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Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations
Patients experiencing homelessness face a high burden of chronic disease, including colorectal cancer. Access to colonoscopy is limited by many structural barriers in this population. In an exemplar case, we describe the barriers encountered by a homeless patient with a history of colorectal cancer...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511985/ https://www.ncbi.nlm.nih.gov/pubmed/36187331 http://dx.doi.org/10.1097/AS9.0000000000000183 |
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author | Schwartz, Hope E.M. Abel, Mary Kathryn Lin, Joseph A. Decker, Hannah C. Kushel, Margot B. Wick, Elizabeth C. |
author_facet | Schwartz, Hope E.M. Abel, Mary Kathryn Lin, Joseph A. Decker, Hannah C. Kushel, Margot B. Wick, Elizabeth C. |
author_sort | Schwartz, Hope E.M. |
collection | PubMed |
description | Patients experiencing homelessness face a high burden of chronic disease, including colorectal cancer. Access to colonoscopy is limited by many structural barriers in this population. In an exemplar case, we describe the barriers encountered by a homeless patient with a history of colorectal cancer who was lost to follow up and presented 11 years later with a new primary colon cancer. We provide policy solutions to increase the use of primary and secondary screening, including essential private bathroom access for colonoscopy preparation in patients who had a positive screening or require surveillance after diagnosis and treatment. We believe that increasing early detection and treatment may be cost-effective and could reduce disparities in morbidity and mortality in homeless patients. |
format | Online Article Text |
id | pubmed-9511985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer Health, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95119852022-10-03 Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations Schwartz, Hope E.M. Abel, Mary Kathryn Lin, Joseph A. Decker, Hannah C. Kushel, Margot B. Wick, Elizabeth C. Ann Surg Open Surgical Perspective Patients experiencing homelessness face a high burden of chronic disease, including colorectal cancer. Access to colonoscopy is limited by many structural barriers in this population. In an exemplar case, we describe the barriers encountered by a homeless patient with a history of colorectal cancer who was lost to follow up and presented 11 years later with a new primary colon cancer. We provide policy solutions to increase the use of primary and secondary screening, including essential private bathroom access for colonoscopy preparation in patients who had a positive screening or require surveillance after diagnosis and treatment. We believe that increasing early detection and treatment may be cost-effective and could reduce disparities in morbidity and mortality in homeless patients. Wolters Kluwer Health, Inc. 2022-08-02 /pmc/articles/PMC9511985/ /pubmed/36187331 http://dx.doi.org/10.1097/AS9.0000000000000183 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Surgical Perspective Schwartz, Hope E.M. Abel, Mary Kathryn Lin, Joseph A. Decker, Hannah C. Kushel, Margot B. Wick, Elizabeth C. Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title | Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title_full | Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title_fullStr | Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title_full_unstemmed | Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title_short | Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations |
title_sort | barriers to colorectal cancer screening and surveillance in homeless patients: a case report and policy recommendations |
topic | Surgical Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511985/ https://www.ncbi.nlm.nih.gov/pubmed/36187331 http://dx.doi.org/10.1097/AS9.0000000000000183 |
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