Breaking News
September 21, 2018 - UK and European research collaborations receive vote of confidence by three major cancer charities
September 21, 2018 - Microbiota in the intestines and cell stress cause colon cancer
September 20, 2018 - Arizona EMTs have 39% higher risk for suicide than general public
September 20, 2018 - Driving and older adults: MedlinePlus Medical Encyclopedia
September 20, 2018 - Researchers test autobiographical memory for early Alzheimer’s detection
September 20, 2018 - Organizations join forces to help teens with severe mental health challenges | News Center
September 20, 2018 - Neurons in the human brain can encode numerical information
September 20, 2018 - Potential drugs to treat neurodegenerative diseases garner $3 million grant
September 20, 2018 - Processing speed important to higher order cognitive function in multiple sclerosis patients
September 20, 2018 - Helping a patient survive a hurricane
September 20, 2018 - Tafamidis Treats Transthyretin Amyloid Cardiomyopathy
September 20, 2018 - Low academic achievement can lead to drug abuse decades later, research finds
September 20, 2018 - Study identifies stem cell that gives rise to new bone, cartilage in humans | News Center
September 20, 2018 - Celltrion and Emory University sign ‘Incubation’ agreement to develop new drug candidates for atherosclerosis
September 20, 2018 - TGen and PNOC take part in launch of NIH-supported Kids First Data Resource Portal
September 20, 2018 - Could Household Cleaners Make Your Kid Fat?
September 20, 2018 - Addiction nonprofit makes searching for services simple
September 20, 2018 - We are bombarded by thousands of diverse species and chemicals | News Center
September 20, 2018 - Experts to Present Prostate Cancer Advances at Patient Summit
September 20, 2018 - Alector announces initiation of Phase 1 trial of AL001 for treating frontotemporal dementia
September 20, 2018 - Pfizer’s 20vPnC vaccine receives Breakthrough Therapy designation from FDA
September 20, 2018 - Study could allow doctors to screen patients at risk from Aspergillus
September 20, 2018 - Emergex signs MoU with Brazil’s Fiocruz for development of viral vaccines
September 20, 2018 - The ‘real you’ is a myth – we constantly create false memories to achieve the identity we want
September 20, 2018 - Researchers describe cell mechanism that optimizes proteins production in stressful situations
September 20, 2018 - Cell Medica successfully doses first patient with CMD-501 targeting pediatric neuroblastoma
September 20, 2018 - Sesen Bio to present its three-month Phase 3 VISTA Trial data at Global Congress
September 20, 2018 - Senators unveil legislation to protect patients against surprise medical bills
September 20, 2018 - Study provides insights into development of special-purpose cosmetic products
September 20, 2018 - Research shows enlarged genotype-phenotype correlation for three-base pair deletion in NF1
September 20, 2018 - 91% of people around the world believe medical research will result in dementia cure
September 20, 2018 - DePuy Synthes introduces CONCORDE LIFT Expandable Interbody Device at EUROSPINE 2018
September 20, 2018 - Manx Telecom unveils MT clearSound that improves clarity of mobile phone calls
September 20, 2018 - Mediterranean-style diet appears to reduce stroke risk in women
September 20, 2018 - AbbVie Announces Patient-Reported Outcomes Data from Three Pivotal Phase 3 Studies of Risankizumab, Showing Significant Improvements in Health-Related Quality of Life for Patients with Psoriasis
September 20, 2018 - Characterization of pregnancy microbiome reveals variations in bacterial diversity
September 20, 2018 - New guidance for treatment of bone loss in hematologic stem cell transplant Recipients
September 20, 2018 - Experts to present research on prevention, management of dysphagia at international conference
September 20, 2018 - New study focuses on two-way gene switches controlling gene activity
September 20, 2018 - Zika virus could become a weapon against brain cancer
September 20, 2018 - Home-based video game exercises can reduce chronic low back pain in older people, study finds
September 20, 2018 - Investigators find that bile acids reduce cocaine reward
September 20, 2018 - Cannabinoid drugs reduce perceived unpleasantness of painful stimuli and increase tolerance
September 20, 2018 - Health care companies’ data could enable more accurate flu season forecasts
September 20, 2018 - Geroscience takes center stage in Journal of the American Medical Association
September 20, 2018 - Ambient Particulate Matter Linked to Emergency Asthma Care
September 20, 2018 - Patient satisfaction with plastic surgery—it’s the surgeon, not the practice
September 20, 2018 - Medicine is a team sport – and that’s exactly how it should be
September 20, 2018 - Logos Biosystems releases new electrophoretic tissue clearing system with twice the features in half the space
September 20, 2018 - Novel micro-platform reveals never-before-seen behaviors of cancer cells
September 20, 2018 - PAREXEL partners with Datavant to enhance clinical study design and generate real-world evidence
September 20, 2018 - Robert Koch Institute publishes new data on allergies, mental health problems, and accident injuries
September 20, 2018 - Study finds higher readmission rates in for-profit hospitals
September 20, 2018 - Encouraging youth to do strength-based exercises could help tackle child obesity
September 20, 2018 - Sleep apnea, congenital heart disease in hospitalized infants strongly associated with death
September 20, 2018 - Researchers find way to map mysterious content of non-coding RNA
September 20, 2018 - Air Pollutants Reach Placenta, Might Harm Fetus: Study
September 20, 2018 - Sleep apnea, congenital heart disease may be deadly mix for hospitalized infants
September 20, 2018 - My relative has cancer, should I worry? Encouraging cascade genetic testing
September 20, 2018 - Investigators determine specific treatable traits that can predict future asthma attacks
September 20, 2018 - More doctor visits can lower risk of suicide attempts in fibromyalgia patients
September 20, 2018 - Computer avatars play role in diagnosis of dementia
September 20, 2018 - Addition of CTLA4 targeted therapy to PD-1 targeted therapy may benefit patients with ovarian cancer
September 20, 2018 - ASPREE trial explores whether low dose aspirin can prolong good health in elderly people
September 20, 2018 - ATS publishes new guideline focused on weight loss strategies for sleep apnea patients
September 20, 2018 - The Current issue of “The view from here” is concerned with Drug Delivery
September 19, 2018 - Sleep apnea could favour tumor growth at young ages
September 19, 2018 - Stealth vaping fad hidden from parents, teachers
September 19, 2018 - Witnessing school violence linked to later risk of psycho-social and academic impairment
September 19, 2018 - Common household cleaners could make children overweight by changing gut microbiota
September 19, 2018 - Salk research in yeast leads to serendipitous finding about hypomyelinating leukodystrophy
September 19, 2018 - Study: Overweight or obese women may have increased risk of urinary incontinence
September 19, 2018 - Study shows how cellular waste disposal processes also promote inflammation
September 19, 2018 - New multidisciplinary microsurgery microscope, PROVIDO, introduced by Leica
September 19, 2018 - Phase 2b STORM Data Evaluating Selinexor in Patients with Penta-Refractory Multiple Myeloma Presented at the Society of Hematologic Oncology 2018 Annual Meeting
September 19, 2018 - Decisions recruiting gut feelings seen as reflection of true self, more assuredly held, study says
September 19, 2018 - How AI can improve end-of-life care
September 19, 2018 - UNIST and Ulsan initiate research collaboration to develop human organs-on-chips
September 19, 2018 - Study highlights key role of migrating shoals of fish in sustaining deep-ocean microorganisms
September 19, 2018 - Disagreeable individuals can benefit most from behaving more compassionately, finds study
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