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Population-based programs for increasing colorectal cancer screening in the United States.
Verma, Manisha; Sarfaty, Mona; Brooks, Durado; Wender, Richard C.
Afiliação
  • Verma M; Research Scientist, Einstein Healthcare Network, Philadelphia, PA.
  • Sarfaty M; Director, Program for Climate and Health, George Mason University, Fairfax, VA.
  • Brooks D; Director, Cancer Control Intervention, American Cancer Society, Atlanta, GA.
  • Wender RC; Chief Cancer Control Officer, American Cancer Society, Atlanta, GA.
CA Cancer J Clin ; 65(6): 497-510, 2015.
Article em En | MEDLINE | ID: mdl-26331705
Answer questions and earn CME/CNE Screening to detect polyps or cancer at an early stage has been shown to produce better outcomes in colorectal cancer (CRC). Programs with a population-based approach can reach a large majority of the eligible population and can offer cost-effective interventions with the potential benefit of maximizing early cancer detection and prevention using a complete follow-up plan. The purpose of this review was to summarize the key features of population-based programs to increase CRC screening in the United States. A search was conducted in the SCOPUS, OvidSP, and PubMed databases. The authors selected published reports of population-based programs that met at least 5 of the 6 International Agency for Research on Cancer (IARC) criteria for cancer prevention and were known to the National Colorectal Cancer Roundtable. Interventions at the level of individual practices were not included in this review. IARC cancer prevention criteria served as a framework to assess the effective processes and elements of a population-based program. Eight programs were included in this review. Half of the programs met all IARC criteria, and all programs led to improvements in screening rates. The rate of colonoscopy after a positive stool test was heterogeneous among programs. Different population-based strategies were used to promote these screening programs, including system-based, provider-based, patient-based, and media-based strategies. Treatment of identified cancer cases was not included explicitly in 4 programs but was offered through routine medical care. Evidence-based methods for promoting CRC screening at a population level can guide the development of future approaches in health care prevention. The key elements of a successful population-based approach include adherence to the 6 IARC criteria and 4 additional elements (an identified external funding source, a structured policy for positive fecal occult blood test results and confirmed cancer cases, outreach activities for recruitment and patient education, and an established rescreening process).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Programas de Rastreamento / Detecção Precoce de Câncer Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: CA Cancer J Clin Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Programas de Rastreamento / Detecção Precoce de Câncer Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: CA Cancer J Clin Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos