Download or read book Implementing Colorectal Cancer Screening written by Institute of Medicine and published by National Academies Press. This book was released on 2008-12-01 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 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 Implementing Colorectal Cancer Screening written by National Cancer Policy Forum and published by . This book was released on 2008-12-01 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 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 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 Configurational Comparative Methods written by Benoît Rihoux and published by SAGE. This book was released on 2009 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new addition to the Applied Social Research Methods series is unrivalled, it is written by leaders in the growing field of rigorous, comparative techniques.
Download or read book Implementing an Organized Colorectal Cancer Screening Program written by Angela Stevenson and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Colorectal cancer affects millions globally and is a significant source of disease burden and fatality. Nationally, colorectal cancer is the third most common cancer and is the second cause of fatality in cancer patients. Routine screening is necessary to catch many cancers before metastasis occurs. Colorectal cancer is becoming more common in adults under age 50, necessitating revised guidelines to start screening at age 45. Early screening can improve the five-year prognosis for colon cancer. Opportunistic screening programs are ineffective at targeting every eligible patient and offering screening. Organized screening programs that encourage patients to choose between stool testing or a colonoscopy more effectively identify every eligible patient in a provider's patient panel. Identifying patients and offering screening can increase the number of patients who complete screening. EBP Framework: Kurt Lewin's change theory served as the framework for this quality improvement project. Methods: The project's primary objective aimed to increase the number of colorectal cancer screenings offered and completed in a single, family practice clinic. After receiving IRB approval, an organized colorectal cancer screening program was implemented, which involved sending an email to every patient aged 45 to 74 offering colorectal cancer screening, providing education about the benefits and risks of the various screening methods, and offering an easy way to request testing. One hundred eighty-seven patients were identified and offered screening. A two-proportions z-test was used to determine the difference between demographic groups and the statistical significant of the intervention. Findings/Results: The project aimed to identify and offer colorectal cancer screening to every patient aged 45 to 74 in a single-family practice clinic. The project results suggested that implementing and organized colorectal cancer screening program will increase the number of patients being offered and completing screening. Conclusion: Implementing an organized colorectal cancer screening program increased the number of patients being offered and completing screening compared to an opportunistic screening program; therefore, it can be concluded that implementing an organized screening can help decrease the overall cancer burden by increasing the number of patients getting screened. It is recommended that an organized screening program is more effective than an opportunistic screening program in consistently offering patient s colorectal cancer screening.
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 Prevention and Early Detection of Colorectal Cancer written by Graeme P. Young and published by W.B. Saunders Company. This book was released on 1996 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an overview of the issues involved in prevention and early detection of colorectal cancer providing up-to-date, practical advice for clinicians. Possible management strategies for those at risk are provided, taking into account the biological principles of colorectal cancer development, epidemiological data and emerging genetic information, as well as social and environmental factors.
Download or read book Fulfilling the Potential of Cancer Prevention and Early Detection written by National Research Council and published by National Academies Press. This book was released on 2003-05-07 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Download or read book Colonoscopy and Colorectal Cancer Screening written by Marco Bustamante and published by BoD – Books on Demand. This book was released on 2013-02-13 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal cancer (CRC) represents a major public health problem worldwide. Fortunately most CRCs originate from a precursor lesion, the adenoma, which is accessible and removable. This is the rationale for CRC screening programs, which are aimed to diagnose CRC at an early stage or even better to detect and resect the advanced adenoma before CRC has developed. In this background colonoscopy emerges as the main tool to achieve these goals with recent evidence supporting its role in CRC prevention. This book deals with several topics to be faced when implementing a CRC screening program. The interested reader will learn about the rationale and challenges of implementing such a program, the management of the detected lesions, the prevention of complications of colonoscopy, and finally the use of other screening modalities that are emerging as valuable alternatives. The relevance of the topics covered in it and the updated evidence included by the authors turn this book into a very useful tool to introduce the reader in this amazing and evolving field.
Download or read book Promoting Colorectal Cancer Screening in a Community Health Center written by Nneka Ikedinma and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Cancer is a disease marked by the uncontrolled development and spread of body cells to different areas of the body, and it is the major cause of mortality globally. Screenning has been identified as an efficacious means to lower cancer mortality and morbidity. Colorectal cancer (CRC) usually emerges from precancerous polyps found inside the colorectal cancer. Therefore, screening is essential because it can detect polyps that are precancerous, allowing for their elimination before they can develop into cancer. Nationally, the CRC screening rate is low. However, compared to the national CRC screening rate, the screening rate in Federally Qualified Health Centers (FQHCs) is very low. The population of patients seen in FQHCs is minority populations who are from low socioeconomic backgrounds. The project site is an FQHC called Berks Community Health Center (BCHC), located in Reading, Pennsylvania, and mostly serves Berks County. The current CRC screening rate of BCHC is low, and the scholarly project goal is to improve the Primary Care Providers' (PCPs) knowledge and practice regarding screening for this disease and increase the CRC screening rate. EBP Framework: The evidence-based practice (EBP) model selected to guide the scholarly project was the Model for Evidence-Based Practice Change. The EBP framework provided a step-by-step approach for this change project, and the theoretical framework that guided this scholarly project was Kurt Lewin's Change Management Theory. Methods: The scholarly project aimed to determine the effectiveness of a process change focused on implementing the American Cancer Society Guideline for Colorectal Cancer Screening, offering more than one CRC screening method and promoting patient reminder in improving providers' knowledge and practice regarding screening for this disease and increasing the screening rate of BCHC. The six steps of the Model for Evidence-Based Practice Change guided and facilitated the change in practice. Upon IRB approval of the scholarly project, a provider in-service education was conducted. 12 pre- and post-intervention surveys were completed by the participants, and a paired sample t-test was used to identify the difference between the two variables. Findings/Results: The project assessed the providers' knowledge and practices of CRC screening and the CRC screening rate to see how these factors changed before and four weeks after the implementation of a process change. The project results suggest that the intervention did not bring about any significant difference in providers' knowledge and practice of CRC screening, but there was an increase in the CRC screening rate of BCHC four weeks after implementing the process change. Conclusion/Recommendations: The intervention did not result in any significant difference in providers' knowledge and practice of CRC screening. Howevver, there was a 4.7% increase in the CRC screening rate of the clinic four weeks after project implementation. The scholarly project has shown that implementing the process change can increase the CRC screening rate but does not have any effect in providers' knowledge and practice of screening for the disease. Consequently, promoting the factors addressed in this project will improve CRC screening rate.
Download or read book Delivering High Quality Cancer Care written by Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population and published by National Academies Press. This book was released on 2014-01-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.
Download or read book Advancing the Science of Implementation Across the Cancer Continuum written by David A. Chambers and published by Oxford University Press, USA. This book was released on 2018 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.
Download or read book Non Polypoid Flat and Depressed Colorectal Neoplasms an Issue of Gastrointestinal Endoscopy Clinics written by Roy Soetikno and published by Saunders. This book was released on 2010-08-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Soetikno has organized a comprehensive issue devoted to the detection and diagnosis of non-polypoid colorectal neoplasms with special emphasis on sessile or flat colon adenoma. Top experts in the field have supplied the latest clinical information in the following areas: Non-Polypoid Colorectal Neoplasms in Ulcerative Colitis; Detection and Diagnosis of Non-Polypoid Colorectal Neoplasms; Image-Enhanced Endoscopy to Detect and Diagnose Non-Polypoid Colorectal Neoplasms; CT Colonography and Non-Polypoid Colorectal Neoplasms, as well as Endoscopic Mucosal Resection of Non-Polypoid Colorectal Neoplasms. This issue is an important one as there are not many references on the topics that are as comprehensive.
Download or read book Implementation of Primary Care Education to Promote Colorectal Cancer Knowledge Among Hispanics written by Daniela Londono and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Colorectal cancer (CRC) is among the leading cancer-related deaths recorded recently in men and women in the United States of America. Hispanics are at a higher risk of CRC-related mortality and morbidity due to lower education levels, high rates of poverty, being uninsured, and not being able to access healthcare services. These differences are reflected in the rates of CRC testing and screening rates. CRC screening methods amongst others are colonoscopy, barium enema, fecal occult blood testing (FOBT), and or Cologuard4́Ø stool testing. Through a primary care clinic, an educational program, offered in either Spanish or English per the patient's preference, was aimed at enhancing the patient's understanding of CRC screenings was developed for this Evidence-based practice (EBP) change project. This project involved thirty Hispanic participants who had not had CRC screening before. The participants were asked a series of nine questions (pre and posttest format in Spanish or English) to assess their knowledge on CRC both before and after education. The participants were asked about their intent to undergo CRC screening during the pretest and posttest and through a 2-week follow-up phone call. The intervention was effective in increasing the mean pretest to posttest scores from 45.6% to 77.77% respectively, a relative increase of 70.55%. The participants were asked the intent to screen prior to the intervention which was 27% and 80% in the moment of the intervention, however after 2-weeks intent to screen was 30%, which was 2% above the projected benchmark. In the baseline, 27% of the participants were interested in CRC screening while the percentage increased in a span of two weeks to 30% which was a 3% increase, and the change represented an 11.11% rise in the intent to screen as an outcome of the intervention. Key words: Colorectal cancer (CRC), Colorectal cancer screening, Colonoscopy, Hispanics. " -- Abstract
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.