2018
DOI: 10.1002/cncr.31098
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Colorectal cancer screening prevalence and predictors among Asian American subgroups using Medical Expenditure Panel Survey National Data

Abstract: This study contributes to the literature on influences of differential CRCS prevalence among AA subgroups. CRCS promotion should be tailored according to attitudes and structural barriers affecting screening behavior of specific ethnic subgroups to truly serve the health needs of the diverse AA population. Cancer 2018;124:1543-51. © 2018 American Cancer Society.

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Cited by 13 publications
(21 citation statements)
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References 27 publications
(65 reference statements)
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“…Different mechanisms, which eventually contribute to traditional cytotoxic therapeutic resistance, are typically accomplished by generating drug efflux pumps to diminish the delivery of the drug to the target site inside the cancer cell, or by changing the enzymes involved in drug metabolism. Alternately, multi-drug resistance can be generated by genetic and epigenetic modification leading to altered drug sensitivity and mediating at one least mechanism by ATP binding cassette (ABC) protein transporters, responsible for the decreased drug uptake into the cancer cells and exerting their mode of action through diminishing the intracellular concentration of the chemotherapeutic drug, which subsequently leads to the generation of drug resistance (Van der Jeught, 2018). The role of ABC transporters has been postulated in drug resistance and might be instigated via the drug efflux mechanism and can interfere with 5-FU activity to rapidly impede both DNA and RNA synthesis processes.…”
Section: Figurementioning
confidence: 99%
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“…Different mechanisms, which eventually contribute to traditional cytotoxic therapeutic resistance, are typically accomplished by generating drug efflux pumps to diminish the delivery of the drug to the target site inside the cancer cell, or by changing the enzymes involved in drug metabolism. Alternately, multi-drug resistance can be generated by genetic and epigenetic modification leading to altered drug sensitivity and mediating at one least mechanism by ATP binding cassette (ABC) protein transporters, responsible for the decreased drug uptake into the cancer cells and exerting their mode of action through diminishing the intracellular concentration of the chemotherapeutic drug, which subsequently leads to the generation of drug resistance (Van der Jeught, 2018). The role of ABC transporters has been postulated in drug resistance and might be instigated via the drug efflux mechanism and can interfere with 5-FU activity to rapidly impede both DNA and RNA synthesis processes.…”
Section: Figurementioning
confidence: 99%
“…Matrix metalloproteinases (MMPs) is an important enzyme that degrades the extracellular matrix, while collagen type IV and gelatin were the main substrates for these enzymes. In particular, matrix metalloproteinases-9 (MMP-9) or gelatinase B is constitutively expressed in various cell types, including keratinocytes, macrophages, polymorphonuclear leukocytes, and some malignant tumor cells (Mackay et al, 1992;Van den Steen, 2002). MMP-9 can degrade many extracellular matrix (ECM) proteins through proteolytic cleavage and is closely related to ECM remodeling which supports tumor invasion and metastasis.…”
Section: Figurementioning
confidence: 99%
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“…Despite guidance and recommendations, overall screening rates remain below the 80% target rate endorsed by The National Colorectal Cancer Round Table 6 . Roughly one‐third of eligible adults in the US are not up‐to‐date with CRC screening or have not been screened for CRC, and adherence to screening recommendations varies between sub‐groups in the population 7–10 …”
Section: Introductionmentioning
confidence: 99%
“…The prevalence of CRC is high-frequency in America, North-Western Europe, Australia, Japan, China, Singapore, and Canada, and the lower one is reported in African and Asian countries, including Iran (third common malignancy in Iran) [2][3][4]. The National Colorectal Cancer Roundtable in 2015 suggested, there was an upward tendency in the CRC prevalence, and it could reach up to 80% [5]. Some kinds of therapeutic trends, such as surgery, radiation and chemotherapy have considerable outcome for these patients.…”
Section: Introductionmentioning
confidence: 99%