Reducing Colorectal Cancer Incidence and Disparities : Performance and Outcomes of a Screening Colonoscopy Program in South Carolina
Joint Authors
Li, Yi-Jhen
Burch, James B.
Xirasagar, Sudha
Hurley, Thomas G.
Daguisé, Virginie G.
Hébert, James R.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
This study evaluated the efficiency, effectiveness, and racial disparities reduction potential of Screening Colonoscopies for People Everywhere in South Carolina (SCOPE SC), a state-funded program for indigent persons aged 50–64 years (45–64 years for African American (AA)) with a medical home in community health centers.
Patients were referred to existing referral network providers, and the centers were compensated for patient navigation.
Data on procedures and patient demographics were analyzed.
Of 782 individuals recruited (71.2% AA), 85% (665) completed the procedure (71.1% AA).
The adenoma detection rate was 27.8% (males 34.6% and females 25.1%), advanced neoplasm rate 7.7% (including 3 cancers), cecum intubation rate 98.9%, inadequate bowel preparation rate 7.9%, and adverse event rate 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.
American Psychological Association (APA)
Xirasagar, Sudha& Li, Yi-Jhen& Burch, James B.& Daguisé, Virginie G.& Hurley, Thomas G.& Hébert, James R.. 2014. Reducing Colorectal Cancer Incidence and Disparities : Performance and Outcomes of a Screening Colonoscopy Program in South Carolina. Advances in Public Health،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-498084
Modern Language Association (MLA)
Xirasagar, Sudha…[et al.]. Reducing Colorectal Cancer Incidence and Disparities : Performance and Outcomes of a Screening Colonoscopy Program in South Carolina. Advances in Public Health No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-498084
American Medical Association (AMA)
Xirasagar, Sudha& Li, Yi-Jhen& Burch, James B.& Daguisé, Virginie G.& Hurley, Thomas G.& Hébert, James R.. Reducing Colorectal Cancer Incidence and Disparities : Performance and Outcomes of a Screening Colonoscopy Program in South Carolina. Advances in Public Health. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-498084
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-498084