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Patterns of colorectal cancer screening uptake in newly eligible men and women.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Wernli, Karen J. Hubbard, Rebecca A. Johnson, Eric Chubak, Jessica Kamineni, Aruna Green, Beverly B. Rutter, Carolyn M.
Description	Author Affiliation: Wernli KJ ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington wernli.k@ghc.org.); Hubbard RA ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.); Johnson E ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.); Chubak J ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.); Kamineni A ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.); Green BB ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.); Rutter CM ( Authors' Affiliation: Group Health Research Institute, Seattle, Washington.)
Abstract	BACKGROUND: We describe patterns of colorectal cancer screening uptake in a U.S. insured population as individuals become newly eligible for screening at age 50 and assess temporal trends and patient characteristics with screening uptake. METHODS: We identified a cohort of 81,223 men and women who were members of Group Health and turned 50 years old from 1996 to 2010. We ascertained receipt of colorectal cancer screening within five years. Time to screening was estimated by year of cohort entry using cumulative incidence curves and Cox proportional hazards models-estimated patient characteristics associated with screening uptake. RESULTS: Stool-based screening tests were the most common, 72% of first screening tests. The proportion of individuals initiating colorectal cancer screening via colonoscopy increased from 8% in 1996 to 1998 to 33% in 2008 to 2010. Patient factors associated with increased colorectal cancer screening were: turning 50 more recently (2008-2010; Ptrend < 0.0001) or Asian race [HR, 1.14; 95% confidence interval (CI), 1.10-1.19]. Patient factors associated with decreased screening were: being a woman (HR, 0.70; 95% CI, 0.68-0.72), Native American (HR, 0.68; 95% CI, 0.60-0.78), or Pacific Islander race (HR, 0.82; 95% CI, 0.72-0.95), and having prevalent diabetes (HR, 0.78; 95% CI, 0.75-0.82) and higher body mass index (Ptrend < 0.0001). CONCLUSIONS: Patient characteristics associated with initiation of colorectal cancer screening in a newly eligible population are similar to characteristics associated with overall screening participation in all age-eligible adults. Our results identify patient populations to target in outreach programs. IMPACT: Disparities in receipt of colorectal cancer screening are evident from onset of an age-eligible cohort, identifying key groups for future interventions for screening.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-13-1360
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	7
Volume Number	23
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2014-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology Colorectal Neoplasms Diagnosis Early Detection Of Cancer Utilization Colonoscopy Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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