Breast, colorectal and prostate cancer screening for cancer survivors and non-cancer patients in community practices

Shawna V. Hudson, Karissa A. Hahn, Pamela Ohman-Strickland, Regina S. Cunningham, Suzanne M. Miller, Benjamin F. Crabtree

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)S487-S490
JournalJournal of General Internal Medicine
Volume24 Suppl 2
Issue numberSUPPL. 2
DOIs
StatePublished - Nov 2009

Keywords

  • Cancer screening
  • Cancer survivors
  • Chart audit
  • Primary care

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