Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Intervention program fails to increase managed care colorectal cancer screening

10.10.2005


An intervention program designed to promote screening for colorectal cancer – and thereby decrease the number of cancers diagnosed - failed to increase screening rates in the managed care setting, a UCLA study has found.



During the two-year period monitored in the study, less than 30 percent of eligible patients received any screening for colorectal cancer in participating managed care practices, said Dr. Patricia Ganz, director of cancer prevention and control research at UCLA’s Jonsson Cancer Center and the lead author of the study. The study will be published in the Nov. 15, 2005 issue of CANCER, a peer-reviewed journal of the American Cancer Society.

"Colorectal cancer screening rates are low," Ganz said. "We need to do better. Screening saves lives. With increased screening and removal of pre-cancerous polyps, doctors won’t have the horrible task of telling their patients that they have colorectal cancer, a cancer that could easily have been prevented."


In the study, about half of the 32 managed care providers monitored were given a package of materials and administrative support designed to increase colorectal cancer screening, while the other half received nothing. Materials included tools and strategies to address and improve colorectal cancer screening practices. The intervention program was launched with a two-hour workshop that stressed the strategies and tools to leadership and staff at the individual practices, Ganz said. Additionally, UCLA research staff provided ongoing support to the practices, including newsletters and updates on educational resource materials targeting physicians and patients.

After two years, researchers reviewed 1,850 patient charts and found little difference in colorectal screening rates between managed care practices that received the intervention program and those that did not. Although large percentages of patients in the participating practices received mammograms (79.5 percent), pap smears (65 percent) and prostate specific antigen (PSA) tests (83.5 percent) to screen for cancers, only 26 percent received screening for colorectal cancer, which can be prevented, Ganz said.

Several things need to happen before screening rates improve, Ganz said. Large-scale public health campaigns to promote colorectal cancer screening need to be launched, physicians need to be educated about the life-saving value of fecal occult blood tests, flexible sigmoidoscopy and colonoscopy screening, and the tests must be easy for patient to access. Financial incentives for managed care practices – perhaps rewards for higher screening rates of eligible patients – also could boost screening.

Patients also must schedule regular physical examinations, instead of just seeing their doctors when they’re ill. The study found that patients who scheduled regular physical exams were much more likely to have received colorectal cancer screening tests. However, of the 1,850 patient charts reviewed, less than half had been in for a routine physical in the last two years. Additionally, patients over 50 should be encouraged to request colorectal screening if the tests are not offered by their physicians, Ganz said.

Colorectal cancer is the third most common cause of cancer death in the United States, and is expected to claim 56,290 lives this year alone. Colorectal cancer patients first develop benign polyps, which can be found with sigmoidoscopy and colonoscopy and removed before the polyps develop into cancer.

"The need to increase rates of colorectal cancer screening among older adults is a recognized cancer control priority," the study states. "Colorectal cancer screening lags behind other recommended examinations and there have been only modest improvements in recent years."

"There’s a real opportunity here to make a difference by successfully promoting colorectal cancer screening," Ganz said. "We can prevent this cancer if patients get screened."

Kim Irwin | EurekAlert!
Further information:
http://www.mednet.ucla.edu

More articles from Studies and Analyses:

nachricht Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT

nachricht Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Significantly more productivity in USP lasers

In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.

Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...

Im Focus: Shape matters when light meets atom

Mapping the interaction of a single atom with a single photon may inform design of quantum devices

Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

Im Focus: MADMAX: Max Planck Institute for Physics takes up axion research

The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.

The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

NTU scientists build new ultrasound device using 3-D printing technology

07.12.2016 | Health and Medicine

The balancing act: An enzyme that links endocytosis to membrane recycling

07.12.2016 | Life Sciences

How to turn white fat brown

07.12.2016 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>