Improved rates of colorectal cancer screening in an equal access population

Lionel R BROUNTS; Ryan K LEHMANN; Kelly E LESPERANCE; Tommy A BROWN; Scott R STEELE

doi:10.1016/j.amjsurg.2008.12.006

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Improved rates of colorectal cancer screening in an equal access population

Journal article

Peer reviewed

Improved rates of colorectal cancer screening in an equal access population

Lionel R BROUNTS, Ryan K LEHMANN, Kelly E LESPERANCE, Tommy A BROWN and Scott R STEELE

The American journal of surgery, Vol.197(5), pp.609-613

2009

DOI: 10.1016/j.amjsurg.2008.12.006

PMID: 19306971

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Abstract

Background: National colorectal cancer (CRC) screening averages 50% to 60%. We aimed to identify screening prevalence in select Department of Defense (DOD) beneficiaries with equal access to care. Methods: December 2007 cross-sectional data of patients over 50 years of age included patient demographics, screening modality, and compliance. Results: Of 17,252 patients (52% male; mean age 63.2 +/- 8.1 years), 12,229 (71%) were up-to-date with national screening guidelines. Modalities included colonoscopy (83.0%), flexible sigmoidoscopy with fecal occult blood testing (FOBT) (32.2%), and air-contrast barium enema (0.7%). African American or Hispanic background (70% African American, 68% Hispanic vs 73% Caucasian), younger patients (66.1% <65 years vs 78.6% >65 years), and male gender (69.9% vs 72.1%; all P < .001) all had lower rates. Compared to 2005, more patients were current with guidelines (71% vs 64%) and colonoscopic screening (83% vs 71%). Conclusions: Although ethnicity-, gender-, and age-related disparities were observed, screening rates are improved in an equal access healthcare system.

Tumors

Gastroenterology. Liver. Pancreas. Abdomen

Stomach. Duodenum. Small intestine. Colon. Rectum. Anus

Biological and medical sciences

General aspects

Medical sciences

Details

Title: Subtitle: Improved rates of colorectal cancer screening in an equal access population
Creators: Lionel R BROUNTS - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Ryan K LEHMANN - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Kelly E LESPERANCE - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Tommy A BROWN - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Scott R STEELE - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Resource Type: Journal article
Publication Details: The American journal of surgery, Vol.197(5), pp.609-613
Publisher: Elsevier; New York, NY
DOI: 10.1016/j.amjsurg.2008.12.006
PMID: 19306971
ISSN: 0002-9610
eISSN: 1879-1883
Language: English
Date published: 2009
Academic Unit: Surgery
Record Identifier: 9984051790602771

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