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Client-directed interventions to increase community access to breast, cervical, and colorectal cancer screening a systematic review.

Authors :
Baron RC
Rimer BK
Coates RJ
Kerner J
Kalra GP
Melillo S
Habarta N
Wilson KM
Chattopadhyay S
Leeks K
Task Force on Community Preventive Services
Baron, Roy C
Rimer, Barbara K
Coates, Ralph J
Kerner, Jon
Kalra, Geetika P
Melillo, Stephanie
Habarta, Nancy
Wilson, Katherine M
Chattopadhyay, Sajal
Source :
American Journal of Preventive Medicine. Jul2008 Supplement, Vol. 35 Issue 1, pS56-66. 1p.
Publication Year :
2008

Abstract

Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community access to these services. Evidence from these reviews indicates that screening for breast cancer (by mammography) has been increased effectively by reducing structural barriers and by reducing out-of pocket client costs, and that screening for colorectal cancer (by fecal occult blood test) has been increased effectively by reducing structural barriers. Additional research is needed to determine whether screening for cervical cancer (by Pap test) can be increased by reducing structural barriers and by reducing out-of-pocket costs, whether screening for colorectal cancer (fecal occult blood test) can be increased by reducing out-of-pocket costs, and whether these interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07493797
Volume :
35
Issue :
1
Database :
Academic Search Index
Journal :
American Journal of Preventive Medicine
Publication Type :
Academic Journal
Accession number :
105690717
Full Text :
https://doi.org/10.1016/j.amepre.2008.04.001