A UCLA/Veterans Affairs study showed that more than 40 percent of patients who initially had received a positive result on a fecal occult blood test (FOBT) -- an initial screening tool for colon cancer -- did not receive appropriate diagnostic follow-up tests such as a colonoscopy or barium enema in 2002. According to the authors, the study may even underestimate this problem in the United States, since previous studies have shown the VAs level of preventive care and follow-up traditionally has been higher than at most other health care settings.
Published in May in the journal Diseases of the Colon & Rectum, the UCLA/VA study is one of the largest reviews of colorectal screening and follow-up patient data to date. The study used data from the VA, the nations largest integrated health care system. The study was performed as a prelude to a national VA effort, now underway, to improve colorectal cancer screening and suggested the need for better medical follow-through for patients with potential colon cancer.
Study authors took advantage of the VAs ongoing quality improvement program to analyze 39,870 patient records. Overall, 61 percent of eligible VA patients had been screened for colorectal cancer, a rate significantly higher than the national average. Of the screened population, 313 patients had an abnormal FOBT result. Only 59 percent, or 185 patients, of this group received follow-up diagnostic tests such as a colonoscopy or a barium enema. Forty-one percent, or 128 patients, received no follow-up at all in the six months following the FOBT.
Rachel Champeau | EurekAlert!
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