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Colorectal Cancer Screening in an Equal Access Healthcare System
Introduction: The military health system (MHS) a unique setting to analyze implementation programs as well as outcomes for colorectal cancer (CRC). Here we look at the efficacy of different CRC screening methods, attributes and results within the MHS, and current barriers to increase compliance. Mat...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ivyspring International Publisher
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584840/ https://www.ncbi.nlm.nih.gov/pubmed/23459768 http://dx.doi.org/10.7150/jca.5833 |
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author | DeBarros, Mia Steele, Scott R. |
author_facet | DeBarros, Mia Steele, Scott R. |
author_sort | DeBarros, Mia |
collection | PubMed |
description | Introduction: The military health system (MHS) a unique setting to analyze implementation programs as well as outcomes for colorectal cancer (CRC). Here we look at the efficacy of different CRC screening methods, attributes and results within the MHS, and current barriers to increase compliance. Materials and Methods: A literature search was conducted utilizing PubMed and the Cochrane library. Key-word combinations included colorectal cancer screening, racial disparity, risk factors, colorectal cancer, screening modalities, and randomized control trials. Directed searches were also performed of embedded references. Results: Despite screening guidelines from several national organizations, extensive barriers to widespread screening remain, especially for minority populations. These barriers are diverse, ranging from education and access problems to personal beliefs. Screening rates in MHS have been reported to be generally higher at 71% compared to national averages of 50-65%. Conclusion: CRC screening can be highly effective at improving detection of both pre-malignant and early cancers. Improved patient education and directed efforts are needed to improve CRC screening both nationally and within the MHS. |
format | Online Article Text |
id | pubmed-3584840 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Ivyspring International Publisher |
record_format | MEDLINE/PubMed |
spelling | pubmed-35848402013-03-01 Colorectal Cancer Screening in an Equal Access Healthcare System DeBarros, Mia Steele, Scott R. J Cancer Review Introduction: The military health system (MHS) a unique setting to analyze implementation programs as well as outcomes for colorectal cancer (CRC). Here we look at the efficacy of different CRC screening methods, attributes and results within the MHS, and current barriers to increase compliance. Materials and Methods: A literature search was conducted utilizing PubMed and the Cochrane library. Key-word combinations included colorectal cancer screening, racial disparity, risk factors, colorectal cancer, screening modalities, and randomized control trials. Directed searches were also performed of embedded references. Results: Despite screening guidelines from several national organizations, extensive barriers to widespread screening remain, especially for minority populations. These barriers are diverse, ranging from education and access problems to personal beliefs. Screening rates in MHS have been reported to be generally higher at 71% compared to national averages of 50-65%. Conclusion: CRC screening can be highly effective at improving detection of both pre-malignant and early cancers. Improved patient education and directed efforts are needed to improve CRC screening both nationally and within the MHS. Ivyspring International Publisher 2013-03-20 /pmc/articles/PMC3584840/ /pubmed/23459768 http://dx.doi.org/10.7150/jca.5833 Text en © Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited. |
spellingShingle | Review DeBarros, Mia Steele, Scott R. Colorectal Cancer Screening in an Equal Access Healthcare System |
title | Colorectal Cancer Screening in an Equal Access Healthcare System |
title_full | Colorectal Cancer Screening in an Equal Access Healthcare System |
title_fullStr | Colorectal Cancer Screening in an Equal Access Healthcare System |
title_full_unstemmed | Colorectal Cancer Screening in an Equal Access Healthcare System |
title_short | Colorectal Cancer Screening in an Equal Access Healthcare System |
title_sort | colorectal cancer screening in an equal access healthcare system |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584840/ https://www.ncbi.nlm.nih.gov/pubmed/23459768 http://dx.doi.org/10.7150/jca.5833 |
work_keys_str_mv | AT debarrosmia colorectalcancerscreeninginanequalaccesshealthcaresystem AT steelescottr colorectalcancerscreeninginanequalaccesshealthcaresystem |