Colorectal cancer screening in African Americans: are we following the guidelines?
Purpose: The age at onset, incidence, and mortality rate of colorectal cancer varies among racial groups being highest in African Americans. This increased risk led to the recommendation to begin screening at the age of 45 years. Whether the recommendation for screening of African Americans at an ea...
| Publicado en: | Cancer Causes & Control Vol. 32; no. 9; pp. 943 - 952 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151567293&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151567293 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09575243 ODX jtl: Cancer Causes & Control issn: 09575243 maglogo: N pubinfo: dt: Sep2021 vid: 32 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151567293 151567293 NLM34143332 151567293 10.1007/s10552-021-01448-8 NLM34143332 151567293 ppf: 943 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Colorectal cancer screening in African Americans: are we following the guidelines? aug: au: Millien, Valentine Ongeri Levine, Phillip Suarez, Milena Gould affil: Section of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, TX, USA sug: subj: Colorectal Neoplasms Diagnosis Colorectal Neoplasms Epidemiology African Americans Middle Age Early Detection of Cancer Colonoscopy Health Screening Occult Blood Interview Guides Questionnaires Middle Aged: 45-64 years ab: Purpose: The age at onset, incidence, and mortality rate of colorectal cancer varies among racial groups being highest in African Americans. This increased risk led to the recommendation to begin screening at the age of 45 years. Whether the recommendation for screening of African Americans at an earlier age was implemented is unknown.Methods: We used data from the Cancer Control Supplement of National Health Interview Survey (NHIS) conducted in the years 2005, 2010, and 2015 to analyze demographic data and use of colorectal screening (colonoscopy, stool heme testing, sigmoidoscopy, computed tomographic colonography) among the US population between the ages of 45-49 years.Results: Data on colorectal screening was available from 6740 individuals; 16.5% were African Americans. Screening test use among African Americans in 2005, 2010, and 2015 was similar to use in Whites (i.e., 15.4% (95% CI 11.4-19.4), 28.4% (95% CI 19.3-30.4) and 20.2% (95% CI 14.8-25.5) vs. 16.9% (95% CI 15.1-18.6), 19.3% (95% CI 16.9-21.7), and 21.4% (95% CI 18.6-24.2) in 2005, 2010 and 2015, respectively. Observed screening test use rates may largely be accounted for by diagnostic exams.Conclusion: The recommendation for earlier colorectal screening of African Americans has not yet resulted in increased test utilization. These results emphasize the need for multidisciplinary actions to inform and implement public health policy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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