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

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.

scholarly journals Temporal trend in socioeconomic inequalities in the uptake of cancer screening programmes in France between 2005 and 2010: results from the Cancer Barometer surveys

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e016941 ◽  
Author(s):  
David Mark Kelly ◽  
Carla Estaquio ◽  
Christophe Léon ◽  
Pierre Arwidson ◽  
Hermann Nabi
Keyword(s):  
Colorectal Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Socioeconomic Inequalities ◽  
Secondary Outcome ◽  
Participation Rates ◽  
Cervical Smear ◽  
Screening Uptake

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.

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

2020 ◽  
Vol 158 (6) ◽  
pp. S-915
Author(s):  
Ifeanyichukwu Okereke ◽  
Shannon Anderson ◽  
Cherna cherfrere ◽  
Edidiong Okon ◽  
Victor F. Scott ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Status ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Uptake

scholarly journals Mailed Outreach Is Superior to Usual Care Alone for Colorectal Cancer Screening in the USA: A Systematic Review and Meta-analysis

2019 ◽  
Vol 64 (9) ◽  
pp. 2489-2496 ◽  
Author(s):  
Mark Jager ◽  
Josh Demb ◽  
Ali Asghar ◽  
Kevin Selby ◽  
Evelyn Marquez Mello ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Cancer Screening ◽  
Usual Care ◽  
Colorectal Cancer Screening ◽  
Meta Analysis ◽  
The Usa

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

2020 ◽  
pp. 096914132091915 ◽  
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.

scholarly journals Cost and Effectiveness of Reminders to Promote Colorectal Cancer Screening Uptake in Rural Federally Qualified Health Centers in West Virginia

2020 ◽  
Vol 21 (6) ◽  
pp. 891-897
Author(s):  
Mary Ellen Conn ◽  
Stephenie Kennedy-Rea ◽  
Sujha Subramanian ◽  
Adam Baus ◽  
Sonja Hoover ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
West Virginia ◽  
Colorectal Cancer Screening ◽  
Return Rate ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Process Measures ◽  
Return Rates ◽  
Phone Calls

The purpose of this study is to evaluate the effectiveness of the West Virginia Program to Increase Colorectal Cancer Screening in implementing patient reminders to increase fecal immunochemical test (FIT) kit return rates in nine federally qualified health centers (FQHCs). Using process measures and cost data collected, the authors examined the differences in the intensity of the phone calls across FQHCs and compared them with the return rates achieved. They also reported the cost per kit successfully returned as a result of the intervention. Across all FQHCs, 5,041 FIT kits were ordered, and the initial return rate (without a reminder) was 41.1%. A total of 2,201 patients received reminder phone calls; on average, patients received 1.61 reminder calls each. The reminder interventions increased the average FIT kit return rate to 60.7%. The average total cost per FIT kit returned across all FQHCs was $60.18, and the average cost of only the reminders was $11.20 per FIT kit returned. FQHCs achieved an average increase of 19.6 percentage points in FIT kit return rates, and costs across clinics varied. Clinics with high-quality health information systems that enabled tracking of patients with minimal effort were able to implement lower cost reminder interventions.

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