S282 Association Between Colorectal Cancer (CRC) and Disease Stage in Patients Undergoing Screening Versus Diagnostic Procedures in a Public Hospital in New York City

Abstract Colorectal cancer (CRC) incidence rates are rising in younger Americans and mortality rates are increasing among younger white Americans. We used New York State Cancer Registry data to examine New York City CRC incidence and mortality trends among adults ages 20–54 years by race from 1976 to 2015. Annual percent change (APC) was considered statistically significant at P less than .05 using a two-sided test. CRC incidence increased among those ages 20–49 years, yet blacks had the largest APC of 2.2% (1993–2015; 95% confidence interval [CI] = 1.4% to 3.1%) compared with 0.5% in whites (1976–2015; 95% CI = 0.2% to 0.7%). Among those aged 50–54 years, incidence increased among blacks by 0.8% annually (1976–2015; 95% CI = 0.4% to 1.1%), but not among whites. CRC mortality decreased among both age and race groups. These findings emphasize the value of local registry data to understand trends locally, the importance of timely screening, and the need for clinicians to consider CRC among all patients with compatible signs and symptoms.

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Screening by Culture for the Detection of Gonorrhoea in Women

Scottish Medical Journal ◽

10.1177/003693307902400410 ◽

1979 ◽

Vol 24 (4) ◽

pp. 302-306 ◽

Cited By ~ 4

Author(s):

H. Young ◽

A. B. Harris ◽

D. Urquhart ◽

D. H. H. Robertson

Keyword(s):

New York ◽

New York City ◽

York City ◽

Diagnostic Tests ◽

Diagnostic Procedures ◽

Culture Positive

The number of gonoccal infections detected by each of three sets of diagnostic cultures from the urethra, cervix, rectum and occasionally the throat, were Calculated for 1976 when Thayer Martin (TM) medium was used and for 1977 when Modified New York City (MNYC) medium was used. In [1977, 98.7 per cent (451/457) of the total infections diagnosed were confirmed by culture compared with 88.3 per cent (324/367) of infections diagnosed in 1976 (P<0.001). The first set of diagnostic tests detected 97.6 per cent (440/451) of culture-positive infections in 1977 compared with only 88.9 per cent (228/324) in 1976 (P<0.001). The efficiency of screening with a single endocervical culture was also calculated. This procedure would have detected 90.2 per cent (407/451) of culture-positive infections in 1977 when MNYC medium was used compared with only 78.1 per cent (253/324) in 1976 when TM medium was used (P<0.001). It is suggested that the statistically significant improvement in the culture results for 1977 resulted from the introduction of MNYC medium since all other diagnostic procedures were identical to those in 1976. Other advantages associated with the use of MNYC medium are discussed.

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THE EMOTIONAL IMPACT OF THE ASRM GUIDELINES ON FERTILITY PATIENTS DURING THE COVID-19 PANDEMIC

10.1101/2020.03.29.20046631 ◽

2020 ◽

Cited By ~ 6

Author(s):

Jenna Turocy ◽

Alex Robles ◽

Daniel Hercz ◽

Mary D’Alton ◽

Eric J. Forman ◽

...

Keyword(s):

New York ◽

New York City ◽

Outcome Measures ◽

York City ◽

Online Survey ◽

Treatment Cycle ◽

Response Rate ◽

Diagnostic Procedures ◽

Emotional Impact ◽

Current Fertility

ABSTRACTObjectiveTo survey fertility patients’ agreement with ASRM recommendations during the COVID-19 pandemic and the emotional impact on them.DesignAn online survey was sent to current fertility patientsSettingNew York City academic fertility practice at the epicenter of the COVID-19 pandemicPatient(s)Fertility patients seen within the last yearIntervention(s)NoneMain Outcome Measures(s)Patient agreement with the ASRM recommendations during the COVID-19 pandemic and the emotional impact rated on a Likert scale.Result(s)A total of 518 patients completed the survey for a response rate of 17%. Fifty percent of respondents had a cycle canceled due to the COVID-19 pandemic. Of those who had a cycle cancelled, 85% of respondents found it to be moderately to extremely upsetting with 22% rating it to be equivalent to the loss of a child. There was no difference on the emotional impact based on the type of cycle cancelled. Fifty-five percent of patients agreed that diagnostic procedures such as hysterosalpingograms should be cancelled while 36% of patients agreed all fertility cycles should be cancelled. Patients were slightly more likely to agree with the ASRM guidelines if they have an upcoming cycle cancelled (p = 0.041). Of all respondents 82% would have preferred to have the option to start a treatment cycle in consultation with their doctor.Conclusion(s)Given the severity of the COVID-19 pandemic, the physical, financial and emotional impact of this unprecedented threat cannot be underestimated in our fertility patients.

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