TY - JOUR
T1 - Breast, colorectal and prostate cancer screening for cancer survivors and non-cancer patients in community practices
AU - Hudson, Shawna V.
AU - Hahn, Karissa A.
AU - Ohman-Strickland, Pamela
AU - Cunningham, Regina S.
AU - Miller, Suzanne M.
AU - Crabtree, Benjamin F.
PY - 2009/11
Y1 - 2009/11
N2 - BACKGROUND: Cancer survivors have cancer surveillance and preventive screening needs that require monitoring. Little is known regarding their patterns of care in community primary care practices. METHODS: Secondary analysis of 750 baseline patient surveys and medical record audits for patients ages 50+ years in 25 community-based primary care practices (N∈=∈109 survivors and 641 noncancer patients). RESULTS: Patient self-reported screening rates for breast cancer (72%), colorectal cancer (81%) and prostate cancer (77%) were higher for cancer survivors compared to noncancer patients (69%, 67%, 53%, respectively). Screening rates documented in the primary care records were lower for all cancers. Cancer survivors were more likely than others to report having been screened for colorectal cancer (P∈=∈0.002) even after excluding colorectal cancer survivors from the analysis (P∈=∈0.034). Male cancer survivors were more likely to report being screened for prostate cancer than those without cancer (P∈<∈0.001), even after excluding prostate cancer survivors (P∈=∈0.020). There were no significant differences in either self-reported or medical record report of breast cancer screening rates among cancer survivors and noncancer patients. CONCLUSIONS: Cancer survivors were more likely to self-report receipt of cancer screening than noncancer patients. Medical record reports of cancer screening were lower than self-reports for cancer survivors and noncancer patients. Identifying factors that affect cancer screening among cancer survivors is important and has implications for intervention design.
AB - BACKGROUND: Cancer survivors have cancer surveillance and preventive screening needs that require monitoring. Little is known regarding their patterns of care in community primary care practices. METHODS: Secondary analysis of 750 baseline patient surveys and medical record audits for patients ages 50+ years in 25 community-based primary care practices (N∈=∈109 survivors and 641 noncancer patients). RESULTS: Patient self-reported screening rates for breast cancer (72%), colorectal cancer (81%) and prostate cancer (77%) were higher for cancer survivors compared to noncancer patients (69%, 67%, 53%, respectively). Screening rates documented in the primary care records were lower for all cancers. Cancer survivors were more likely than others to report having been screened for colorectal cancer (P∈=∈0.002) even after excluding colorectal cancer survivors from the analysis (P∈=∈0.034). Male cancer survivors were more likely to report being screened for prostate cancer than those without cancer (P∈<∈0.001), even after excluding prostate cancer survivors (P∈=∈0.020). There were no significant differences in either self-reported or medical record report of breast cancer screening rates among cancer survivors and noncancer patients. CONCLUSIONS: Cancer survivors were more likely to self-report receipt of cancer screening than noncancer patients. Medical record reports of cancer screening were lower than self-reports for cancer survivors and noncancer patients. Identifying factors that affect cancer screening among cancer survivors is important and has implications for intervention design.
KW - Cancer screening
KW - Cancer survivors
KW - Chart audit
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=71949101296&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000270894400019&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1007/s11606-009-1036-3
DO - 10.1007/s11606-009-1036-3
M3 - Article
C2 - 19838855
SN - 0884-8734
VL - 24 Suppl 2
SP - S487-S490
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
IS - SUPPL. 2
ER -