Can the Inpatient Hospital Setting Be a Golden Opportunity to Improve Colon Cancer Screening Rates in the United States?

Nawaz, Haq; Via, Christina; Shahrokni, Armin; Ramdass, Prakash; Raoof, Ali; Sunkara, Sujana; Petraro, Paul

doi:10.1177/1524839913518559

Cited by 7 publications

(6 citation statements)

References 15 publications

(14 reference statements)

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“…This finding is in contrast with a previous study where only one-fifth of the non-adherent hospitalized patients reported a willingness to undergo inpatient colonoscopy. 15 However, overall findings from our study are consistent with a previous study evaluating preferences of hospitalized women toward other cancer screening as noted for breast cancer. 26 …”

Section: Discussionsupporting

confidence: 91%

“…Only a few studies have evaluated the prevalence of non-adherence to CRC screening among the hospitalized population. 15 , 16 Results from our study were consistent with prior study, reiterating the fact that a pattern of adherence to CRC screening among hospitalized populations does not change over time. 15 Perceived risk and knowledge about CRC are thought to influence the perceptions of screening necessity and are crucial to adopting preventive behavior.…”

Section: Discussionsupporting

confidence: 89%

“… 15 , 16 Results from our study were consistent with prior study, reiterating the fact that a pattern of adherence to CRC screening among hospitalized populations does not change over time. 15 Perceived risk and knowledge about CRC are thought to influence the perceptions of screening necessity and are crucial to adopting preventive behavior. 17 Our results are also consistent with previous studies reporting a lack of knowledge as a predominant barrier to CRC screening participation, especially among low-income groups and ethnic minorities.…”

Section: Discussionsupporting

confidence: 89%

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Colorectal Cancer Screening Prevalence, Perceived Barriers, and Preference for Screening Colonoscopy Among Hospitalized Women

Graham¹,

Kauffman²,

Khaliq³

2022

Turk J Gastroenterol

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Background: Barriers to colorectal cancer screening persist despite screening campaigns, especially among women. This study explores the prevalence, preferences, and barriers associated with colorectal cancer screening and evaluates the effect of an inpatient intervention (one-on-one bedside education and handout about colorectal cancer) on screening adherence among hospitalized women. Methods: A prospective intervention study among 510 hospitalized women, who are cancer-free (except for skin cancer) at enrollment, aged between 50 and 75 years was conducted at an academic center. Socio-demographic, family history, and medical comorbidities data were collected for all patients. A post-hospitalization follow-up survey determined the effect of inpatient intervention on colorectal cancer screening adherence. Unpaired t -test and chi-square tests were used to compare characteristics, perspectives, and preferences for screening among adherent and non-adherent groups. Results: Mean age was 60.5 years, 45% reported an annual household income of <$20 000, 36% of women were African American, 27% of women were overdue for colorectal cancer screening, and 33% never had a screening colonoscopy. The most frequently reported barriers to colorectal cancer screening were “I have other problems more important than getting a colonoscopy,” “No transportation to get to the test,” and “Not counseled by primary care provider.” Sixty-six percent of the non-adherent women would agree to have an inpatient screening colonoscopy if offered. Conclusion: A significant number of hospitalized women are non-adherent to colorectal cancer screening, while the educational intervention was partially successful in enhancing colorectal cancer screening, most hospitalized women remained non-adherent after hospitalization. A majority of these women were amenable to inpatient screening colonoscopy if offered during a hospital stay.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

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Colorectal Cancer Screening Prevalence, Perceived Barriers, and Preference for Screening Colonoscopy Among Hospitalized Women

Graham¹,

Kauffman²,

Khaliq³

2022

Turk J Gastroenterol

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“…Hospitalization is a unique situation that creates an environment in which patients not only have access to healthcare resources but they also are extremely receptive to recommendations by their hospital providers. Prior studies evaluating the preferences of hospitalized women regarding cancer screening have reported that hospitalized women are enthusiastically receptive to screening recommendations during a hospital stay and amenable to having screening tests done during their hospital visit or after hospital discharge if due and offered 27–29 . As such, all efforts should be made to capitalize on hospitalization as an opportunity to improve cancer screening in general because some of the barriers such as transportation, scheduling, and counseling about screening tests can be overcome during a hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Nonadherence to Colorectal Cancer Screening among Hospitalized Women

Siraj

Kauffman

Khaliq

2022

Southern Medical Journal

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Objectives: Despite proven mortality benefit, disparities in colorectal cancer (CRC) screening utilization persist, especially among younger women, minorities, and low-income women, even those who are insured. The purpose of the present study is to evaluate and estimate the effects of sociodemographic and clinical variables associated with nonadherence to CRC screening among hospitalized women.Methods: A cross-sectional bedside survey was conducted to collect sociodemographic and clinical comorbidity data believed to affect CRC screening adherence of hospitalized women aged 50 to 75 years who were cancer free (except skin cancer) at enrollment. Logistic regression models were used to assess the association between these factors and nonadherence CRC screening.Results: In total, 510 women were enrolled for participation in the study. After adjustment for sociodemographic and clinical predictors, only two variables were found to be independently associated with nonadherence to CRC screening: age younger than 60 years (odds ratio [OR] 2.62, 95% confidence interval [CI] 1.58-4.33) and nonadherence to breast cancer screening (OR 3.72, 95% CI 2.29-6.04). By contrast, hospitalized women at high risk for CRC were more likely to be compliant with CRC screening (OR 0.14, 95% CI 0.04-0.50).Conclusions: Both younger age and behavior toward screening remain barriers to CRC screening. Hospitalization creates an environment where patients are in close proximity to healthcare resources, and strategies could be used to capitalize on this opportunity to counsel, educate, and motivate patients toward this screening that is necessary for health maintenance. Seizing on this opportunity may help improve CRC screening adherence.

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“…Multilevel screening strategies are warranted to address the barriers affecting CRC screening adherence and exploring this missed opportunity to counsel patients and engage in discussion about CRC screening could help improve CRC screening especially in hospitalized women. 17 , 18 Similar studies evaluating breast cancer screening have demonstrated that majority of hospitalized women were willing to have inpatient screening mammogram if offered during hospital stay. 16 , 19 As screening colonoscopy procedure is usually performed in the outpatient setting, anticipated additional cost associated with inpatient screening colonoscopy would be likely from facility charge, type of sedation required during the procedure, polyp removal, and possible increase in the length of stay in the hospital.…”

Section: Discussionmentioning

confidence: 94%

Hospitalized Women's Willingness to Pay for Inpatient Screening Colonoscopy

Olayinka

Gnanaraj

Khaliq

2022

Women's Health Reports

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Background: Despite the proven mortality benefit of screening colonoscopy, ∼27% of hospitalized women are nonadherent with colorectal cancer (CRC) screening guidelines. Colonoscopy is the most frequently used test for CRC screening in the United States. Although CRC is the second most common cause of cancer death in the United States, CRC screening has not been part of usual hospital care. Objective: This study explores how hospitalized women perceive value of inpatient screening colonoscopy by evaluating the mean amount of money that hospitalized women are willing to contribute toward the cost of a screening colonoscopy during a hospital stay. Methods: A cross-sectional bedside survey consisting of a contingent valuation questionnaire was used to assess the contribution these women considered to be justified for the convenience of an inpatient screening colonoscopy. The probit regression model was used for the analysis of contingent valuation data to predict mean willingness to pay toward inpatient screening colonoscopy. Results: Of the 312 enrolled patients, 48% were willing to pay a mean of $171.56 (95% confidence interval [CI] $37.59–$305.54, p = 0.012) in advance toward the cost of an inpatient screening colonoscopy. After adjustment of possible sociodemographic and clinical covariates that could impact willingness to contribute, hospitalized women were willing to pay a mean of $178.41 (95% CI $40.67–$316.16, p = 0.011). Conclusions: The findings of this study suggest that hospitalized women value the prospect of screening colonoscopy during hospitalization. Offering screening colonoscopy to nonadherent hospitalized women, especially those who are at high risk for developing CRC, may improve adherence among hospitalized women. This study is registered at (NCT04162925).

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Can the Inpatient Hospital Setting Be a Golden Opportunity to Improve Colon Cancer Screening Rates in the United States?

Abstract: The time of hospitalization is a potential "golden opportunity" to counsel patients and promote colon cancer screening.

Cited by 7 publications

References 15 publications

Colorectal Cancer Screening Prevalence, Perceived Barriers, and Preference for Screening Colonoscopy Among Hospitalized Women

Colorectal Cancer Screening Prevalence, Perceived Barriers, and Preference for Screening Colonoscopy Among Hospitalized Women

Predictors of Nonadherence to Colorectal Cancer Screening among Hospitalized Women

Hospitalized Women's Willingness to Pay for Inpatient Screening Colonoscopy

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