The revised colorectal cancer screening guideline and screening burden at community health centers
Abstract Colorectal cancer (CRC) is the third most common cancer among men and women combined, and the second leading cause of cancer death in the US. The revised USPSTF CRC screening recommendations increased CRC screening needs across health systems, which may create particular challenges for comm...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-024-83343-1 |
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| author | Adjoa Anyane-Yeboa Helen Bermudez Michelle Fredericks Nathan Yoguez Lynn Ibekwe-Agunanna James Daly Emily Hildebrant Madhur Kuckreja Rachel Hindin Leslie Pelton-Cairns Leslie Salas Karnes Gina R. Kruse Daniel A. Gundersen Karen M. Emmons |
| author_facet | Adjoa Anyane-Yeboa Helen Bermudez Michelle Fredericks Nathan Yoguez Lynn Ibekwe-Agunanna James Daly Emily Hildebrant Madhur Kuckreja Rachel Hindin Leslie Pelton-Cairns Leslie Salas Karnes Gina R. Kruse Daniel A. Gundersen Karen M. Emmons |
| author_sort | Adjoa Anyane-Yeboa |
| collection | DOAJ |
| description | Abstract Colorectal cancer (CRC) is the third most common cancer among men and women combined, and the second leading cause of cancer death in the US. The revised USPSTF CRC screening recommendations increased CRC screening needs across health systems, which may create particular challenges for community health centers (CHCs) given their resource constraints. The objective of our study is to assess CRC screening rates across 10 CHCs in Massachusetts and estimate the additional increase in the number of average-risk screening-eligible individuals after the revision in guidelines. CRC screening was defined as being up to date vs. not up to date based on any of the approved screening modalities in the appropriate time frame. Our outcome of interest was CRC screening by age group and the percentage increase in screenings needed to screen individuals 45 to 49 across our partner CHCs after the revision in guidelines. Our analysis included 70,808 individuals aged 45 to 75. The overall CRC screening rate was 35.9% after the USPSTF guideline revision. Screening rates were lowest in those aged 45 to 49 at 9.6%, and highest in those over age 55 at 47.0%. There was a 22.9% increase in additional screenings needed after USPSTF guideline revision. The revised USPSTF guidelines increased screening needs by about 23% without additional funding for CHCs for which demand already outstrips staffing and clinical care resources. Future studies should include cost analyses of screening the population 45 to 49 and identify effective strategies that are low burden and do not add to the workload of CHC providers to improve screening at CHCs. |
| format | Article |
| id | doaj-art-039f5ae5148e4aab820e96566d35849d |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-039f5ae5148e4aab820e96566d35849d2025-01-05T12:15:55ZengNature PortfolioScientific Reports2045-23222025-01-011511710.1038/s41598-024-83343-1The revised colorectal cancer screening guideline and screening burden at community health centersAdjoa Anyane-Yeboa0Helen Bermudez1Michelle Fredericks2Nathan Yoguez3Lynn Ibekwe-Agunanna4James Daly5Emily Hildebrant6Madhur Kuckreja7Rachel Hindin8Leslie Pelton-Cairns9Leslie Salas Karnes10Gina R. Kruse11Daniel A. Gundersen12Karen M. Emmons13Division of Gastroenterology, Massachusetts General HospitalDivision of General Internal Medicine, Massachusetts General HospitalDana-Farber Cancer InstituteDivision of Gastroenterology, Massachusetts General HospitalUT Southwestern Medical CenterHarvard T.H. Chan School of Public HealthDuffy Health CenterBrockton Neighborhood Health CenterCodman Square Health CenterMassachusetts League of Community Health CentersMassachusetts League of Community Health CentersDepartment of Medicine, University of Colorado DenverRutgers Institute for Nicotine and Tobacco StudiesHarvard T.H. Chan School of Public HealthAbstract Colorectal cancer (CRC) is the third most common cancer among men and women combined, and the second leading cause of cancer death in the US. The revised USPSTF CRC screening recommendations increased CRC screening needs across health systems, which may create particular challenges for community health centers (CHCs) given their resource constraints. The objective of our study is to assess CRC screening rates across 10 CHCs in Massachusetts and estimate the additional increase in the number of average-risk screening-eligible individuals after the revision in guidelines. CRC screening was defined as being up to date vs. not up to date based on any of the approved screening modalities in the appropriate time frame. Our outcome of interest was CRC screening by age group and the percentage increase in screenings needed to screen individuals 45 to 49 across our partner CHCs after the revision in guidelines. Our analysis included 70,808 individuals aged 45 to 75. The overall CRC screening rate was 35.9% after the USPSTF guideline revision. Screening rates were lowest in those aged 45 to 49 at 9.6%, and highest in those over age 55 at 47.0%. There was a 22.9% increase in additional screenings needed after USPSTF guideline revision. The revised USPSTF guidelines increased screening needs by about 23% without additional funding for CHCs for which demand already outstrips staffing and clinical care resources. Future studies should include cost analyses of screening the population 45 to 49 and identify effective strategies that are low burden and do not add to the workload of CHC providers to improve screening at CHCs.https://doi.org/10.1038/s41598-024-83343-1Community health centersColorectal cancer screeningUSPSTF guidelines |
| spellingShingle | Adjoa Anyane-Yeboa Helen Bermudez Michelle Fredericks Nathan Yoguez Lynn Ibekwe-Agunanna James Daly Emily Hildebrant Madhur Kuckreja Rachel Hindin Leslie Pelton-Cairns Leslie Salas Karnes Gina R. Kruse Daniel A. Gundersen Karen M. Emmons The revised colorectal cancer screening guideline and screening burden at community health centers Scientific Reports Community health centers Colorectal cancer screening USPSTF guidelines |
| title | The revised colorectal cancer screening guideline and screening burden at community health centers |
| title_full | The revised colorectal cancer screening guideline and screening burden at community health centers |
| title_fullStr | The revised colorectal cancer screening guideline and screening burden at community health centers |
| title_full_unstemmed | The revised colorectal cancer screening guideline and screening burden at community health centers |
| title_short | The revised colorectal cancer screening guideline and screening burden at community health centers |
| title_sort | revised colorectal cancer screening guideline and screening burden at community health centers |
| topic | Community health centers Colorectal cancer screening USPSTF guidelines |
| url | https://doi.org/10.1038/s41598-024-83343-1 |
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