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Facilitators and barriers to colorectal cancer screening in an outpatient setting

World Journal of Clinical Cases 2021年第21期9卷 5850-5859页

作者： Gbeminiyi Samuel MaryKate Kratzer Oghale Asagbra Josef Kinderwater Shiva Poola Jennifer Udom Karissa Lambert muna mian Eslam Ali Division of Gastroenterology East Carolina University/Vidant Medical CenterGreenvilleNC 27834United States Department of Internal Medicine East Carolina University/Vidant Medical CenterGreenvilleNC 27834United States Department of Health Services and Information Management East Carolina UniversityGreenvilleNC 27834United States Department of Internal Medicine/Pediatrics Brody School of Medicine/Vidant Medical CenterGreenvilleNC 27834United States

BACKGROUND Colorectal cancer(CRC)is the third most common cancer and the second leading cause of cancer-related deaths in the United ***,1 in 3 adults aged 50 years to 75 years have not been screened for *** detection and management of precancerous or malignant lesions has been shown to improve overall *** To determine the most significant facilitators and barriers to CRC screening in an outpatient clinic in rural North *** results of this study can then be used for quality improvement to increase the rate of patients ages 50 to 75 who are up to date on CRC *** This retrospective study examined 2428 patients aged 50 years to 75 years in an outpatient *** were up to date on CRC screening if they had fecal occult blood test or fecal immunochemical test in the past one year,Cologuard in the past three years,flexible sigmoidoscopy/virtual colonoscopy in the past five years,or colonoscopy in the past ten *** on patient socioeconomic status,comorbid conditions,and other determinants of health compliance were included as *** Age[odds ratio(OR)=1.058;P=0.017],no-show rate percent(OR=0.962;P<0.05),patient history of obstructive sleep apnea(OR=1.875;P=0.025),compliance with flu vaccinations(OR=1.673;P<0.05),compliance with screening mammograms(OR=2.130;P<0.05),and compliance with screening pap smears(OR=2.708;P<0.05)were important factors in determining whether a patient will receive CRC ***,gender,insurance or employment status,use of blood thinners,family history of CRC,or other comorbid conditions including diabetes,hypertension,congestive heart failure,chronic obstructive pulmonary disease,and end-stage renal disease were not found to have a statistically significant effect on patient adherence to CRC *** Patient age,history of sleep apnea,and compliance with other health maintenance tests were significant facilitators to CRC screening,while no-show rate percent w

关键词： Colorectal cancer screening Screening colonoscopy Health maintenance Colonoscopy Colorectal cancer Patient adherence

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