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Use of Colon Cancer Testing in Rural Colorado Primary Care Practices
Background People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC). Objectives To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural are...
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| Published in: | Journal of general internal medicine : JGIM 2009-10, Vol.24 (10), p.1095-1100 |
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| container_title | Journal of general internal medicine : JGIM |
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| creator | Overholser, Linda Zittleman, Linda Kempe, Allison Bublitz Emsermann, Caroline Froshaug, Desiree B. Main, Deborah S. Araya-Guerra, Rodrigo Felzien, Maret Westfall, John M. |
| description | Background
People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).
Objectives
To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.
Design
Cross-sectional survey.
Participants
Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.
Measurements
(1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.
Results
The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p |
| doi_str_mv | 10.1007/s11606-009-1063-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2762502</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733402460</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-2e54ff6963ba39c9588c146c17aec7c36a3223d3c02b53a57d7fc663da954e043</originalsourceid><addsrcrecordid>eNp1kUtrHDEQhIWJsdePH-BLGALBp0m69dYlYDZPMCQY-yy0Gs1mzKzkSDuB_PtoM4udBHwSoj-VqroIuUB4gwDqbUGUIFsA0yJI1sIBWaCgokVu1AuyAK15qxXjx-SklHsAZJTqI3KMRiEikwvy_q6EJvXNMo0pNksXfcjNbSjbIa6bITY3U3bjn2l2XWq-5WHj8q8K5lAvzm8HH8oZOezdWML5_jwldx8_3C4_t9dfP31ZXl23nhu9bWkQvO-lkWzlmPFGaO2RS4_KBa88k67aYx3zQFeCOaE61XspWeeM4AE4OyXvZt2HabUJnQ9xW93Zh9mUTW6w_07i8N2u009LlaQCaBW43Avk9GOqKe1mKD6Mo4shTcUqxjhQLqGSr_4j79OUY01ntRJSKy2wQjhDPqdScugfrSDYXUN2bsjWhuyuIbsTfvl3hqcX-0oq8HoPuOLd2OfayVAeOUoRBZrdMujMlTqK65CfHD7_-28SR6dU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>875687851</pqid></control><display><type>article</type><title>Use of Colon Cancer Testing in Rural Colorado Primary Care Practices</title><source>Open Access: PubMed Central</source><source>Springer Nature</source><creator>Overholser, Linda ; Zittleman, Linda ; Kempe, Allison ; Bublitz Emsermann, Caroline ; Froshaug, Desiree B. ; Main, Deborah S. ; Araya-Guerra, Rodrigo ; Felzien, Maret ; Westfall, John M.</creator><creatorcontrib>Overholser, Linda ; Zittleman, Linda ; Kempe, Allison ; Bublitz Emsermann, Caroline ; Froshaug, Desiree B. ; Main, Deborah S. ; Araya-Guerra, Rodrigo ; Felzien, Maret ; Westfall, John M.</creatorcontrib><description>Background
People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).
Objectives
To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.
Design
Cross-sectional survey.
Participants
Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.
Measurements
(1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.
Results
The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001).
Conclusions
Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-009-1063-0</identifier><identifier>PMID: 19711136</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Colorado - epidemiology ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Cross-Sectional Studies ; Early Detection of Cancer - utilization ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Humans ; Internal Medicine ; Male ; Medical sciences ; Medical screening ; Medicine ; Medicine & Public Health ; Middle Aged ; Original ; Original Article ; Patient Acceptance of Health Care ; Prevention and actions ; Primary care ; Primary Health Care - utilization ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Rural health care ; Rural Population ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors</subject><ispartof>Journal of general internal medicine : JGIM, 2009-10, Vol.24 (10), p.1095-1100</ispartof><rights>Society of General Internal Medicine 2009</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-2e54ff6963ba39c9588c146c17aec7c36a3223d3c02b53a57d7fc663da954e043</citedby><cites>FETCH-LOGICAL-c498t-2e54ff6963ba39c9588c146c17aec7c36a3223d3c02b53a57d7fc663da954e043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762502/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762502/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22115194$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19711136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Overholser, Linda</creatorcontrib><creatorcontrib>Zittleman, Linda</creatorcontrib><creatorcontrib>Kempe, Allison</creatorcontrib><creatorcontrib>Bublitz Emsermann, Caroline</creatorcontrib><creatorcontrib>Froshaug, Desiree B.</creatorcontrib><creatorcontrib>Main, Deborah S.</creatorcontrib><creatorcontrib>Araya-Guerra, Rodrigo</creatorcontrib><creatorcontrib>Felzien, Maret</creatorcontrib><creatorcontrib>Westfall, John M.</creatorcontrib><title>Use of Colon Cancer Testing in Rural Colorado Primary Care Practices</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>Background
People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).
Objectives
To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.
Design
Cross-sectional survey.
Participants
Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.
Measurements
(1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.
Results
The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001).
Conclusions
Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Colorado - epidemiology</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Early Detection of Cancer - utilization</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Patient Acceptance of Health Care</subject><subject>Prevention and actions</subject><subject>Primary care</subject><subject>Primary Health Care - utilization</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Rural health care</subject><subject>Rural Population</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp1kUtrHDEQhIWJsdePH-BLGALBp0m69dYlYDZPMCQY-yy0Gs1mzKzkSDuB_PtoM4udBHwSoj-VqroIuUB4gwDqbUGUIFsA0yJI1sIBWaCgokVu1AuyAK15qxXjx-SklHsAZJTqI3KMRiEikwvy_q6EJvXNMo0pNksXfcjNbSjbIa6bITY3U3bjn2l2XWq-5WHj8q8K5lAvzm8HH8oZOezdWML5_jwldx8_3C4_t9dfP31ZXl23nhu9bWkQvO-lkWzlmPFGaO2RS4_KBa88k67aYx3zQFeCOaE61XspWeeM4AE4OyXvZt2HabUJnQ9xW93Zh9mUTW6w_07i8N2u009LlaQCaBW43Avk9GOqKe1mKD6Mo4shTcUqxjhQLqGSr_4j79OUY01ntRJSKy2wQjhDPqdScugfrSDYXUN2bsjWhuyuIbsTfvl3hqcX-0oq8HoPuOLd2OfayVAeOUoRBZrdMujMlTqK65CfHD7_-28SR6dU</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Overholser, Linda</creator><creator>Zittleman, Linda</creator><creator>Kempe, Allison</creator><creator>Bublitz Emsermann, Caroline</creator><creator>Froshaug, Desiree B.</creator><creator>Main, Deborah S.</creator><creator>Araya-Guerra, Rodrigo</creator><creator>Felzien, Maret</creator><creator>Westfall, John M.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091001</creationdate><title>Use of Colon Cancer Testing in Rural Colorado Primary Care Practices</title><author>Overholser, Linda ; Zittleman, Linda ; Kempe, Allison ; Bublitz Emsermann, Caroline ; Froshaug, Desiree B. ; Main, Deborah S. ; Araya-Guerra, Rodrigo ; Felzien, Maret ; Westfall, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-2e54ff6963ba39c9588c146c17aec7c36a3223d3c02b53a57d7fc663da954e043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Colorado - epidemiology</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Early Detection of Cancer - utilization</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Patient Acceptance of Health Care</topic><topic>Prevention and actions</topic><topic>Primary care</topic><topic>Primary Health Care - utilization</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Rural health care</topic><topic>Rural Population</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Overholser, Linda</creatorcontrib><creatorcontrib>Zittleman, Linda</creatorcontrib><creatorcontrib>Kempe, Allison</creatorcontrib><creatorcontrib>Bublitz Emsermann, Caroline</creatorcontrib><creatorcontrib>Froshaug, Desiree B.</creatorcontrib><creatorcontrib>Main, Deborah S.</creatorcontrib><creatorcontrib>Araya-Guerra, Rodrigo</creatorcontrib><creatorcontrib>Felzien, Maret</creatorcontrib><creatorcontrib>Westfall, John M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Overholser, Linda</au><au>Zittleman, Linda</au><au>Kempe, Allison</au><au>Bublitz Emsermann, Caroline</au><au>Froshaug, Desiree B.</au><au>Main, Deborah S.</au><au>Araya-Guerra, Rodrigo</au><au>Felzien, Maret</au><au>Westfall, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Colon Cancer Testing in Rural Colorado Primary Care Practices</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><stitle>J GEN INTERN MED</stitle><addtitle>J Gen Intern Med</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>24</volume><issue>10</issue><spage>1095</spage><epage>1100</epage><pages>1095-1100</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Background
People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).
Objectives
To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.
Design
Cross-sectional survey.
Participants
Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.
Measurements
(1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.
Results
The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001).
Conclusions
Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19711136</pmid><doi>10.1007/s11606-009-1063-0</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0884-8734 |
| ispartof | Journal of general internal medicine : JGIM, 2009-10, Vol.24 (10), p.1095-1100 |
| issn | 0884-8734 1525-1497 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2762502 |
| source | Open Access: PubMed Central; Springer Nature |
| subjects | Aged Aged, 80 and over Biological and medical sciences Colorado - epidemiology Colorectal cancer Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Cross-Sectional Studies Early Detection of Cancer - utilization Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Humans Internal Medicine Male Medical sciences Medical screening Medicine Medicine & Public Health Middle Aged Original Original Article Patient Acceptance of Health Care Prevention and actions Primary care Primary Health Care - utilization Public health. Hygiene Public health. Hygiene-occupational medicine Rural health care Rural Population Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| title | Use of Colon Cancer Testing in Rural Colorado Primary Care Practices |
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