Disparities in colorectal cancer screening among breast and prostate cancer survivors.
Disparities in colorectal cancer screening among breast and prostate cancer survivors.
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DOI：
10.1002/cam4.3729
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发表时间：
2021-03
期刊：
影响因子：
4
通讯作者：
Adams-Campbell L
中科院分区：
文献类型：
--
作者：
Dash C;Lu J;Parikh V;Wathen S;Shah S;Shah Chaudhari R;Adams-Campbell L
结肠直肠癌（CRC）筛查被推荐为癌症生存护理的一个组成部分。我们比较了乳腺癌和前列腺癌幸存者的CRC筛查率，主要癌症类型，患者和地理特征，以社区为基础的医疗保健系统，包括大型和小型都市区。这项回顾性研究的数据是从马里兰州南部一家多专业诊所的病历中提取的，该诊所为约25万人提供服务。对2015年之前诊断的乳腺癌（N = 1056）和前列腺癌（N = 891）患者进行了随访，直至2018年6月。认为过去10年内的筛查结肠镜检查与指南一致。采用多变量logistic回归分析确定年龄、性别、种族、大都会区类型、肥胖、糖尿病和高血压等因素对CRC筛查一致性的患病率比值比。总的来说，51%的幸存者接受了结肠镜检查。然而，前列腺癌（54%）和乳腺癌（44%）幸存者之间的CRC筛查率存在差异。年龄较大（≥65岁），与前列腺癌相比是乳腺癌幸存者，生活在大都市区与小都市区相比，接受CRC筛查的概率较低。在幸存者中，患有高血压与当前结肠镜筛查指南的可能性较高相关;但糖尿病和肥胖与CRC筛查无关。在南马里兰州的一个中心，乳腺癌和前列腺癌幸存者中发现CRC筛查利用率较低。性别、合并症和居住因素与接受CRC筛查相关。结肠直肠癌筛查被推荐作为乳腺癌和前列腺癌幸存者生存护理的一部分。我们研究了社区卫生保健系统中乳腺癌和前列腺癌幸存者接受结肠镜筛查的差异。总的来说，我们发现幸存者中结直肠癌筛查率较低（51%）。年龄较大的幸存者，乳腺癌与前列腺癌幸存者相比，以及那些生活在大都市地区的人与较小的都市地区相比，接受结肠镜检查的可能性较小。
Colorectal cancer (CRC) screening is recommended as an integral part of cancer survivorship care. We compared the rates of CRC screening among breast and prostate cancer survivors by primary cancer type, patient, and geographic characteristics in a community‐based health‐care system with a mix of large and small metro urban areas. Data for this retrospective study were abstracted from medical records of a multi‐specialty practice serving about 250,000 individuals in southern Maryland. Breast (N = 1056) and prostate (N = 891) cancer patients diagnosed prior to 2015 were followed up till June 2018. Screening colonoscopy within the last 10 years was considered to be guideline concordant. Multivariate logistic regression was used to determine the prevalence odds ratios of being concordant on CRC screening by age, gender, race, metro area type, obesity, diabetes, and hypertension. Overall 51% of survivors had undergone a screening colonoscopy. However, there was a difference in CRC screening rate between prostate (54%) and breast (44%) cancer survivors. Older age (≥65 years), being a breast cancer survivor compared to prostate cancer, and living in a large compared to small metropolitan area were associated with a lower probability of receiving CRC screening. Having hypertension was associated with higher likelihood of being current on colonoscopy screening guidelines among survivors; but diabetes and obesity were not associated with CRC screening. Low levels of CRC screening utilization were found among breast and prostate cancer survivors in a single center in Southern Maryland. Gender, comorbidities, and residential factors were associated with receipt of CRC screening. Colorectal cancer screening is recommended as part of survivorship care among breast and prostate cancer survivors. We examined the disparities in receipt of colonoscopy screening among breast and prostate cancer survivors in a community‐based health‐care system. Overall, we found low rates of colorectal cancer screening among survivors (51%). Older survivors, breast cancer as compared to prostate cancer survivors, and those living in large compared to smaller metropolitan areas were less likely to have received colonoscopy screening.
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影响因子：
5.7
作者：
Utada M;Ohno Y;Hori M;Soda M
通讯作者：
Soda M
影响因子：
5.5
作者：
Klabunde CN;Zheng Y;Quinn VP;Beaber EF;Rutter CM;Halm EA;Chubak J;Doubeni CA;Haas JS;Kamineni A;Schapira MM;Vacek PM;Garcia MP;Corley DA;PROSPR consortium
通讯作者：
PROSPR consortium
影响因子：
4.4
作者：
Uhlig, Annemarie;Mei, Janet;Uhlig, Johannes
通讯作者：
Uhlig, Johannes
DOI：
10.3122/jabfm.2012.03.100307
发表时间：
2012-05-01
影响因子：
2.9
作者：
Wilkins, Thad;Gillies, Ralph A.;Schade, Robert R.
通讯作者：
Schade, Robert R.
影响因子：
45.3
作者：
Snyder, Claire F.;Frick, Kevin D.;Earle, Craig C.
通讯作者：
Earle, Craig C.