Featured Research

from universities, journals, and other organizations

Why Patients Resist Colorectal Cancer Screening And How Health Care Providers Can Help

Date:
February 13, 2008
Source:
Wiley-Blackwell
Summary:
A new study shows that health care providers play a key role in the likelihood their patients are screened for colorectal cancer. The findings suggest that interventions targeting both the provider and the patient are needed to boost colorectal cancer screening rates, and in particular must take into account patient barriers such as concerns about payment and worries that cancer will be discovered.

A new study shows that health care providers play a key role in the likelihood their patients are screened for colorectal cancer. The findings suggest that interventions targeting both the provider and the patient are needed to boost colorectal cancer screening rates, and in particular must take into account patient barriers such as concerns about payment and worries that cancer will be discovered.

Colorectal cancer is the third leading cause of cancer death in both men and women in the United States. While there has been a growing recognition of the importance of colorectal cancer screening in reducing cancer mortality, national screening rates remain relatively low.

To assess the potential barriers to screening, Dr. Melissa M. Farmer, a VA career development awardee, analyzed data from a study conducted at UCLA's Jonsson Comprensive Cancer Center and the UCLA School of Public Health. Dr. Farmer and colleagues examined trends and predictors of colorectal cancer screening from telephone surveys done prior to and after a quality improvement intervention for screening within a large managed care health plan. The study design allowed them to examine issues related to screening in a setting in which access to care is not a barrier.

Survey participants included 498 individuals aged 50 years and older surveyed in 2000 and 482 individuals in the same age group surveyed in 2003. The researchers assessed whether individuals received colorectal cancer screening within specified guidelines, including a fecal occult blood test every year, sigmoidoscopy every 5 years, or colonoscopy every 10 years.

The investigators found that even though colorectal cancer screening rates increased over the three-year period, there was evidence of ongoing under-utilization. In 2000, only 38 percent of patients reported that they had been screened with any test (23 percent reported screening by endoscopy [sigmoidoscopy or colonoscopy], and 22 percent reported screening by fecal occult blood test). In 2003, screening rates increased to 50 percent for any test (39 percent for endoscopy, and 24 percent for fecal occult blood test).

Individuals who reported that they had discussed colorectal cancer screening with their doctor were significantly more likely to be screened. Conversely, those who reported barriers to colorectal cancer screening, like concerns about cost or fears that cancer would be discovered, were less likely to be screened.

The authors concluded that the results "suggest that interventions focused solely on educating patients are not likely to increase rates significantly." They noted that it is also important that "the provider and related health care system must be able to include discussions and recommendations for colorectal cancer screening in practice."

Article: "Predictors of Colorectal Cancer Screening From Patients Enrolled in a Managed Care Health Plan." Melissa M. Farmer, Roshan Bastani, Lorna Kwan, Michael Belman, and Patricia A. Ganz. CANCER; Published Online: February 11, 2008 (DOI: 10.1002/cncr.23290); Print Issue Date: March 15, 2008.


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Cite This Page:

Wiley-Blackwell. "Why Patients Resist Colorectal Cancer Screening And How Health Care Providers Can Help." ScienceDaily. ScienceDaily, 13 February 2008. <www.sciencedaily.com/releases/2008/02/080211083622.htm>.
Wiley-Blackwell. (2008, February 13). Why Patients Resist Colorectal Cancer Screening And How Health Care Providers Can Help. ScienceDaily. Retrieved September 1, 2014 from www.sciencedaily.com/releases/2008/02/080211083622.htm
Wiley-Blackwell. "Why Patients Resist Colorectal Cancer Screening And How Health Care Providers Can Help." ScienceDaily. www.sciencedaily.com/releases/2008/02/080211083622.htm (accessed September 1, 2014).

Share This




More Health & Medicine News

Monday, September 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

We've Got Mites Living In Our Faces And So Do You

We've Got Mites Living In Our Faces And So Do You

Newsy (Aug. 30, 2014) A new study suggests 100 percent of adult humans (those over 18 years of age) have Demodex mites living in their faces. Video provided by Newsy
Powered by NewsLook.com
Liberia Continues Fight Against Ebola

Liberia Continues Fight Against Ebola

AFP (Aug. 30, 2014) Authorities in Liberia try to stem the spread of the Ebola epidemic by raising awareness and setting up sanitation units for people to wash their hands. Duration: 00:41 Video provided by AFP
Powered by NewsLook.com
California Passes 'yes-Means-Yes' Campus Sexual Assault Bill

California Passes 'yes-Means-Yes' Campus Sexual Assault Bill

Reuters - US Online Video (Aug. 30, 2014) California lawmakers pass a bill requiring universities to adopt "affirmative consent" language in their definitions of consensual sex, part of a nationwide drive to curb sexual assault on campuses. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
New Drug Could Reduce Cardiovascular Deaths

New Drug Could Reduce Cardiovascular Deaths

Newsy (Aug. 30, 2014) The new drug from Novartis could reduce cardiovascular deaths by 20 percent compared to other similar drugs. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins