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Reducing incidence rate and difference of colorectal cancer: performance and results of screening for colonoscopy in South Carolina

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Document pages: 9 pages

Abstract: This study assessed the efficiency, effectiveness, and potential to reduce racial differences of colonoscopy screening (scope SC) in people across South Carolina. Scope SC is a state funded project for the poor aged 50-64 (African American (AA)). It has a medical center in the community health center. The patient is referred to an existing referral network provider and the center is compensated for patient navigation. Surgical procedures and patient demographic data were analyzed. Of the 782 subjects recruited (71.2 AA), 85 (665) completed the procedure (71.1 AA). The detection rate of adenoma was 27.8 (male 34.6 , female 25.1 ), the detection rate of advanced tumor was 7.7 (including three cancers), the detection rate of cecal intubation was 98.9 , the detection rate of insufficient intestinal preparation was 7.9 , and the detection rate of adverse events was 7.7 e 0.9 . All indicators met the national quality benchmarks. The adenoma rate of 26.0 among AAs aged 45–49 years was similar to that of older Whites and AAs. We found that patient navigation and a medical home setting resulted in a successful and high-quality screening program. The observed high adenoma rate among younger AAs calls for more research with larger cohorts to evaluate the appropriateness of the current screening guidelines for AAs, given that they suffer 47 higher colorectal cancer mortality than Whites.

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