Breaking News
November 21, 2018 - Disrupting reproduction strategy of disease-causing parasites could help fight malaria
November 20, 2018 - ACAAI: Almost 2 Percent of Children Have Milk Allergy
November 20, 2018 - Congenital anomalies of kidney and urinary tract – Genetics Home Reference
November 20, 2018 - Can video games improve the health of older adults with schizophrenia?
November 20, 2018 - Can flicking a molecular switch restore the aging immune system’s competence?
November 20, 2018 - Restek launches new Oregon cannabis pesticide standards
November 20, 2018 - Health sector coalition urges Government to safeguard patients in future UK-EU relationship
November 20, 2018 - Study evaluates second-hand marijuana smoke exposure among children
November 20, 2018 - Scientists identify three genes responsible for recurrent molar pregnancies
November 20, 2018 - Researchers identify multisystem disorder caused by bi-allelic variants in CCDC47 gene
November 20, 2018 - Dining Out With Allergies Is Tough, But These Steps Can Help
November 20, 2018 - Breastfeeding protects infants from antibiotic-resistant bacteria
November 20, 2018 - AI matched, outperformed radiologists in screening X-rays for certain diseases | News Center
November 20, 2018 - Adolescents increasingly choose marijuana over cigarettes, alcohol
November 20, 2018 - World’s first medical imaging scanner produces diagnostic scan of the whole human body
November 20, 2018 - Cytocybernetics receives NIMH award to move into neuronal drug development
November 20, 2018 - Recreational drug may help people regain trust in others
November 20, 2018 - Researchers identify gene vital for post-stroke recovery
November 20, 2018 - Scientists identify novel target for neuron regeneration, functional recovery in spinal cord injury
November 20, 2018 - Potential new therapeutic approach developed for synovial sarcoma
November 20, 2018 - Skeletal imitation reveals how bones grow atom-by-atom
November 20, 2018 - Autism behaviors show unique brain network fingerprints in infants
November 20, 2018 - Location matters for inflammation clearance
November 20, 2018 - Towards finding a druggable cancer target
November 20, 2018 - Ultragenyx Announces Intent to Submit New Drug Application to U.S. FDA for UX007 for the Treatment of Long-chain Fatty Acid Oxidation Disorders in Mid-2019
November 20, 2018 - Cooling ‘brains on fire’ to treat Parkinson’s
November 20, 2018 - Less pollution could increase the average lifespan of Copenhageners by an entire year in 2040
November 20, 2018 - Abramson Cancer Center becomes the 28th member institution of National Comprehensive Cancer Network
November 20, 2018 - The plug and play time-resolved spectrometer from PicoQuant
November 20, 2018 - Breakthrough technology offers new hope to people with glaucoma, retinitis and macular degeneration
November 20, 2018 - New report highlights key focus areas to help cancer screening realize its full potential
November 20, 2018 - International experts to discuss strategies to maintain spatial orientation in old age
November 20, 2018 - Low-protein, high-carb diet may promote healthy brain ageing
November 20, 2018 - Scientists discover new inhibitor that decreases lung inflammation
November 20, 2018 - Participation project calls for relaxing research ban on germline interventions
November 20, 2018 - Karyopharm’s Selinexor Receives Fast Track Designation from FDA for the Treatment of Patients with Relapsed or Refractory Diffuse Large B-cell Lymphoma
November 20, 2018 - Arthritis by the Numbers: Book of Trusted Facts & Figures
November 20, 2018 - Drug homing method helps rethink Parkinson’s
November 20, 2018 - AHF commends the passage of global AIDS funding in the House, calls for swift approval
November 20, 2018 - The search for new psychiatric disorder treatments
November 20, 2018 - New research offers hope for simpler way to diagnose and treat cancer
November 20, 2018 - Study sheds light on the infection mechanism of influenza virus
November 20, 2018 - Storage failures of eggs and embryos gain a new perspective
November 20, 2018 - Buyers of short-term health plans: Wise or shortsighted?
November 20, 2018 - Study indicates that frogs in virus-exposed groups breed at young age
November 20, 2018 - FDA Alerts Health Care Professionals and Patients Not To Use Sterile Drug Products from Pharm D Solutions
November 20, 2018 - Asthma may contribute to childhood obesity epidemic
November 20, 2018 - Live probiotics can change existing gut flora and alter immune response
November 20, 2018 - Researchers to explore the enigmatic role of unstructured protein in regulating circadian function
November 20, 2018 - Many patients with adenomas do not receive colonoscopy within recommended time frame
November 20, 2018 - Drug used to treat PTSD does not reduce suicidal thinking, may worsen nightmares and insomnia
November 20, 2018 - In-person social contact may offer protection against depression and PTSD symptoms
November 20, 2018 - Routine HCV testing in correctional facilities can best identify and treat disease, say researchers
November 20, 2018 - Molecular DNA analysis could facilitate more accurate prognosis, treatment of aggressive brain tumors
November 20, 2018 - Breast Cancer Recurrence Rate Not Up With Autologous Fat Transfer
November 20, 2018 - Beta 2 Microglobulin (B2M) Tumor Marker Test: MedlinePlus Lab Test Information
November 20, 2018 - Could bariatric surgery make men more virile?
November 20, 2018 - Urine test to check if patients take their medications will save the NHS money, say researchers
November 20, 2018 - Study reveals impact of residual inflammatory risk on clinical outcomes after PCI
November 20, 2018 - RNAi therapy shown to alleviate preeclampsia
November 20, 2018 - Replacement of dysfunctional microglia has therapeutic potential for neurodegenerative diseases
November 20, 2018 - Forming 3D Neuronal Models of the Brain
November 20, 2018 - Shoulder ultrasounds could be used to predict diabetes
November 20, 2018 - SGLT2 Inhibitors for Diabetes Linked to Increased Risk for Amputation
November 20, 2018 - Stem cell transplant cements Arizona men’s father-son bond
November 20, 2018 - Scientists try to develop portable systems that can quickly produce biologics on demand
November 20, 2018 - Automating Data Capture and Image Analysis in Continuous Experiments
November 20, 2018 - New drug shows promise for treating people with peanut allergy
November 20, 2018 - Researchers develop novel mouse model to study immunomodulatory therapies
November 20, 2018 - “Britain must not go backward on antibiotic controls to appease US trade deals” – Jim Moseley, CEO of Red Tractor
November 20, 2018 - Widespread errors in ‘proofreading’ cause inherited blindness
November 20, 2018 - Reaping the benefits of living longer
November 20, 2018 - New Program Hopes to Make Early Detection and Treatment of ALS a Reality
November 19, 2018 - Artificial bone-like substance mimics the way real bone grows at atomic level
November 19, 2018 - FDA Grants Orphan Drug Designation To RGX-181 Gene Therapy For The Treatment Of CLN2 Form Of Batten Disease
November 19, 2018 - Systemic mastocytosis – Genetics Home Reference
November 19, 2018 - Eye trauma secondary to falls in older adults increasing
November 19, 2018 - Empowering women in India to improve their health: A Q&A
November 19, 2018 - Researchers have trained a computer to analyze breast cancer images and classify tumors
November 19, 2018 - New glucose binding molecule could be key to better metabolic control for diabetics
WVU researchers increase colorectal cancer screening rates in West Virginia

WVU researchers increase colorectal cancer screening rates in West Virginia

image_pdfDownload PDFimage_print

In West Virginia, where colorectal cancer is the second-deadliest type of cancer, half of all colorectal cancers elude diagnosis until they have already grown beyond the colon. With Medicaid expansion, more West Virginians now have health insurance for cancer screening, yet many barriers to screening persist.

West Virginia University researchers are working to improve screening rates for the state, which has one of the highest incidences of colorectal cancer and one of the lowest screening rates in the nation.

“For patients who decline colonoscopy, the cost of the procedure is not always the issue. It is the non-procedure-related costs,” said Mary Ellen Conn, assistant director of WVU’s Cancer Prevention and Control Program.

Some patients may not be able to get time off from work to get screened. Others may lack transportation or childcare. And in West Virginia’s most rural counties, months-long waitlists can be a deterrent.

Conn and her colleague Stephenie Kennedy-Rea, director of the WVU Cancer Prevention and Control Program, lead a team that works with healthcare providers at 34 primary care clinics across West Virginia to implement research-proven interventions to increase their colorectal cancer screening rates.

This effort is part of the West Virginia Program to Increase Colorectal Cancer Screening, known as WV PICCS. Funded by the Centers for Disease Control and Prevention, the goal of the program is to increase colorectal cancer screening rates and create systems change for long-lasting impact. The program will receive a total of $2.65 million in CDC funding over its five-year run.

One of the first steps in working with clinics is to train providers and staff on the current colorectal cancer screening guidelines. Unlike with other cancers that call for just one screening method, several approved tests are available for colorectal.

In addition to colonoscopy, there are newer stool-based screening methods, including the fecal immunochemical test, which requires no fasting, no medication or diet restrictions, and no scoping procedures at distant facilities. The patients collect their own samples in privacy and take-;or mail-;the kit to the clinic.

Research shows that some patients will forego screening altogether if they are not offered an alternative to colonoscopy. But even if a patient accepts a fecal immunochemical test in a doctor’s exam room, there is no guarantee the patient will complete the test.

The WV PICCS team works with participating clinics to intervene when patients do not submit their fecal immunochemical test for analysis. They help clinics implement tailored reminder calls to the patients-;scripting the calls, determining the number and frequency of the calls and taking into account each clinic’s workload and staffing level.

Conn says that after reminder calls they are seeing an average 42 percent return rate on the tests.

“Keep in mind that these are tests that would not have come back into the clinic on their own,” Conn said. “We basically help the clinic move a zero rate of return to a higher percentage.”

As a result of working with WV PICCS, clinics completing the first year of intervention saw their average overall clinic screening rate increase from 27 percent to 50 percent.

The Clay-Battelle Community Health Center serving Blacksville and Burton is a participating clinic that currently receives training and technical assistance.

“Medicine is an always-changing, always-evolving thing,” said Megan Moore, a physician assistant who practices at the Blacksville clinic. “I think taking the time to re-educate all of us revitalizes our interest in educating our patients. Sometimes you may learn some new little tidbit, and that tidbit can be the thing you can tell a patient to make them go, ‘Hey, this is a good idea. This is going to help my overall health.'”

WV PICCS gathers data on participating clinics’ screening rates and reports the data to the clinics every quarter. Screening rates for individual providers are also shared through a process of provider assessment and feedback as studies show provider recommendation is the number one reason patients get screened.

“Some clinics invite us to provider meetings to present these data and discuss them,” Conn said. “This spurs a lot of discussion among the providers themselves. They question each other, like, ‘Well, Dr. Smith, you have a 70 percent screening rate. What are you saying to your patients?’ This really increases meaningful dialogue among providers where they can learn from one another.”

Colorectal cancer survival rates underscore the importance of screening and early detection. Out of 10 patients whose cancers are treated before they break through the colon wall, nine will be alive in five years. But for every 10 patients whose cancer has spread to other parts of the body, just one will reach the five-year mark.

“This program provides a unique opportunity to enhance physicians’ knowledge of screening options for their patients, create systems change to improve clinic screening rates and work in partnership to address one of the most preventable cancer killers in our state,” Kennedy-Rea said. “By working together, we can move the needle on colorectal cancer.”

Source:

https://wvutoday.wvu.edu/stories/2018/06/21/wvu-researchers-improve-screening-rates-for-state-s-second-deadliest-cancer

Tagged with:

About author

Related Articles