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Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the
Sally K Stauder1, Shalmali R Borkar2, Anna Najor3
1Florida State University College of Medicine, Tallahassee, Florida, USA.
Women'S Health Reports (New Rochelle, N.Y.)
|October 28, 2024
Summary
Emergency department (ED) surveys reveal higher rates of overdue cancer screenings and human papillomavirus (HPV) vaccinations compared to electronic health records (EHRs). This highlights the ED
Area of Science:
- Public Health
- Preventative Medicine
- Health Services Research
Background:
- Declining primary care access and rising emergency department (ED) use may impact cancer screening rates.
- The ED presents a unique opportunity for cancer screening interventions, particularly for underserved populations.
- Barriers to healthcare access can lead to decreased cancer screening prevalence.
Purpose of the Study:
- To compare cancer screening and human papillomavirus (HPV) vaccination status between ED-administered surveys and electronic health records (EHRs).
- To assess the effectiveness of ED surveys in identifying individuals needing preventative cancer screening.
Main Methods:
- A survey was administered to 101 patients in the ED in July 2022.
- Data on breast, cervical, and colorectal cancer screening, and HPV vaccination were collected.
- Survey data was compared with EHR data from 2934 ED patients during the same period.
Main Results:
- Significant discrepancies were found between self-reported screening (survey) and EHR data (p < 0.001 for all).
- Overdue cervical cancer screening: 6.2% (survey) vs. 77.6% (EHR).
- Overdue breast cancer screening: 14.3% (survey) vs. 73.4% (EHR).
- Overdue colorectal cancer screening: 22.9% (survey) vs. 56.5% (EHR).
- Overdue HPV vaccination: 33.3% (survey) vs. 57.8% (EHR).
Conclusions:
- ED survey data more accurately reflect actual screening rates compared to EHR data.
- Point-of-care ED surveys may be superior for identifying individuals requiring preventative cancer screening.
- This approach is particularly valuable for patients facing barriers to routine healthcare.
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