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Comparative Study
. 2009 Oct;24(10):1095-100.
doi: 10.1007/s11606-009-1063-0. Epub 2009 Aug 27.

Use of colon cancer testing in rural Colorado primary care practices

Linda Overholser  1 , Linda Zittleman, Allison Kempe, Caroline Bublitz Emsermann, Desiree B Froshaug, Deborah S Main, Rodrigo Araya-Guerra, Maret Felzien, John M Westfall
Affiliations
Comparative Study

Use of colon cancer testing in rural Colorado primary care practices

Linda Overholser et al. J Gen Intern Med. 2009 Oct.

Abstract

Background: People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).

Objectives: To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.

Design: Cross-sectional survey.

Participants: Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.

Measurements: (1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.

Results: The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001).

Conclusions: Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.

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Figure 1
Figure 1
*Includes FOBT within 1 year, flexible sigmoidoscopy within 5 years, colonoscopy within 10 years or barium enema (BE) within 5 years.
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