Follow-Up of Colorectal CA Screens Lacking in Older Patients

This article originally appeared here.
Share this content:
Follow-Up of Colorectal CA Screens Lacking in Older Patients
Follow-Up of Colorectal CA Screens Lacking in Older Patients

WEDNESDAY, July 13, 2016 (HealthDay News) -- A considerable proportion of older patients are not up-to-date with colorectal cancer screening and do not receive timely follow-up of abnormal fecal blood tests, according to a study published online June 22 in the American Journal of Preventive Medicine.

Carrie N. Klabunde, Ph.D., from the National Institutes of Health in Rockville, Md., and colleagues conducted a population-based longitudinal study among health plan members (aged 65 to 89 years) enrolled in three health care systems participating in the Population-Based Research Optimizing Screening through Personalized Regimens consortium. Data were included for 846,267 patients.

The researchers found that 72 percent of patients were up-to-date with colorectal cancer screening. Sixty-five percent of those with a positive fecal blood test received follow-up colonoscopy within three months. Compared with younger participants, patients aged 76 years or older had a significantly lower likelihood of being up-to-date and receiving timely follow-up (P < 0.001). The influence of comorbidity was less than that of age, and had a stronger correlation with timely follow-up than with being up-to-date. A considerable number of patients with no/low comorbidity were not up-to-date or did not receive timely follow-up in all age groups.

"In three integrated health care systems, many older, relatively healthy patients were not screening up-to-date, and some relatively young, healthy patients did not receive timely follow-up," the authors write. "Findings suggest a need for reevaluating age-based screening guidelines and improving screening completion among the elderly."

Abstract
Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters




More in Home

Rising Fatal Drug Overdoses Linked to Years of Life Lost

Rising Fatal Drug Overdoses Linked to Years of ...

Growth in fatal overdoses linked to increased mortality, years of life lost for non-Hispanic whites

Atherosclerotic CVD Mortality Higher in South Asians in the U.S.

Atherosclerotic CVD Mortality Higher in South Asians in ...

Most of the increased risk can be attributed to increased prevalence of known risk factors

Global Variation in Personal Health Care Access and Quality

Global Variation in Personal Health Care Access and ...

Highest performance in Iceland, lowest in Central African Republic, with variation in rate of progress