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06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
The "Iowa get screened" colon cancer screening program
Barcey T Levy1, Jeanette M Daly, Bruce Luxon
1Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Journal of Primary Care & Community Health
|June 28, 2013
Summary
Colon cancer screening interest was high among underinsured Iowans using fecal immunochemical tests (FIT). However, many did not complete follow-up colonoscopies, highlighting a need for better support systems.
Area of Science:
- Public Health
- Gastroenterology
- Cancer Screening
Background:
- Colon cancer screening is crucial for early detection and prevention.
- Disparities exist in screening rates among uninsured and underinsured populations.
- Implementing accessible screening programs is vital for reducing cancer burden.
Purpose of the Study:
- To establish and evaluate a colon cancer screening program for uninsured or underinsured individuals in Iowa.
- To assess the feasibility and effectiveness of using fecal immunochemical tests (FIT) in this population.
- To identify barriers and facilitators to screening completion.
Main Methods:
- A program was implemented for uninsured/underinsured Iowans aged 50-64 at University of Iowa Clinic and Iowa City Free Medical Clinic.
- Recruitment involved mailings, in-person contact, and community posters.
- Eligible participants received a free fecal immunochemical test (FIT); positive results led to a no-cost colonoscopy.
Main Results:
- Of 449 individuals completing eligibility forms, 297 were eligible for FIT.
- 79% of eligible participants returned FIT samples, with a 21% positivity rate.
- 61% of positive FIT individuals underwent colonoscopy, revealing polyps in 20 and adenomas in 13; no colon cancers were found.
- Face-to-face recruitment yielded the highest FIT return rate (72%).
Conclusions:
- High interest and compliance were observed for FIT-based colon cancer screening among underinsured individuals.
- A significant proportion of individuals with positive FIT results did not complete recommended follow-up colonoscopies.
- Population-based strategies can increase screening, but sustainable mechanisms are needed to manage costs and facilitate colonoscopies for positive cases.
Keywords:
adenomatous polypcolorectal cancer screeningfecal immunochemical testingpreventionrecruitment strategiesscreening programtubular adenomaunderinsureduninsuredMore Related Videos
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