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Trends in colorectal cancer screening in the United States, 2012 to 2020
Objectives Despite recommendations to increase the uptake of colorectal cancer (CRC) screening, trends in CRC screening vary with sociodemographic status. We aimed to evaluate trends in CRC screening in the US population and subpopulations. Methods A total of 1,082,924 participants aged 50 to 75 fro...
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| Published in: | Journal of medical screening 2023-09, Vol.30 (3), p.125-133 |
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| Main Authors: | , , , , , , , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c340t-3913b0345e25c636ef6755f5aafbc5c56f6384023b1e2728ff68fb88648eb8563 |
| container_end_page | 133 |
| container_issue | 3 |
| container_start_page | 125 |
| container_title | Journal of medical screening |
| container_volume | 30 |
| creator | He, Yue Xu, Tong Fang, Jiaxin Tong, Li Gao, Wenhui Zhang, Yuan Wang, Yanfang Xu, Yan Shi, Shunyao Liu, Siyu Jin, Lina |
| description | Objectives
Despite recommendations to increase the uptake of colorectal cancer (CRC) screening, trends in CRC screening vary with sociodemographic status. We aimed to evaluate trends in CRC screening in the US population and subpopulations.
Methods
A total of 1,082,924 participants aged 50 to 75 from five cycles (2012, 2014, 2016, 2018, and 2020) of the Behavioral Risk Factor Surveillance System were involved. Multivariable logistic regression models were performed to evaluate linear trends in CRC screening utilization from 2012 to 2018. Rao-Scott chi-square tests were used to assess the differences in CRC screening utilization between 2018 and 2020.
Results
The estimated percentage reporting up-to-date with CRC screening increased significantly (P for trend |
| doi_str_mv | 10.1177/09691413231174163 |
| format | article |
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Despite recommendations to increase the uptake of colorectal cancer (CRC) screening, trends in CRC screening vary with sociodemographic status. We aimed to evaluate trends in CRC screening in the US population and subpopulations.
Methods
A total of 1,082,924 participants aged 50 to 75 from five cycles (2012, 2014, 2016, 2018, and 2020) of the Behavioral Risk Factor Surveillance System were involved. Multivariable logistic regression models were performed to evaluate linear trends in CRC screening utilization from 2012 to 2018. Rao-Scott chi-square tests were used to assess the differences in CRC screening utilization between 2018 and 2020.
Results
The estimated percentage reporting up-to-date with CRC screening increased significantly (P for trend <0.001), from 62.8% (95% CI, 62.4%−63.2%) in 2012 to 66.7% (95% CI, 66.3%−67.2%) in 2018 and 70.4% (95% CI, 69.8%−71.0%) in 2020, in accordance with 2008 US Preventive Services Task Force recommendations. Trends followed similar patterns in most subgroups, although with different magnitudes in several subgroups, primarily those underweight showed a stable percentage over time (P for trend = 0.170). In 2020, 72.4% of participants reported they were up to date with CRC screening, including the utilization of stool DNA tests and virtual colonoscopy. Colonoscopy was the most commonly used test in 2020 (64.5%), followed by FOBT (12.6%), stool DNA test (5.8%), sigmoidoscopy (3.8%), and virtual colonoscopy (2.7%).
Conclusions
In this nationally representative survey of the US population from 2012 through 2020, the percentage reporting up to date with CRC screening has increased, but not equally among all subgroups.</description><identifier>ISSN: 0969-1413</identifier><identifier>EISSN: 1475-5793</identifier><identifier>DOI: 10.1177/09691413231174163</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>Journal of medical screening, 2023-09, Vol.30 (3), p.125-133</ispartof><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-3913b0345e25c636ef6755f5aafbc5c56f6384023b1e2728ff68fb88648eb8563</citedby><cites>FETCH-LOGICAL-c340t-3913b0345e25c636ef6755f5aafbc5c56f6384023b1e2728ff68fb88648eb8563</cites><orcidid>0000-0002-8961-2809</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79236</link.rule.ids></links><search><creatorcontrib>He, Yue</creatorcontrib><creatorcontrib>Xu, Tong</creatorcontrib><creatorcontrib>Fang, Jiaxin</creatorcontrib><creatorcontrib>Tong, Li</creatorcontrib><creatorcontrib>Gao, Wenhui</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Wang, Yanfang</creatorcontrib><creatorcontrib>Xu, Yan</creatorcontrib><creatorcontrib>Shi, Shunyao</creatorcontrib><creatorcontrib>Liu, Siyu</creatorcontrib><creatorcontrib>Jin, Lina</creatorcontrib><title>Trends in colorectal cancer screening in the United States, 2012 to 2020</title><title>Journal of medical screening</title><addtitle>Journal of Medical Screening</addtitle><description>Objectives
Despite recommendations to increase the uptake of colorectal cancer (CRC) screening, trends in CRC screening vary with sociodemographic status. We aimed to evaluate trends in CRC screening in the US population and subpopulations.
Methods
A total of 1,082,924 participants aged 50 to 75 from five cycles (2012, 2014, 2016, 2018, and 2020) of the Behavioral Risk Factor Surveillance System were involved. Multivariable logistic regression models were performed to evaluate linear trends in CRC screening utilization from 2012 to 2018. Rao-Scott chi-square tests were used to assess the differences in CRC screening utilization between 2018 and 2020.
Results
The estimated percentage reporting up-to-date with CRC screening increased significantly (P for trend <0.001), from 62.8% (95% CI, 62.4%−63.2%) in 2012 to 66.7% (95% CI, 66.3%−67.2%) in 2018 and 70.4% (95% CI, 69.8%−71.0%) in 2020, in accordance with 2008 US Preventive Services Task Force recommendations. Trends followed similar patterns in most subgroups, although with different magnitudes in several subgroups, primarily those underweight showed a stable percentage over time (P for trend = 0.170). In 2020, 72.4% of participants reported they were up to date with CRC screening, including the utilization of stool DNA tests and virtual colonoscopy. Colonoscopy was the most commonly used test in 2020 (64.5%), followed by FOBT (12.6%), stool DNA test (5.8%), sigmoidoscopy (3.8%), and virtual colonoscopy (2.7%).
Conclusions
In this nationally representative survey of the US population from 2012 through 2020, the percentage reporting up to date with CRC screening has increased, but not equally among all subgroups.</description><issn>0969-1413</issn><issn>1475-5793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kM1KAzEUhYMoOFYfwF0ewKlJbv5mKUWtUHBhux4y6U2dMmYkiQvf3hnqTnB1OJzzXS6HkFvOlpwbc88a3XDJQcBkJddwRioujaqVaeCcVHNez4VLcpXzkTE2FW1F1tuEcZ9pH6kfhzGhL26g3kWPiWafEGMfD3Nc3pHuYl9wT9-KK5jvqGBc0DJOKtg1uQhuyHjzqwuye3rcrtb15vX5ZfWwqT1IVmpoOHQMpEKhvAaNQRulgnIudF55pYMGK5mAjqMwwoagbeis1dJiZ5WGBeGnuz6NOScM7WfqP1z6bjlr5ynaP1NMzPLEZHfA9jh-pTi9-A_wA9GYW1U</recordid><startdate>202309</startdate><enddate>202309</enddate><creator>He, Yue</creator><creator>Xu, Tong</creator><creator>Fang, Jiaxin</creator><creator>Tong, Li</creator><creator>Gao, Wenhui</creator><creator>Zhang, Yuan</creator><creator>Wang, Yanfang</creator><creator>Xu, Yan</creator><creator>Shi, Shunyao</creator><creator>Liu, Siyu</creator><creator>Jin, Lina</creator><general>SAGE Publications</general><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-8961-2809</orcidid></search><sort><creationdate>202309</creationdate><title>Trends in colorectal cancer screening in the United States, 2012 to 2020</title><author>He, Yue ; Xu, Tong ; Fang, Jiaxin ; Tong, Li ; Gao, Wenhui ; Zhang, Yuan ; Wang, Yanfang ; Xu, Yan ; Shi, Shunyao ; Liu, Siyu ; Jin, Lina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-3913b0345e25c636ef6755f5aafbc5c56f6384023b1e2728ff68fb88648eb8563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Yue</creatorcontrib><creatorcontrib>Xu, Tong</creatorcontrib><creatorcontrib>Fang, Jiaxin</creatorcontrib><creatorcontrib>Tong, Li</creatorcontrib><creatorcontrib>Gao, Wenhui</creatorcontrib><creatorcontrib>Zhang, Yuan</creatorcontrib><creatorcontrib>Wang, Yanfang</creatorcontrib><creatorcontrib>Xu, Yan</creatorcontrib><creatorcontrib>Shi, Shunyao</creatorcontrib><creatorcontrib>Liu, Siyu</creatorcontrib><creatorcontrib>Jin, Lina</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of medical screening</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Yue</au><au>Xu, Tong</au><au>Fang, Jiaxin</au><au>Tong, Li</au><au>Gao, Wenhui</au><au>Zhang, Yuan</au><au>Wang, Yanfang</au><au>Xu, Yan</au><au>Shi, Shunyao</au><au>Liu, Siyu</au><au>Jin, Lina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in colorectal cancer screening in the United States, 2012 to 2020</atitle><jtitle>Journal of medical screening</jtitle><addtitle>Journal of Medical Screening</addtitle><date>2023-09</date><risdate>2023</risdate><volume>30</volume><issue>3</issue><spage>125</spage><epage>133</epage><pages>125-133</pages><issn>0969-1413</issn><eissn>1475-5793</eissn><abstract>Objectives
Despite recommendations to increase the uptake of colorectal cancer (CRC) screening, trends in CRC screening vary with sociodemographic status. We aimed to evaluate trends in CRC screening in the US population and subpopulations.
Methods
A total of 1,082,924 participants aged 50 to 75 from five cycles (2012, 2014, 2016, 2018, and 2020) of the Behavioral Risk Factor Surveillance System were involved. Multivariable logistic regression models were performed to evaluate linear trends in CRC screening utilization from 2012 to 2018. Rao-Scott chi-square tests were used to assess the differences in CRC screening utilization between 2018 and 2020.
Results
The estimated percentage reporting up-to-date with CRC screening increased significantly (P for trend <0.001), from 62.8% (95% CI, 62.4%−63.2%) in 2012 to 66.7% (95% CI, 66.3%−67.2%) in 2018 and 70.4% (95% CI, 69.8%−71.0%) in 2020, in accordance with 2008 US Preventive Services Task Force recommendations. Trends followed similar patterns in most subgroups, although with different magnitudes in several subgroups, primarily those underweight showed a stable percentage over time (P for trend = 0.170). In 2020, 72.4% of participants reported they were up to date with CRC screening, including the utilization of stool DNA tests and virtual colonoscopy. Colonoscopy was the most commonly used test in 2020 (64.5%), followed by FOBT (12.6%), stool DNA test (5.8%), sigmoidoscopy (3.8%), and virtual colonoscopy (2.7%).
Conclusions
In this nationally representative survey of the US population from 2012 through 2020, the percentage reporting up to date with CRC screening has increased, but not equally among all subgroups.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.1177/09691413231174163</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8961-2809</orcidid></addata></record> |
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| source | SAGE |
| title | Trends in colorectal cancer screening in the United States, 2012 to 2020 |
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