Increasing colonoscopy screening in disparate populations: Results from an evaluation of patient navigation in the New Hampshire Colorectal Cancer Screening Program
| Autor: | Joanne Gersten, Lindsay Gressard, Janene Robie, Lynn F. Butterly, Ketra Rice, Amy DeGroff, Rebecca Glover-Kudon, Steven Leadbetter |
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| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
Cancer Research medicine.medical_specialty medicine.diagnostic_test business.industry Public health Colonoscopy Retrospective cohort study Odds ratio 03 medical and health sciences 0302 clinical medicine Oncology 030220 oncology & carcinogenesis Internal medicine Community health medicine Physical therapy 030212 general & internal medicine business Mass screening Cohort study |
| Zdroj: | Cancer. 123:3356-3366 |
| ISSN: | 0008-543X |
| Popis: | BACKGROUND To investigate uniformly successful results from a statewide program of patient navigation (PN) for colonoscopy, this comparison study evaluated the effectiveness of the PN intervention by comparing outcomes for navigated versus non-navigated patients in one of the community health clinics included in the statewide program. Outcomes measured included screening completion, adequacy of bowel preparation, missed appointments and cancellations, communication of test results, and consistency of follow-up recommendations with clinical guidelines. METHODS The authors compared a subset of 131 patients who were navigated to a screening or surveillance colonoscopy with a similar subset of 75 non-navigated patients at one endoscopy clinic. The prevalence and prevalence odds ratios were computed to measure the association between PN and each study outcome measure. RESULTS Patients in the PN intervention group were 11.2 times more likely to complete colonoscopy than control patients (96.2% vs 69.3%; P |
| Databáze: | OpenAIRE |
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