Integrated Cancer Screening Performance Indicators: A Systematic Review.
Silvina C Mema1, Huiming Yang2, Marcus Vaska2
1Interior Health Authority, Kelowna, British Columbia, Canada.
Plos One
|August 13, 2016
Summary
Integrated cancer screening adherence for women over 50 is rarely reported. Adherence to breast, cervical, and colorectal cancer screenings combined ranged from 8% to 43%, highlighting a need for better monitoring.
Area of Science:
- Public Health
- Preventive Medicine
- Oncology
Background:
- Cancer screening guidelines recommend regular screening for breast, cervical, and colorectal cancers in women over 50.
- Population-based programs monitor individual cancer screening uptake but rarely report integrated adherence measures across multiple screenings.
- Integrated adherence measures are crucial for understanding screening behaviors and identifying barriers.
Purpose of the Study:
- To identify indicators of participation in integrated screening for breast, cervical, and colorectal cancers among women over 50.
- To assess the current reporting of adherence across these three cancer screenings.
Main Methods:
- A systematic literature search was conducted for studies published between 2000 and 2015.
- Search terms included synonyms for integrated screening and individual cancer screenings (cervical, breast, colorectal).
- Databases searched included MEDLINE, EMBASE, PubMed, CINAHL, and others, along with grey literature.
Main Results:
- Only 7 out of 78 initially retrieved articles reported summary measures of screening adherence across all three cancer types.
- Overall adherence to integrated cervical, breast, and colorectal cancer screening ranged widely from approximately 8% to 43%.
- Reports on combined screening adherence for these three cancers are notably infrequent.
Conclusions:
- There is a significant gap in reporting integrated adherence measures for multiple cancer screenings in women over 50.
- Integrated measures offer valuable insights into population needs and can inform strategies to improve overall screening adherence.
- Further research and reporting on integrated cancer screening are essential for enhancing public health initiatives.
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