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Colorectal Cancer Screening Preferences among Black and Latino Primary Care Patients

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Abstract

Colorectal cancer (CRC) screening rates in the U.S. have historically been lower among blacks and Latinos than whites. The advent of a new stool-based test, Cologuard, calls for research to determine which CRC screening test minority individuals might prefer. Ninety black and Latino patients who had undergone screening colonoscopy were personally educated about four CRC screening tests and subsequently asked about their test preference, attributes that influenced preference, and strength of preference. Cologuard (31.1 %) and colonoscopy (64.4 %) were preferred over computerized tomographic colonography and fecal immunochemical tests. Preference was influenced by distinct test attributes. Individuals who selected Cologuard over colonoscopy were more likely to be >60 and have greater strength of test preference. There was an overriding preference for Cologuard and colonoscopy among black and Latino individuals who had undergone screening colonoscopy. To further improve CRC screening in these populations, patient preferences should guide recommendations.

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References

  1. American Cancer Society. Colorectal cancer facts & figures. Atlanta: American Cancer Society; 2014.

    Google Scholar 

  2. Levin B, Lieberman DA, McFarland B, Smith RA, Brooks D, Andrews KS, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology*†. CA Cancer J Clin. 2008;58(3):130–60.

    Article  PubMed  Google Scholar 

  3. Imperiale TF, Ransohoff DF, Itzkowitz SH, Levin TR, Lavin P, Lidgard GP, et al. Multitarget stool DNA testing for colorectal-cancer screening. N Engl J Med. 2014;370(14):1287–97.

    Article  CAS  PubMed  Google Scholar 

  4. Centers for Medicare & Medicaid Services. Decision memo for screening for colorectal cancer - stool DNA testing (2014) http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=277.

  5. National Colorectal Cancer Roundtable. 80 % by 2018 Fact sheet (2014); Available at: http://nccrt.org/wp-content/uploads/80-by-2018-FACT-SHEET.FINAL_.pdf.

  6. Siegel R, DeSantis C, Jemal A. Colorectal cancer statistics, 2014. CA Cancer J Clin. 2014;64(2):104–17.

    Article  PubMed  Google Scholar 

  7. New York City Department of Health and Mental Hygiene. Colonoscopy in New York City (2010). http://www.nyc.gov/html/doh/downloads/pdf/cancer/colonoscopy-brochure.pdf.

  8. New York State Department of Health. One out of four NYS adults aged 50–75 years have never received life-saving colorectal cancer screening tests. (2015). https://www.health.ny.gov/statistics/prevention/injury_prevention/information_for_action/docs/2015-01_ifa_report.pdf.

  9. Braschi CD, Sly JR, Singh S, Villagra C, Jandorf L. Increasing colonoscopy screening for Latino Americans through a patient navigation model: a randomized clinical trial. J Immigr Minor Health. 2014;16(5):934–40.

    Article  PubMed  Google Scholar 

  10. Richards CA, Kerker BD, Thorpe L, Olson C, Krauskopf MS, Silver LS, et al. Increased screening colonoscopy rates and reduced racial disparities in the New York Citywide campaign: an urban model. Am J Gastroenterol. 2011;106(11):1880–6.

    Article  PubMed  Google Scholar 

  11. Jandorf L, Braschi C, Ernstoff E, Wong CR, Thelemaque L, Winkel G, et al. Culturally targeted patient navigation for increasing African Americans’ adherence to screening colonoscopy: a randomized clinical trial. Cancer Epidemiol Biomark Prev. 2013;22(9):1577–87.

    Article  Google Scholar 

  12. DeBourcy AC, Lichtenberger S, Felton S, Butterfield KT, Ahnen DJ, Denberg TD. Community-based preferences for stool cards versus colonoscopy in colorectal cancer screening. J Gen Intern Med. 2008;23(2):169–74.

    Article  PubMed  Google Scholar 

  13. Inadomi JM, Vijan S, Janz NK, Fagerlin A, Thomas JP, Lin YV, et al. Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med. 2012;172(7):575–82.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Wolf RL, Basch CE, Brouse CH, Shmukler C, Shea S. Patient preferences and adherence to colorectal cancer screening in an urban population. Am J Public Health. 2006;96(5):809–11.

    Article  PubMed  PubMed Central  Google Scholar 

  15. U.S. Preventive Services Task Force. Final Recommendation statement: colorectal cancer: screening (2008). http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationstatementFinal/colorectal-cancer-screening.

  16. Wolf MS, Baker DW, Makoul G. Physician–patient communication about colorectal cancer screening. J Gen Intern Med. 2007;22(11):1493–9.

    Article  PubMed  PubMed Central  Google Scholar 

  17. United States Census Bureau. State and County Quickfacts (2015). http://quickfacts.census.gov/qfd/states/00000.html.

  18. Siegel R, Naishadham D, Jemal A. Cancer statistics for Hispanics/Latinos, 2012. CA Cancer J Clin. 2012;62(5):283–98.

    Article  PubMed  Google Scholar 

  19. Ghanouni A, Smith SG, Halligan S, Plumb A, Boone D, Magee MS, et al. Public perceptions and preferences for CT colonography or colonoscopy in colorectal cancer screening. Patient Educ Couns. 2012;89(1):116–21.

    Article  PubMed  Google Scholar 

  20. Hawley ST, Volk RJ, Krishnamurthy P, Jibaja-Weiss M, Vernon SW, Kneuper S. Preferences for colorectal cancer screening among racially/ethnically diverse primary care patients. Med Care. 2008;46(9):S10–6.

    Article  PubMed  Google Scholar 

  21. Ling BS, Moskowitz MA, Wachs D, Pearson B, Schroy PC. Attitudes toward colorectal cancer screening tests. J Gen Intern Med. 2001;16(12):822–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Pooler BD, Baumel MJ, Cash BD, Moawad FJ, Riddle MS, Patrick AM, et al. Screening CT colonography: multicenter survey of patient experience, preference, and potential impact on adherence. AJR Am J Roentgenol. 2012;198(6):1361–6.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Schroy PC III, Lal S, Glick JT, Robinson PA, Zamor P, Heeren TC. Patient preferences for colorectal cancer screening: how does stool DNA testing fare? Am J Manag Care. 2007;13(7):393–400.

    PubMed  Google Scholar 

  24. Shokar NK, Carlson CA, Weller SC. Informed decision making changes test preferences for colorectal cancer screening in a diverse population. Ann Fam Med. 2010;8(2):141–50.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Taber JM, Aspinwall LG, Heichman KA, Kinney AY. Preferences for blood-based colon cancer screening differ by race/ethnicity. Am J Health Behav. 2014;38(3):351–61.

    Article  PubMed  Google Scholar 

  26. Hawley ST, McQueen A, Bartholomew LK, Greisinger AJ, Coan SP, Myers R, et al. Preferences for colorectal cancer screening tests and screening test use in a large multispecialty primary care practice. Cancer. 2012;118(10):2726–34.

    Article  PubMed  Google Scholar 

  27. Imaeda A, Bender D, Fraenkel L. What is most important to patients when deciding about colorectal screening? J Gen Intern Med. 2010;25(7):688–93.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Pignone M, Bucholtz D, Harris R. Patient preferences for colon cancer screening. J Gen Intern Med. 1999;14(7):432–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Palmer RC, Midgette LA, Mullan ID. Colorectal cancer screening preferences among African Americans: which screening test is preferred? J Cancer Educ. 2010;25(4):577–81.

    Article  PubMed  Google Scholar 

  30. Cooperman JL, Efuni E, Villagra C, DuHamel K, Jandorf L. Colorectal cancer screening brochure for Latinos: focus group evaluation. J Cancer Educ. 2013;28(3):582–90.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Sriphanlop P, Hennelly MO, Sperling D, Villagra C, Jandorf L. Increasing referral rate for screening colonoscopy through patient education and activation at a primary care clinic in New York City. Patient Educ Couns. 2016. doi:10.1016/j.pec.2016.03.005.

  32. Manne S, Markowitz A, Winawer S, Meropol NJ, Haller D, Rakowski W, et al. Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer. Health Psychol. 2002;21(1):3.

    Article  PubMed  Google Scholar 

  33. Eckardt AJ, Swales C, Bhattacharya K, Wassef WY, Phelan NP, Zubair S, et al. Open access colonoscopy in the training setting: which factors affect patient satisfaction and pain? Endoscopy. 2008;40(2):98–105.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This study was supported by an independent investigator grant to Sumedha V. Chablani from the Digestive Disease Research Foundation. The authors would like to thank the study participants and research staff of recruiters and interviewers, including Clarissa Martinez, Suky Martinez, Helen Nunez, Zeida Quintero-Canetti, Dylan Sperling, Pathu Sriphanlop, and Cristina Villagra.

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Sumedha V. Chablani & Steven H. Itzkowitz

  2. Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Noah Cohen & Katherine DuHamel

  3. Division of Cancer Prevention and Control, Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1130, New York, NY, 10029-6574, USA

    Drusilla White, Steven H. Itzkowitz & Lina Jandorf

Authors
  1. Sumedha V. Chablani
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  2. Noah Cohen
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  3. Drusilla White
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  4. Steven H. Itzkowitz
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  5. Katherine DuHamel
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  6. Lina Jandorf
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Correspondence to Lina Jandorf.

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Chablani, S.V., Cohen, N., White, D. et al. Colorectal Cancer Screening Preferences among Black and Latino Primary Care Patients. J Immigrant Minority Health 19, 1100–1108 (2017). https://doi.org/10.1007/s10903-016-0453-8

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  • DOI: https://doi.org/10.1007/s10903-016-0453-8

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