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Community-Based Colorectal Cancer Screening Trials with Multi-Ethnic Groups: A Systematic Review

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Abstract

The objective of this review was to summarize the current literature of community-based colorectal cancer screening randomized controlled trials with multi-ethnic groups. The CDC reports 40% of adults do not receive time-appropriate colorectal cancer screening. Although overall screening rates have improved since 2000, disparities remain. Studies examining community characteristics may offer insight into improving screening rates and eliminating disparities. We identified community-based colorectal cancer screening studies using PubMed and Ovid Medline database searches. Inclusion criteria were: community-based, randomized controlled trials; English language; published from 1/2001 to 8/2009; all colorectal cancer screening test interventions recommended in the 2008 “Joint Consensus” report; and study participants from at least two racial/ethnic groups, with not more than 90% representation from one group. There were 29 relevant articles published during 2001–2009; with 15 meeting inclusion criteria. We categorized the final studies (n = 15) into the four categories of Patient mailings (n = 3), Telephone outreach (n = 3), Electronic/multimedia (n = 4), and Counseling/community education (n = 5). Of 15 studies, 11 (73%) demonstrated increased screening rates for the intervention group compared to controls, including all studies (100%) from the Patient mailings and Telephone outreach groups, 4 of 5 (80%) Counseling/community education studies, and 1 of 4 (25%) Electronic/multimedia interventions. Patient choice and tailoring of information were common features of trials that increased screening rates across study categories. Including community-level factors and social context may be useful in future design and evaluation of colorectal cancer interventions to reduce or prevent new cases of colorectal cancer.

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References

  1. Center for Disease Control and Prevention, Colorectal (Colon) Cancer Trends. Screening rates. Accessed on May 11, 2009, from http://www.cdc.gov/cancer/colorectal/statistics/screening_rates.htm.

  2. U.S. Cancer Statistics Working Group. (2009). United States Cancer Statistics: 1999–2005 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Available at: www.cdc.gov/uscs.

  3. Centers for Disease Control and Prevention (CDC). (2000–2008). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Accessed at http://apps.nccd.cdc.gov/BRFSS).

  4. Swan, J., Breen, N., Coates, R. J., Rimer, B. K., & Lee, N. C. (2003). Progress in cancer screening practices in the United States: Results from the 2000 National Health Interview Survey. Cancer, 97, 1528–1540.

    Article  PubMed  Google Scholar 

  5. Hawley, S. T., Vernon, S. W., Levin, B., & Vallejo, B. (2004). Prevalence of colorectal cancer screening in a large medical organization. Cancer Epidemiology Biomarkers and Prevention, 13, 314–319.

    Article  Google Scholar 

  6. Etzioni, D. A., Ponce, N. A., Babey, S. H., et al. (2004). A population-based study of colorectal cancer test use: Results from the 2001 California Health Interview Survey. Cancer, 101, 2523–2532.

    Article  PubMed  Google Scholar 

  7. Hawley, S. T., Volk, R. J., Krishnamurthy, P., Jibaja-Weiss, M., Vernon, S. W., & Kneuper, S. (2008). Preferences for colorectal cancer screening among racially/ethnically diverse primary care patients. Medical Care, 46, S10–S16.

    Article  PubMed  Google Scholar 

  8. De Jesus, M., Puleo, E., Shelton, R. C., McNeill, L. H., Emmons, K. M. (2009). Factors associated with colorectal cancer screening among a low-income, multiethnic, highly insured population: Does provider’s understanding of the patient’s social context matter? J Urban Health [Epub ahead of print].

  9. Viswanathan, M., Ammerman. A., Eng, E., Gartlehner, G., Lohr, K. N., Griffith, D., Rhodes, S., Samuel-Hodge, C., Maty, S., Lux, L., Webb, L., Sutton, S. F., Swinson, T., Jackman, A., & Whitener, L. (2004). Community-based participatory research: Assessing the evidence. Evidence Report/Technology Assessment No. 99 (Prepared by RTI—University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016). AHRQ Publication 04-E022-2. Rockville, MD: Agency for Healthcare Research and Quality.

  10. MacQueen, K. M., McLellan, E., Metzger, D. S., et al. (2001). What is community? An evidence-based definition for participatory public health. American Journal of Public Health, 91, 1929–1938.

    Article  CAS  PubMed  Google Scholar 

  11. Coughlin, S. S., Costanza, M. E., Fernandez, M. E., et al. (2006). CDC-funded intervention research aimed at promoting colorectal cancer screening in communities. Cancer, 107, 1196–1204.

    Article  PubMed  Google Scholar 

  12. Medicare Carriers Manual. (2001). Transmittal 1697. Department of Health and Human Services, Health Care Financing Administration.

  13. Levin, B., Lieberman, D. A., McFarland, B., et al. (2008). 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 Journal for Clinicians, 58, 130–160.

    Article  Google Scholar 

  14. Moher, D., Cook, D. J., Eastwood, S., Olkin, I., Rennie, D., & Stroup, D. F. (2000). Improving the quality of reports of meta-analyses of randomised controlled trials: The QUOROM statement. QUOROM Group. British Journal of Surgery, 87, 1448–1454.

    Article  CAS  PubMed  Google Scholar 

  15. Cochrane Handbook for Systematic Reviews of Interventions. (2008). Accessed May 15, 2009, at http://www.cochrane-handbook.org/.

  16. Denberg, T. D., Coombes, J. M., Byers, T. E., et al. (2006). Effect of a mailed brochure on appointment-keeping for screening colonoscopy: A randomized trial. Annals of Internal Medicine, 145, 895–900.

    PubMed  Google Scholar 

  17. Goldberg, D., Schiff, G. D., McNutt, R., Furumoto-Dawson, A., Hammerman, M., & Hoffman, A. (2004). Mailings timed to patients’ appointments: A controlled trial of fecal occult blood test cards. American Journal of Preventive Medicine, 26, 431–435.

    Article  PubMed  Google Scholar 

  18. Myers, R. E., Sifri, R., Hyslop, T., et al. (2007). A randomized controlled trial of the impact of targeted and tailored interventions on colorectal cancer screening. Cancer, 110, 2083–2091.

    Article  PubMed  Google Scholar 

  19. Basch, C. E., Wolf, R. L., Brouse, C. H., et al. (2006). Telephone outreach to increase colorectal cancer screening in an urban minority population. American Journal of Public Health, 96, 2246–2253.

    Article  PubMed  Google Scholar 

  20. Dietrich, A. J., Tobin, J. N., Cassells, A., et al. (2006). Telephone care management to improve cancer screening among low-income women: a randomized, controlled trial. Annals of Internal Medicine, 144, 563–571.

    PubMed  Google Scholar 

  21. Dietrich, A. J., Tobin, J. N., Cassells, A., et al. (2007). Translation of an efficacious cancer-screening intervention to women enrolled in a Medicaid managed care organization. Annals of Family Medicine, 5, 320–327.

    Article  PubMed  Google Scholar 

  22. Ruffin, M Tt, Fetters, M. D., & Jimbo, M. (2007). Preference-based electronic decision aid to promote colorectal cancer screening: results of a randomized controlled trial. Preventive Medicine, 45, 267–273.

    Article  PubMed  Google Scholar 

  23. Chan, E. C., & Vernon, S. W. (2008). Implementing an intervention to promote colon cancer screening through e-mail over the Internet: Lessons learned from a pilot study. Medical Care, 46, S117–S122.

    Article  PubMed  Google Scholar 

  24. Miller, D. P, Jr., Kimberly, J. R, Jr., Case, L. D., & Wofford, J. L. (2005). Using a computer to teach patients about fecal occult blood screening. A randomized trial. Journal of General Internal Medicine, 20, 984–988.

    Article  PubMed  Google Scholar 

  25. Friedman, L. C., Everett, T. E., Peterson, L., Ogbonnaya, K. I., & Mendizabal, V. (2001). Compliance with fecal occult blood test screening among low-income medical outpatients: a randomized controlled trial using a videotaped intervention. Journal of Cancer Education, 16, 85–88.

    CAS  PubMed  Google Scholar 

  26. Glanz, K., Steffen, A. D., & Taglialatela, L. A. (2007). Effects of colon cancer risk counseling for first-degree relatives. Cancer Epidemiology Biomarkers and Prevention, 16, 1485–1491.

    Article  Google Scholar 

  27. Percac-Lima, S., Grant, R. W., Green, A. R., et al. (2009). A culturally tailored navigator program for colorectal cancer screening in a community health center: a randomized, controlled trial. Journal of General Internal Medicine, 24, 211–217.

    Article  PubMed  Google Scholar 

  28. Potter, M. B., Phengrasamy, L., Hudes, E. S., McPhee, S. J., & Walsh, J. M. (2009). Offering annual fecal occult blood tests at annual flu shot clinics increases colorectal cancer screening rates. Annals of Family Medicine, 7, 17–23.

    Article  PubMed  Google Scholar 

  29. Powe, B. D., Ntekop, E., & Barron, M. (2004). An intervention study to increase colorectal cancer knowledge and screening among community elders. Public Health Nursing, 21, 435–442.

    Article  PubMed  Google Scholar 

  30. Thompson, B., Coronado, G., Chen, L., & Islas, I. (2006). Celebremos la salud! a community randomized trial of cancer prevention (United States). Cancer Causes and Control, 17, 733–746.

    Article  PubMed  Google Scholar 

  31. Griffith, J. M., Lewis, C. L., Brenner, A. R., & Pignone, M. P. (2008). The effect of offering different numbers of colorectal cancer screening test options in a decision aid: A pilot randomized trial. BMC Medical Informatics and Decision Making, 8, 4.

    Article  PubMed  Google Scholar 

  32. Drewnowski, A., Rehm, C. D., & Solet, D. (2007). Disparities in obesity rates: analysis by ZIP code area. Social Science and Medicine, 65, 2458–2463.

    Article  PubMed  Google Scholar 

  33. Rosen, L., Manor, O., Engelhard, D., & Zucker, D. (2006). In defense of the randomized controlled trial for health promotion research. American Journal of Public Health, 96, 1181–1186.

    Article  PubMed  Google Scholar 

  34. Rawl, S. M., Champion, V. L., Scott, L. L., et al. (2008). A randomized trial of two print interventions to increase colon cancer screening among first-degree relatives. Patient Education and Counseling, 71, 215–227.

    Article  PubMed  Google Scholar 

  35. Lane, D. S., Messina, C. R., Cavanagh, M. F., & Chen, J. J. (2008). A provider intervention to improve colorectal cancer screening in county health centers. Medical Care, 46, S109–S116.

    Article  PubMed  Google Scholar 

  36. Larkey, L. K., Lopez, A. M., Minnal, A., & Gonzalez, J. (2009). Storytelling for promoting colorectal cancer screening among underserved Latina women: A randomized pilot study. Cancer Control, 16, 79–87.

    PubMed  Google Scholar 

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Acknowledgments

The authors gratefully acknowledge Raul Caetano, MD, MPH, PhD for his guidance and conceptual contributions to this manuscript.

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Authors and Affiliations

  1. Department of Family and Community Medicine, UT Southwestern Medical Center at Dallas, 6263 Harry Hines Blvd, Dallas, TX, 75390-9067, USA

    Jay B. Morrow & Manjula Julka

  2. School of Health Sciences, Rochester, Michigan, Oakland University, 2200 N. Squirrel Road, Rochester, MI, 48309-4401, USA

    Florence J. Dallo

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  1. Jay B. Morrow
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Correspondence to Jay B. Morrow.

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Morrow, J.B., Dallo, F.J. & Julka, M. Community-Based Colorectal Cancer Screening Trials with Multi-Ethnic Groups: A Systematic Review. J Community Health 35, 592–601 (2010). https://doi.org/10.1007/s10900-010-9247-4

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