scholarly journals Increasing uptake of colon cancer screening in a medically underserved population with the addition of blood-based testing

2020 ◽  
Author(s):  
Stephanie Ioannou ◽  
Kyle Sutherland ◽  
Daniel A. Sussman ◽  
Amar R. Deshpande
Keyword(s):  
Colon Cancer ◽  
Cancer Screening ◽  
Underserved Populations ◽  
Colon Cancer Screening ◽  
Medically Underserved ◽  
Screening Methods ◽  
Medically Underserved Populations ◽  
Medically Underserved Population ◽  
The Impact

Abstract Adherence to colorectal cancer screening is suboptimal, particularly in medically underserved populations. We report here on our assessment of the impact of offering a blood-based screening test on screening rates in a health fair setting. Patients attending student-run health fairs who met colon cancer screening guideline eligibility criteria received a recommendation to attend that screening station. Patients were offered recommended accepted screening methods, and if they declined they were offered blood-based testing. Screening rates, test outcomes, and the rate of follow up completion of colonoscopy were measured and compared with historic screening outcomes. Of 1401 screening eligible patients, 640 (45.7%) attended the colon cancer screening station, of whom 460 were eligible for assessment. Amongst these, none selected colonoscopy, 30 (6.5%) selected FIT, and 430 (93.5%) selected blood-based testing. Only 2 patients returned the FIT. For the blood test, 88 were positive, and 20 of these received a follow up colonoscopy. Based on this assessment, blood-based testing is an effective method to increase screening rates in medically underserved populations, though efforts to further improve access to follow up colonoscopy are necessary.

scholarly journals Increasing uptake of colon cancer screening in a medically underserved population with the addition of blood-based testing

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephanie Ioannou ◽  
Kyle Sutherland ◽  
Daniel A. Sussman ◽  
Amar R. Deshpande
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Colon Cancer ◽  
Cancer Screening ◽  
Underserved Populations ◽  
The United States ◽  
Colon Cancer Screening ◽  
Medically Underserved ◽  
Medically Underserved Populations

Abstract Background Adherence to colorectal cancer screening in the United States is suboptimal, particularly in medically underserved populations due to significant barriers to care. Unique accessible, low-cost, and non-invasive screening tests for this population could greatly benefit current rates. In this article, we assess patient preference and the impact of offering a blood-based test on screening rates in a cost-free health fair setting from April 2017 to April 2019. Methods Participants who met colorectal cancer screening eligibility criteria set forth by the United States Preventive Services Task Force were recommended to attend the colon cancer screening station. Those participants who elected to attend were offered various, accepted screening methods, and if they declined, were offered alternative blood-based testing. Screening rates, test outcomes, and the rate of follow up completion of colonoscopy were measured and compared with historic screening outcomes. Results Of 1401 participants who were recommended to attend, 640 (45.7%) participants were evaluated at the colon cancer screening station, of whom 460 were eligible for testing. Amongst these, none selected colonoscopy, 30 (6.5%) selected fecal immunochemical testing, and 430 (93.5%) selected blood-based testing. Only 2 participants returned the fecal immunochemical tests. In the blood test cohort, 88 were positive and 20 received a follow up colonoscopy. Conclusions Based on this assessment, blood-based testing is an effective method to increase screening rates in medically underserved populations, though efforts to further improve access to follow up colonoscopy are necessary.

scholarly journals Su1667 – Increasing Uptake of Colon Cancer Screening in a Medically Underserved Population with the Addition of Blood-Based Testing

2019 ◽  
Vol 156 (6) ◽  
pp. S-604 ◽  
Author(s):  
Stephanie Ioannou ◽  
Kyle Sutherland ◽  
Rahul Iyengar ◽  
Theo deVos ◽  
Daniel Sussman ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cancer Screening ◽  
Colon Cancer Screening ◽  
Medically Underserved ◽  
Underserved Population ◽  
Medically Underserved Population

The impact of yoga in medically underserved populations: A mixed-methods study

2019 ◽  
Vol 43 ◽  
pp. 201-207 ◽  
Author(s):  
Dagmara I. Moscoso ◽  
David Goese ◽  
Gregory J. Van Hyfte ◽  
Zelda Mayer ◽  
Loretta Cain ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Underserved Populations ◽  
Mixed Methods Study ◽  
Medically Underserved ◽  
Medically Underserved Populations ◽  
The Impact

W1985 the Impact of Sedation Choice On Colon Adenoma Detection for Colon Cancer Screening

2009 ◽  
Vol 136 (5) ◽  
pp. A-767
Author(s):  
Mark J. Metwally ◽  
Nicholas Agresti ◽  
Michael B. Wallace ◽  
William B. Hale ◽  
S. Simona Jakab ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cancer Screening ◽  
Colon Cancer Screening ◽  
Colon Adenoma ◽  
Adenoma Detection ◽  
The Impact

scholarly journals Internet Interest in Colon Cancer following Chadwick Boseman’s Death (Preprint)

2021 ◽  
Author(s):  
Hiten Naik ◽  
Maximilian Desmond Dimitri Johnson ◽  
Michael Roger Johnson
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Cancer Screening ◽  
The United States ◽  
Colon Cancer Screening ◽  
Black American ◽  
Online Activity ◽  
The Public ◽  
Search Terms ◽  
The Impact

BACKGROUND Compared to White Americans, Black Americans have greater incidence and mortality rates from colon cancer, but lower up-to-date screening rates. Chadwick Boseman was a prominent Black American actor who died of colon cancer on August 28, 2020. As announcements of celebrity diagnoses often result in an increased awareness of particular conditions, Boseman’s death may have resulted in greater online interest in colon cancer. OBJECTIVE The objective of this study was to quantify the impact Chadwick Boseman’s death on online search interest in colon cancer, and thereby identify an opportunity for healthcare providers to educate the public and advocate for higher risk groups. METHODS We used Google Trends (GT) and Wikipedia pageview analysis to assess the change in online activity related to colon cancer in the United States from two years prior to Chadwick’s death to three months following the announcement of his death. We used two of GT search topics (“colorectal cancer” and “colon cancer screening”) and fifteen search terms related to colon cancer screening, symptoms, diagnosis and risk factors. We forecasted what RSVs and number of pageviews would be expected if his death had not occurred, and compared this to what was observed. The forecasts were generated with 95% bootstrapped confidence intervals (CIs) using the ARIMA algorithm in R software. RESULTS GT’s observed RSVs for the topics “colorectal cancer” and “colon cancer screening” increased by as much as 598% and 707%, respectively, and were on average 121% (95% CI, 72%-193%) and 256% (95% CI, 35%-814%) greater than expected during the first three months following Boseman’s death. Ten out of fifteen search terms had mean observed RSVs significantly higher than expected within the first and second month following Boseman’s death. Three of the fifteen search terms (“colon cancer signs”, “colon cancer survival” and “colon cancer symptoms”) remained significantly greater than expected within the third month following August 28, 2020. Daily Wikipedia pageview volume during the two months following Boseman’s death was on average 1,979% (95% CI, 1,375%-2,894%) greater than expected. Altogether, it is estimated that this represented 547,354 (95% CI, 497,708-585,167) excess Wikipedia pageviews beyond what would be expected if Boseman’s death had not occurred. CONCLUSIONS There has been a significant increase in online activity related to colon cancer following Chadwick Boseman’s death. This reflects a heightened public awareness that can be leveraged to further educate the public, including the high-risk Black American subgroup. The magnitude and duration of increased Google searches and Wikipedia pageviews following Boseman’s death is unprecedented in the literature and future research will reveal if this translates to improved screening and detection rates for colon cancer.

scholarly journals The Impact of Diabetes Mellitus on the Second Primary Malignancies in Colorectal Cancer Patients

2021 ◽  
Vol 10 ◽  
Author(s):  
Jana Halamkova ◽  
Tomas Kazda ◽  
Lucie Pehalova ◽  
Roman Gonec ◽  
Sarka Kozakova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Colorectal Cancer ◽  
Colon Cancer ◽  
Cancer Screening ◽  
Second Primary ◽  
Significant Difference ◽  
Second Primary Malignancies ◽  
Risk Of Cancer ◽  
The Impact

IntroductionAll colorectal cancer (CRC) survivors have an increased risk of developing second primary malignancies (SPMs). The association between diabetes mellitus (DM) and the risk of cancer is well known. However, the role of DM and its therapy in the development of SPMs in CRC patients is not well described.MethodsIn this single-institutional retrospective analysis we identified 1,174 colorectal carcinoma patients, median follow-up 10.1 years, (median age 63 years, 724 men). All patients over 18 years with histologically confirmed CRC who were admitted in the period 1.1. 2003- 31.12.2013 and followed-up till 31.12. 2018 at the Masaryk Memorial Cancer Institute (MMCI) were screened for eligibility. The exclusion criteria were CRC diagnosed at autopsy, lost to follow-up and high risk of development of SPMs due to hereditary cancer syndrome. Tumours are considered multiple primary malignancies if arising in different sites and/or are of a different histology or morphology group. Comparisons of the basic characteristics between the patients with SPM and the patients without SPM were performed as well as comparison of the occurrence of SPMs by the site of diagnosis between the DM and non-DM cohorts and survival analyses.ResultsA SPM was diagnosed in 234 (20%) patients, DM in 183 (15%) patients. DM was diagnosed in 22.6% of those with SPM vs. in 13.8% of those without SPM (p=0.001). The most common types of SPMs in DM patients were other CRC, kidney, lung, bladder and nonmelanoma skin cancer, but only carcinoma of the liver and bile duct tracts was significantly more common than in the group without DM. Although breast cancer was the second most common in the group with DM, its incidence was lower than in the group without DM, as well as prostate cancer. A significantly higher incidence of SPMs was found in older CRC patients (≥ 65 years) and in those with lower stage colon cancer and DM. No significant difference in DM treatment between those with and without a SPM was observed including analysis of type of insulin.ConclusionCRC patients with diabetes mellitus, especially those with older age, and early stages of colon cancer, should be screened for second primary malignancies more often than the standard population. Patients without DM have longer survival. According to the occurrence of the most common second malignancies, a clinical examination, blood count, and ultrasound of the abdomen is appropriate, together with standard breast and colorectal cancer screening, and lung cancer screening under certain conditions, and should be recommended in CRC survivors especially in patients with intercurrent DM, however the necessary frequency of screening remains unclear.

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