A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
| Autor: | Michael G. Heckman, Fernando F. Stancampiano, John Dimuna, Taimur Sher, Andres Applewhite, Alyssa Manaois, Danielle Brushaber, Jose Valery |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Colorectal cancer Population Psychological intervention gender-based difference lcsh:Computer applications to medicine. Medical informatics colorectal cancer screening 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Retrospective analysis Humans Mass Screening 030212 general & internal medicine education Early Detection of Cancer Original Research Retrospective Studies Community and Home Care education.field_of_study business.industry lcsh:Public aspects of medicine Confounding Public Health Environmental and Occupational Health Preventive health lcsh:RA1-1270 Colonoscopy Odds ratio Middle Aged medicine.disease Colon cancer screening United States preventive health 030220 oncology & carcinogenesis Colonic Neoplasms lcsh:R858-859.7 Female Colorectal Neoplasms business |
| Zdroj: | Journal of Primary Care & Community Health Journal of Primary Care & Community Health, Vol 11 (2020) |
| ISSN: | 2150-1327 |
| Popis: | Background: Colorectal cancer (CRC) is the fourth leading cause of cancer-related death in the United States, despite being largely preventable and treatable. Improving overall screening rates among both men and women is considered an important and effective strategy toward reducing morbidity and mortality from CRC. In order to optimize screening strategies, factors associated with decreased compliance need to be understood. This study aimed to compare initial CRC screening rates between males and females in a population of patients who presented for an annual physical examination. Methods: A retrospective chart review study of 380 patients designed to compare rates of initial CRC screening between males and females was conducted. Patients who were seen at our institution for an annual physical examination and were between 51 and 60 years of age were included. Results: There was no evidence of a difference in the rate of initial colon cancer screening between females (83.0%) and males (80.9%) in either unadjusted analysis (odds ratio = 1.16, P = .59) or in multivariable analysis adjusting for potential confounding variables (odds ratio = 1.16, P = .61). Conclusions: There was no significant difference in the rate of initial CRC screening between males and females who presented for an annual physical examination. This suggests that designing interventions to improve screening specific to gender may not be needed in a population of patients who attend routine preventive health examinations. Further study is needed in the general population to examine for gender-based differences in initial CRC screening among patients who do not regularly follow up for preventive examinations. |
| Databáze: | OpenAIRE |
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