Download or read book Adherence to Rescreening for Colorectal Cancer with Faecal Occult Blood Testing written by Amy Claire Duncan and published by . This book was released on 2012 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis aimed to describe and predict adherence to Faecal Occult Blood Test (FOBT) rescreening recommendations in South Australia. Specifically this thesis aimed to determine the relevance of social cognitive variables for explaining variations in rescreening adherence. FOBT screening for colorectal cancer (CRC) is recommended every one to two years for those over the age of 50; reductions in incidence and mortality from CRC are dependent on continued compliance with these guidelines. Whilst there has been substantial research on factors associated with initial screening participation, there has been very little research conducted on how to encourage rescreening adherence (i.e., continued participation in annual or biennial screening offers). The few studies that have examined predictors of rescreening have, to date, limited their exploration to demographic and health systems factors. This thesis aims to determine the relevance of the inclusion of behavioural factors previously associated with initial screening (i.e., social cognitive variables) for explaining rescreening and also to explore potential new predictors of rescreening not previously examined in CRC rescreening research. The thesis used a sequential, mixed-methods research design to address the aims. Three separate studies, one qualitative and two quantitative, were used to explore predictors of adherence to FOBT rescreening. The three studies are presented as three separate papers in the thesis. Study one used 17 semi-structured interviews to explore rescreening participants' past experience with FOB testing. Exploratory thematic analysis was used to determine factors relevant for inclusion in a subsequent questionnaire. The questionnaire was then administered to 4000 potential participants within the target age range for FOBT screening (50-75 years) in South Australia. Study two analysed questionnaire data to determine associations with stage of readiness (intention) for rescreening. Following survey completion, respondents (survey response rate of 49%) were provided with three annual offers to screen with FOBT. Data collected during the questionnaire phase were used to identify variables predictive of rescreening adherence. Univariate and multivariate modelling were used to determine associations with intention and adherence. Results of study one revealed that many of the factors previously associated with initial screening (e.g., perceived barriers, benefits and social influence) were associated with rescreening. However, specific barriers, for example, maintaining a screening routine, were identified for rescreening. In addition previous screening experience appeared to influence attitudes toward future participation i.e., improved participants self-efficacy with regard to future participation and reinforced the perceived benefits of participation. Study two found that almost 30% of prior screeners were non-adherent with rescreening. Social cognitive (self-efficacy, perceived barriers and benefits, social influences, implementation intentions) and demographic/background variables (age, knowledge, and health insurance coverage) were associated with rescreening intention. Conversely, in study three, only few social cognitive variables (perceived barriers, self-efficacy and response efficacy) were marginally associated with screening adherence across three rounds of screening. The demographic variables gender, insurance and marital status better differentiated patterns of adherence. When a measure of satisfaction with prior FOBT screening was added to the multivariate models in study three, none of the social cognitive variables significantly predicted adherence. Satisfaction with prior screening substantially increased rescreening intention and adherence by 13% and 42% in studies two and three respectively. Results of the thesis indicate that although social cognitive variables differentiated intentions to rescreen, when demographic variables and satisfaction with prior screening were held constant, social cognitive variables did little to predict rescreening adherence. Satisfaction with prior screening was an important predictor of both rescreening intention and adherence. Exploration of the factors contributing to satisfaction with screening may provide an important opportunity to modify and improve screening services to encourage rescreening. Several demographic variables were also found to have a substantial impact on intention and adherence. An investigation of how these demographic and background factors interact with social cognitive variables may allow for greater tailoring of messages to encourage rescreening.
Download or read book Colorectal Cancer Screening written by Joseph Anderson, MD and published by Springer Science & Business Media. This book was released on 2011-04-23 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.
Download or read book Repeat Adherence to Colorectal Cancer Screening Utilising Faecal Occult Blood Testing written by Karen Leigh Hughes and published by . This book was released on 2006 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Implementing Colorectal Cancer Screening written by Institute of Medicine and published by National Academies Press. This book was released on 2009-01-01 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The IOM's National Cancer Policy Board estimated in 2003 that even modest efforts to implement known tactics for cancer prevention and early detection could result in up to a 29 percent drop in cancer deaths in about 20 years. The IOM's National Cancer Policy Forum, which succeeded the Board after it was disbanded in 2005, continued the Board's work to outline ways to increase screening in the U.S. On February 25 and 26, 2008, the Forum convened a workshop to discuss screening for colorectal cancer. Colorectal cancer screening remains low, despite strong evidence that screening prevents deaths. With the aim to make recommended colorectal cancer screening more widespread, the workshop discussed steps to be taken at the clinic, community, and health system levels. Workshop speakers, representing a broad spectrum of leaders in the field, identified major barriers to increased screening and described strategies to overcome these obstacles. This workshop summary highlights the information presented, as well as the subsequent discussion about actions needed to increase colorectal screening and, ultimately, to prevent more colorectal cancer deaths.
Download or read book European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis written by Nereo Segnan and published by . This book was released on 2010 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recoge: 1. Introduction -- 2. Organisation -- Guiding principles for organising a colorectal cancer screening programme -- 3. Evaluation and interpretation of screening outcomes -- 4. Faecal occult blood testing -- 5. Quality assurance in endoscopy in colorectal cancer screening and diagnosis -- 6. Professional requirements and training -- 7. Quality assurance in pathology in colorectal cancer screening and diagnosis -- 8. Management of lesions detected in colorectal cancer screening -- 9. Colonoscopic surveillance following adenoma removal --10. Communication -- Appendices.
Download or read book New Methodological Approaches to Assessing Colorectal Cancer Screening written by Resa Marie Jones and published by . This book was released on 2004 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Colorectal Cancer Screening written by Donna Johnson West and published by . This book was released on 1999 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Colorectal Cancer Screening written by and published by . This book was released on 1998 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Colorectal Cancer Screening An Issue of Gastrointestinal Endoscopy Clinics written by Douglas K. Rex and published by Elsevier Health Sciences. This book was released on 2020-06-21 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Together with Consulting Editor, Dr. Charles Lightdale, Dr. Doug Rex has put together an issue of Gastrointestinal Endoscopy Clinics that provides state-of-the-art clinical coverage of colorectal screening. Expert authors from all over the world have contributed clinical reviews that will be a staple for all practicing endoscopists. The articles are devoted to the following topics: What is organized screening and what is its value; Screening decisions in the opportunistic setting; The National Colorectal Cancer Round Table: Past performance and current and future goals; Proven strategies for increasing screening adherence; Colorectal cancer in persons under age 50: Seeking causes and solutions; Risk stratification strategies: From logistic regression to artificial intelligence; Cost-effectiveness of current screening tests; Quality in colorectal cancer screening; Screening for the serrated pathway; FIT: The world’s colorectal cancer screening test; Fecal DNA testing: What has it accomplished and where is it headed; Is bowel preparation without complete colon clearing a viable concept: Update on flexible sigmoidoscopy, CTC, and capsule colonoscopy; Evidenced based screening strategies for a positive family history; Aspirational ADR and ideal colonoscopy performance: How long can we go between colonoscopies; and How Artificial Intelligence will impact colonoscopy and colorectal cancer screening. Readers will come away with the clinical knowledge they need to improve outcomes in colon cancer screening and prevention.
Download or read book Factors Associated with Patient Compliance with Fecal Occult Blood Testing for Colorectal Cancer written by Kathleen Jewell and published by . This book was released on 1986 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Colorectal Cancer in Clinical Practice written by Bernard Levin and published by CRC Press. This book was released on 2005-11-23 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rapid rate of development in the fields of prevention, early detection and management for colorectal cancer means that the successful first edition of this accessible guide has needed to be updated and revised throughout. Primary care physicians and specialists alike will continue to find this an indispensable synopsis of the issues and options.
Download or read book Colorectal Cancer in Clinical Practice written by Bernard Levin and published by CRC Press. This book was released on 2001-12-20 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal cancer is one of the major malignancies affecting westernized societies, both in terms of incidence and as a cause of mortality: it is, however, a preventable and a detectable disease. Although most countries do not actively promote preventive policies for their general population, this trend is gradually changing. In line with this current development, Colorectal Cancer in Clinical Practice examines prevention and early detection of this disease, as well as discussion of management issues. It will provide the clinician with an accessible and up-to-date guide on the primary and secondary prevention of colorectal cancer, and will be of particular interest to primary care physicians and specialists in gastroenterology, oncology and surgery.
Download or read book Colorectal Cancer Screening written by Han-Mo Chiu and published by Springer Nature. This book was released on 2020-11-20 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a self-contained review of the theoretical and practical basis of colorectal cancer screening. Colorectal cancer is currently the fourth leading cause of cancer deaths worldwide and represents a significant burden for both public health and health care systems. However, colorectal cancer deaths can be prevented using effective screening, and many countries and regions have launched population colorectal cancer screening programs. This book covers various essential aspects of colorectal cancer screening, including the epidemiology of colorectal cancer, the various screening and diagnostic tests or exams, quality issues in colorectal cancer screening, necessary infrastructures, the evaluation of effectiveness, and economic appraisals of screening programs. Focusing on organized screening, in which various quality indicators can easily monitored and effectiveness is more likely to be evaluated, it discusses the basics of screening theory and the natural history of colorectal neoplasms, to help readers understand the rationale behind cancer screening. Lastly, it features international consensus and guidelines on colorectal cancer screening to highlight the current trends in the field. This comprehensive book on recent technological developments and conceptual advances in colorectal cancer screening is a valuable resource for public health workers and clinicians alike.
Download or read book Biomarkers in Cancer Screening and Early Detection written by Sudhir Srivastava and published by John Wiley & Sons. This book was released on 2017-08-28 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepared by world leaders on this topic, Biomarkers in Cancer Screening and Early Detection offers a comprehensive, state-of-the-art perspective on the various research and clinical aspects of cancer biomarkers, from their discovery and development to their validation, clinical utility, and use in developing personalized cancer treatment. Offers a comprehensive, state-of-the-art perspective on the various research and clinical aspects of cancer biomarkers Provides immediately actionable information – and hopefully also inspiration – to move discovery and clinical application forward Offers vital knowledge to help develop personalized cancer treatment for individual patients with specific cancers
Download or read book Costs and effectiveness of colorectal cancer screening in the elderly written by Health Program Office of Technology Assessment U.S. Congress Washington, DC 20510-8025 and published by DIANE Publishing. This book was released on 1990 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Colorectal Cancer Screening written by Aasma Shaukat and published by Springer. This book was released on 2015-03-14 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive overview of quality metrics and methods used to improve quality for all major modalities of CRC screening. It introduces the readers to the evidence of effectiveness behind various CRC screening modalities: stool-based tests (Fecal Occult Blood, Fecal Immunochemical and Fecal DNA tests), flexible sigmoidoscopy, colonoscopy and CT colonography. In-depth chapters review the latest guidelines for CRC screening, compare differences among the five major national guidelines, and highlight the need for valid quality and cost indicators. While the main focus of this volume is on colonoscopy, since most quality indicators and analyses have focused on this modality of screening and surveillance, one chapter is devoted to quality indicators of other screening modalities. Differences between process and outcome measures are also highlighted and a small but valid set of recommended national measures are listed. Written by experts in the field, Colorectal Cancer Screening: Quality and Benchmarks is an important and useful resource written for gastroenterologists, primary care physicians, general and colorectal surgeons, family physicians, and investigators with research focus in screening and quality metrics.
Download or read book A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases written by Institute of Medicine and published by National Academies Press. This book was released on 2011-08-26 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic diseases are common and costly, yet they are also among the most preventable health problems. Comprehensive and accurate disease surveillance systems are needed to implement successful efforts which will reduce the burden of chronic diseases on the U.S. population. A number of sources of surveillance data-including population surveys, cohort studies, disease registries, administrative health data, and vital statistics-contribute critical information about chronic disease. But no central surveillance system provides the information needed to analyze how chronic disease impacts the U.S. population, to identify public health priorities, or to track the progress of preventive efforts. A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases outlines a conceptual framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases. This system should be capable of providing data on disparities in incidence and prevalence of the diseases by race, ethnicity, socioeconomic status, and geographic region, along with data on disease risk factors, clinical care delivery, and functional health outcomes. This coordinated surveillance system is needed to integrate and expand existing information across the multiple levels of decision making in order to generate actionable, timely knowledge for a range of stakeholders at the local, state or regional, and national levels. The recommendations presented in A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases focus on data collection, resource allocation, monitoring activities, and implementation. The report also recommends that systems evolve along with new knowledge about emerging risk factors, advancing technologies, and new understanding of the basis for disease. This report will inform decision-making among federal health agencies, especially the Department of Health and Human Services; public health and clinical practitioners; non-governmental organizations; and policy makers, among others.
