Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients
| Autor: | Hope E.M. Schwartz, BA, Mary Kathryn Abel, AB, Joseph A. Lin, MD, MPH, Hannah C. Decker, MD, Margot B. Kushel, MD, Elizabeth C. Wick, MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Annals of Surgery Open, Vol 3, Iss 3, p e183 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2691-3593 00000000 |
| DOI: | 10.1097/AS9.0000000000000183 |
| Popis: | Patients experiencing homelessness face a high burden of chronic disease, including colorectal cancer. Access to colonoscopy is limited by many structural barriers in this population. In an exemplar case, we describe the barriers encountered by a homeless patient with a history of colorectal cancer who was lost to follow up and presented 11 years later with a new primary colon cancer. We provide policy solutions to increase the use of primary and secondary screening, including essential private bathroom access for colonoscopy preparation in patients who had a positive screening or require surveillance after diagnosis and treatment. We believe that increasing early detection and treatment may be cost-effective and could reduce disparities in morbidity and mortality in homeless patients. |
| Databáze: | Directory of Open Access Journals |
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