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Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA

Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. Many communities remain under the 80% CRC screening goal. We aimed to identify factors associated with non-adherence to CRC screening and to describe the effect of the COVID-19 pandemic in CRC screening patterns. A retro...

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Autores principales: Gangcuangco, Louie Mar A., Rivas, Tammy, Basnet, Aditi, Ryu, Da Young, Qaiser, Meshal, Usman, Rabia, Costales, Victoria C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362104/
https://www.ncbi.nlm.nih.gov/pubmed/35922730
http://dx.doi.org/10.1007/s11739-022-03053-2
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author Gangcuangco, Louie Mar A.
Rivas, Tammy
Basnet, Aditi
Ryu, Da Young
Qaiser, Meshal
Usman, Rabia
Costales, Victoria C.
author_facet Gangcuangco, Louie Mar A.
Rivas, Tammy
Basnet, Aditi
Ryu, Da Young
Qaiser, Meshal
Usman, Rabia
Costales, Victoria C.
author_sort Gangcuangco, Louie Mar A.
collection PubMed
description Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. Many communities remain under the 80% CRC screening goal. We aimed to identify factors associated with non-adherence to CRC screening and to describe the effect of the COVID-19 pandemic in CRC screening patterns. A retrospective review of patients aged 50–75 years seen at the Griffin Faculty Physicians primary care offices between January 2019 and December 2020 was performed. Logistic regression models were used to identify factors associated with CRC screening non-adherence. Of 12,189 patients, 66.2% had an updated CRC screen. On univariable logistic regression, factors associated with CRC screening non-adherence included age ≤ 55 years [odds ratio (OR) 2.267, p < 0.001], White/Caucasian race (OR 0.858, p = 0.030), Medicaid insurance (OR 2.097, p < 0.001), morbid obesity (OR 1.436, p < 0.001), current cigarette smoking (OR 1.849, p < 0.001), and elevated HbA1c (OR 1.178, p = 0.004). Age, Medicaid insurance, morbid obesity, current smoking, and HbA1c ≥ 6.5% remained significant in the final multivariable model. Compared to 2019, there was an 18.2% decrease in the total number of CRC screening tests in 2020. The proportion of colonoscopy procedures was lower in 2020 compared to the proportion of colonoscopy procedures conducted in 2019 (65.9% vs 81.7%, p < 0.001), with a concurrent increase in stool-based tests. CRC screening rates in our population are comparable to national statistics but below the 80% goal. COVID-19 affected CRC screening. Our results underscore the need to identify patient groups most vulnerable to missing CRC screening and highlight the importance of stool-based testing to bridge screening gaps.
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spelling pubmed-93621042022-08-10 Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA Gangcuangco, Louie Mar A. Rivas, Tammy Basnet, Aditi Ryu, Da Young Qaiser, Meshal Usman, Rabia Costales, Victoria C. Intern Emerg Med Im - Original Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. Many communities remain under the 80% CRC screening goal. We aimed to identify factors associated with non-adherence to CRC screening and to describe the effect of the COVID-19 pandemic in CRC screening patterns. A retrospective review of patients aged 50–75 years seen at the Griffin Faculty Physicians primary care offices between January 2019 and December 2020 was performed. Logistic regression models were used to identify factors associated with CRC screening non-adherence. Of 12,189 patients, 66.2% had an updated CRC screen. On univariable logistic regression, factors associated with CRC screening non-adherence included age ≤ 55 years [odds ratio (OR) 2.267, p < 0.001], White/Caucasian race (OR 0.858, p = 0.030), Medicaid insurance (OR 2.097, p < 0.001), morbid obesity (OR 1.436, p < 0.001), current cigarette smoking (OR 1.849, p < 0.001), and elevated HbA1c (OR 1.178, p = 0.004). Age, Medicaid insurance, morbid obesity, current smoking, and HbA1c ≥ 6.5% remained significant in the final multivariable model. Compared to 2019, there was an 18.2% decrease in the total number of CRC screening tests in 2020. The proportion of colonoscopy procedures was lower in 2020 compared to the proportion of colonoscopy procedures conducted in 2019 (65.9% vs 81.7%, p < 0.001), with a concurrent increase in stool-based tests. CRC screening rates in our population are comparable to national statistics but below the 80% goal. COVID-19 affected CRC screening. Our results underscore the need to identify patient groups most vulnerable to missing CRC screening and highlight the importance of stool-based testing to bridge screening gaps. Springer International Publishing 2022-08-03 2022 /pmc/articles/PMC9362104/ /pubmed/35922730 http://dx.doi.org/10.1007/s11739-022-03053-2 Text en © The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI) 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Im - Original
Gangcuangco, Louie Mar A.
Rivas, Tammy
Basnet, Aditi
Ryu, Da Young
Qaiser, Meshal
Usman, Rabia
Costales, Victoria C.
Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title_full Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title_fullStr Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title_full_unstemmed Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title_short Factors associated with colorectal cancer screening adherence and the impact of COVID-19 on screening patterns in Connecticut, USA
title_sort factors associated with colorectal cancer screening adherence and the impact of covid-19 on screening patterns in connecticut, usa
topic Im - Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362104/
https://www.ncbi.nlm.nih.gov/pubmed/35922730
http://dx.doi.org/10.1007/s11739-022-03053-2
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