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 Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

nachricht Oxygen loss in the coastal Baltic Sea is “unprecedentedly severe”
05.07.2018 | European Geosciences Union

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: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

Im Focus: Chemical reactions in the light of ultrashort X-ray pulses from free-electron lasers

Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.

Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Global study of world's beaches shows threat to protected areas

19.07.2018 | Earth Sciences

New creepy, crawly search and rescue robot developed at Ben-Gurion U

19.07.2018 | Power and Electrical Engineering

Metal too 'gummy' to cut? Draw on it with a Sharpie or glue stick, science says

19.07.2018 | Materials Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>