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Delivery of Cancer Screening
- Source :
- Archives of Internal Medicine. 167:580
- Publication Year :
- 2007
- Publisher :
- American Medical Association (AMA), 2007.
-
Abstract
- Background Patients and physicians strongly endorse the importance of preventive or periodic health examinations (PHEs). However, the extent to which PHEs contribute to the delivery of cancer screening is uncertain. Methods In a retrospective cohort study, we determined the association between receipt of a PHE and cancer testing in a population-based sample of enrollees in a Washington State health plan who were aged 52 to 78 years and eligible for colorectal, breast, or prostate cancer screening in 2002-2003 (N = 64 288). Outcomes included completion of any colorectal cancer testing (fecal occult blood testing, sigmoidoscopy, colonoscopy, or barium enema), screening mammography, and prostate-specific antigen testing. Results More than half (52.4%) of the enrollees received a PHE during the study period. After adjusting for demographics, comorbidity, number of outpatient visits, and historical preventive service use before January 1, 2002, receipt of a PHE was significantly associated with completion of colorectal cancer testing (incidence difference, 40.4% [95% confidence interval (CI), 39.4%-41.3%]; relative incidence, 3.47 [95% CI, 3.34-3.59]), screening mammography [incidence difference, 14.2% [95% CI, 12.7%-15.7%]; relative incidence, 1.23 [95% CI, 1.20-1.25]), and prostate-specific antigen testing (incidence difference, 39.4% [95% CI, 38.3%-40.5%]; relative incidence, 3.06 [95% CI, 2.95-3.18]). Conclusions Among managed care enrollees eligible for cancer screening, PHE receipt is associated with completion of colorectal, breast, and prostate cancer testing. In similar populations, the PHE may serve as a clinically important forum for the promotion of evidence-based colorectal cancer and breast cancer screening and of screening with relatively less empirical support, such as prostate cancer screening.
- Subjects :
- Male
medicine.medical_specialty
Colorectal cancer
Contrast Media
Enema
Comorbidity
Article
Cohort Studies
Breast cancer screening
Sex Factors
Neoplasms
Internal medicine
Preventive Health Services
Cancer screening
Internal Medicine
medicine
Humans
Mass Screening
Sigmoidoscopy
Mass screening
Aged
Retrospective Studies
Preventive healthcare
Barium enema
Gynecology
medicine.diagnostic_test
business.industry
Age Factors
Cancer
Colonoscopy
Middle Aged
Prostate-Specific Antigen
medicine.disease
United States
Prostate cancer screening
Socioeconomic Factors
Occult Blood
Female
Barium Sulfate
business
Mammography
Subjects
Details
- ISSN :
- 00039926
- Volume :
- 167
- Database :
- OpenAIRE
- Journal :
- Archives of Internal Medicine
- Accession number :
- edsair.doi.dedup.....ac896fc3d139cb7f984c96cd830d859d