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Pharmacist-Led Interventions for Colorectal Cancer Prevention: A Systematic Review.

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Pharmacists can significantly boost colorectal cancer (CRC) prevention. Pharmacist-led interventions increase screening participation, knowledge of risk factors, and referrals, aiding early detection efforts.

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Area of Science:

  • Oncology
  • Public Health
  • Pharmacy Practice

Background:

  • Colorectal cancer (CRC) is a leading cause of cancer death globally, necessitating enhanced prevention strategies.
  • Despite effective prevention methods, CRC remains a significant health burden.
  • Pharmacists are increasingly integrated into public health initiatives and are strategically positioned for CRC prevention.

Purpose of the Study:

  • To systematically review evidence on pharmacist-led interventions for colorectal cancer prevention.
  • To assess the role of pharmacists in early detection, screening, lifestyle counseling, and risk awareness education for CRC.

Main Methods:

  • A comprehensive systematic literature search was conducted across major databases (MEDLINE, Embase, Web of Science, CINAHL, PubMed, ClinicalTrials.gov).
  • Included studies focused on pharmacist involvement in CRC prevention, screening, and education.
  • Risk of bias was evaluated using the NIH Pre-Post Quality Assessment tool.

Main Results:

  • Four quasi-experimental studies were included from 1405 identified articles.
  • Pharmacist-led interventions primarily focused on screening awareness, fecal immunochemical test distribution, referrals, and counseling.
  • Key outcomes included increased screening participation, improved knowledge of CRC risk factors and screening, and higher referral rates.

Conclusions:

  • Pharmacist-led interventions show considerable potential to enhance colorectal cancer prevention efforts.
  • Findings suggest pharmacists can effectively promote screening and education, contributing to early detection.
  • Further high-quality research is recommended to solidify the role of pharmacists in CRC prevention programs.