Community-Based Colorectal Cancer Screening Trials with Multi-Ethnic Groups: A Systematic Review.
The objective of this review was to summarize the current literature of community-based colorectal cancer screening randomized controlled trials with multi-ethnic groups. The CDC reports 40% of adults do not receive time-appropriate colorectal cancer screening. Although overall screening rates have...
| Published in: | Journal of Community Health Vol. 35; no. 6; pp. 592 - 602 |
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| Main Authors: | , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Springer Nature
Dec2010
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104950349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104950349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Dec2010 vid: 35 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104950349 55471429 10.1007/s10900-010-9247-4 NLM20224864 104950349 ppf: 592 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Community-Based Colorectal Cancer Screening Trials with Multi-Ethnic Groups: A Systematic Review. aug: au: Morrow JB Dallo FJ Julka M affil: Department of Family and Community Medicine, UT Southwestern Medical Center at Dallas, 6263 Harry Hines Blvd, Dallas, TX 75390-9067; jay.morrow@utsouthwestern.edu sug: subj: Colorectal Neoplasms Diagnosis Cancer Screening Evaluation Ethnic Groups Human Systematic Review Randomized Controlled Trials Meta Analysis Descriptive Statistics Decision Making, Patient ab: The objective of this review was to summarize the current literature of community-based colorectal cancer screening randomized controlled trials with multi-ethnic groups. The CDC reports 40% of adults do not receive time-appropriate colorectal cancer screening. Although overall screening rates have improved since 2000, disparities remain. Studies examining community characteristics may offer insight into improving screening rates and eliminating disparities. We identified community-based colorectal cancer screening studies using PubMed and Ovid Medline database searches. Inclusion criteria were: community-based, randomized controlled trials; English language; published from 1/2001 to 8/2009; all colorectal cancer screening test interventions recommended in the 2008 'Joint Consensus' report; and study participants from at least two racial/ethnic groups, with not more than 90% representation from one group. There were 29 relevant articles published during 2001-2009; with 15 meeting inclusion criteria. We categorized the final studies ( n = 15) into the four categories of Patient mailings ( n = 3), Telephone outreach ( n = 3), Electronic/multimedia ( n = 4), and Counseling/community education ( n = 5). Of 15 studies, 11 (73%) demonstrated increased screening rates for the intervention group compared to controls, including all studies (100%) from the Patient mailings and Telephone outreach groups, 4 of 5 (80%) Counseling/community education studies, and 1 of 4 (25%) Electronic/multimedia interventions. Patient choice and tailoring of information were common features of trials that increased screening rates across study categories. Including community-level factors and social context may be useful in future design and evaluation of colorectal cancer interventions to reduce or prevent new cases of colorectal cancer. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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