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 The Great Unknown: Risk-Taking Behavior in Adolescents
19.01.2017 | Max-Planck-Institut für Bildungsforschung

nachricht A sudden drop in outdoor temperature increases the risk of respiratory infections
11.01.2017 | University of Gothenburg

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: Traffic jam in empty space

New success for Konstanz physicists in studying the quantum vacuum

An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Sustainable Water use in Agriculture in Eastern Europe and Central Asia

19.01.2017 | Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

 
Latest News

Helmholtz International Fellow Award for Sarah Amalia Teichmann

20.01.2017 | Awards Funding

An innovative high-performance material: biofibers made from green lacewing silk

20.01.2017 | Materials Sciences

Ion treatments for cardiac arrhythmia — Non-invasive alternative to catheter-based surgery

20.01.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>