fecal Occult Blood ◽

Occult Blood Test ◽

Screening Uptake ◽

Fecal Occult

Objectives To assess time trends in colorectal cancer screening uptake, time-to-colonoscopy completion following a positive fecal occult blood test and associated patient factors, and the extent and predictors of longitudinal screening adherence in Israel. Setting Nation-wide population-based study using data collected from four health maintenance organizations for the Quality Indicators in Community Healthcare Program. Methods Screening uptake for the eligible population (aged 50–74) was recorded 2003–2018 using aggregate data. For a subcohort (2008–2012, N = 1,342,617), time-to-colonoscopy following a positive fecal occult blood test and longitudinal adherence to screening guidelines were measured using individual-level data, and associated factors assessed in multivariate models. Results The annual proportion screened rose for both sexes from 11 to 65%, increasing five-fold for age group 60–74 and >six-fold for 50–59 year olds, respectively. From 2008 to 2012, 67,314 adults had a positive fecal occult blood test, of whom 71% eventually performed a colonoscopy after a median interval of 122 (95% confidence interval 110.2–113.7) days. Factors associated with time-to-colonoscopy included age, socioeconomic status, and comorbidities. Only 25.5% of the population demonstrated full longitudinal screening adherence, mainly attributable to colonoscopy in the past 10 years rather than annual fecal occult blood test performance (83% versus 17%, respectively). Smoking, diabetes, lower socioeconomic status, cardiovascular disease, and hypertension were associated with decreased adherence. Performance of other cancer screening tests and frequent primary care visits were strongly associated with adherence. Conclusions Despite substantial improvement in colorectal cancer screening uptake on a population level, individual-level data uncovered gaps in colonoscopy completion after a positive fecal occult blood test and in longitudinal adherence to screening, which should be addressed using focused interventions.

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Abstract PR-01: Inequalities in colorectal cancer screening uptake: Results from the first 2.6 million invitations in the organized screening program in the U.K

10.1158/1940-6207.prev-10-pr-01 ◽

2010 ◽

Cited By ~ 1

Author(s):

Christian von Wagner ◽

Gianluca Baio ◽

Rosalind Raine ◽

Julia Snowball ◽

Stephen Morris ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Colorectal Cancer Screening ◽

Screening Program ◽

Screening Uptake ◽

Organized Screening Program

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Colorectal Cancer Screening: uptake of sigmoidoscopy

Journal of Medical Screening ◽

10.1258/jms.2010.010117 ◽

2011 ◽

Vol 18 (1) ◽

pp. 50-50 ◽

Cited By ~ 1

Author(s):

Leo Gm Van Rossum

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Colorectal Cancer Screening ◽

Screening Uptake

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Tu1828 OFFERING A BLOOD TEST INCREASES COLORECTAL CANCER SCREENING UPTAKE IN INDIVIDUALS WHO HAVE DECLINED COLONOSCOPY AND FECAL IMMUNOCHEMICAL TESTING

Gastroenterology ◽

10.1016/s0016-5085(20)33615-5 ◽

2020 ◽

Vol 158 (6) ◽

pp. S-1178

Author(s):

Peter S. Liang ◽

Anika Zaman ◽

Anne M. Kaminsky ◽

Yongyan Cui ◽

Gabriel Castillo ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Colorectal Cancer Screening ◽

Blood Test ◽

Fecal Immunochemical Testing ◽

Screening Uptake

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The Effectiveness and Cost to Improve Colorectal Cancer Screening in a Federally Qualified Homeless Clinic in Eastern Kentucky

Health Promotion Practice ◽

10.1177/1524839920954165 ◽

2020 ◽

Vol 21 (6) ◽

pp. 905-909

Author(s):

Vicky Hardin ◽

Florence K. L. Tangka ◽

Teri Wood ◽

Brian Boisseau ◽

Sonja Hoover ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Incremental Cost ◽

Usual Care ◽

Colorectal Cancer Screening ◽

Patient Navigation ◽

Return Rate ◽

Screening Uptake ◽

Patient Navigators ◽

Incentive Program

The objective of this study was to analyze the effectiveness and cost of patient incentives, together with patient navigation and patient reminders, to increase fecal immunochemical test (FIT) kit return rates and colorectal cancer screening uptake in one federally qualified health center (FQHC) in Appalachia. This FQHC is a designated homeless clinic, as 79.7% of its patient population are homeless. We collected process, outcome, and cost data from the FQHC for two time periods: usual care (September 2016–August 2017) and implementation (September 2017–September 2018). We reported the FIT kit return rate, the increase in return rate, and the additional number of individual screens. We also calculated the incremental cost per additional screen. The patient incentive program, with patient navigation and patient reminders, increased the number of FIT kits returned from the usual care period to the implementation period. The return rate increased by 25.9 percentage points (from 21.7% to 47.6%) with an additional 91 people screened at an incremental cost of $134.61 per screen. A patient incentive program, together with the assistance of patient navigators and supplemented with patient reminders, can help improve CRC screening uptake among vulnerable and homeless populations.

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