Challenges and possible solutions to colorectal cancer screening for the underserved

Samir Gupta, Daniel A Sussman, Chyke A. Doubeni, Daniel S. Anderson, Lukejohn Day, Amar R Deshpande, B. Joseph Elmunzer, Adeyinka O. Laiyemo, Jeanette Mendez, Ma Somsouk, James Allison, Taft Bhuket, Zhuo Geng, Beverly B. Green, Steven H. Itzkowitz, Maria Elena Martinez

Research output: Contribution to journalArticle

102 Citations (Scopus)

Abstract

Colorectal cancer (CRC) is a leading cause of cancer mortality worldwide. CRC incidence and mortality can be reduced through screening. However, in the United States, screening participation remains suboptimal, particularly among underserved populations such as the uninsured, recent immigrants, and racial/ethnic minority groups. Increasing screening rates among underserved populations will reduce the US burden of CRC. In this commentary focusing on underserved populations, we highlight the public health impact of CRC screening, list key challenges to screening the underserved, and review promising approaches to boost screening rates. We identify four key policy and research priorities to increase screening among underserved populations: 1) actively promote the message, "the best test is the one that gets done"; 2) develop and implement methods to identify unscreened individuals within underserved population groups for screening interventions; 3) develop and implement approaches for organized screening delivery; and 4) fund and enhance programs and policies that provide access to screening, diagnostic follow-up, and CRC treatment for underserved populations. This commentary represents the consensus of a diverse group of experts in cancer control and prevention, epidemiology, gastroenterology, and primary care from across the country who formed the Coalition to Boost Screening among the Underserved in the United States. The group was organized and held its first annual working group meeting in conjunction with the World Endoscopy Organization's annual Colorectal Cancer Screening Committee meeting during Digestive Disease Week 2012 in San Diego, California.

Original languageEnglish
Article numberdju032
JournalJournal of the National Cancer Institute
Volume106
Issue number4
DOIs
StatePublished - Jan 1 2014

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Vulnerable Populations
Early Detection of Cancer
Colorectal Neoplasms
Minority Groups
Group Processes
Mortality
Financial Management
Gastroenterology
Population Groups
Ethnic Groups
Endoscopy
Neoplasms
Primary Health Care
Consensus
Epidemiology
Public Health
Organizations
Incidence
Research

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Challenges and possible solutions to colorectal cancer screening for the underserved. / Gupta, Samir; Sussman, Daniel A; Doubeni, Chyke A.; Anderson, Daniel S.; Day, Lukejohn; Deshpande, Amar R; Joseph Elmunzer, B.; Laiyemo, Adeyinka O.; Mendez, Jeanette; Somsouk, Ma; Allison, James; Bhuket, Taft; Geng, Zhuo; Green, Beverly B.; Itzkowitz, Steven H.; Martinez, Maria Elena.

In: Journal of the National Cancer Institute, Vol. 106, No. 4, dju032, 01.01.2014.

Research output: Contribution to journalArticle

Gupta, S, Sussman, DA, Doubeni, CA, Anderson, DS, Day, L, Deshpande, AR, Joseph Elmunzer, B, Laiyemo, AO, Mendez, J, Somsouk, M, Allison, J, Bhuket, T, Geng, Z, Green, BB, Itzkowitz, SH & Martinez, ME 2014, 'Challenges and possible solutions to colorectal cancer screening for the underserved', Journal of the National Cancer Institute, vol. 106, no. 4, dju032. https://doi.org/10.1093/jnci/dju032
Gupta, Samir ; Sussman, Daniel A ; Doubeni, Chyke A. ; Anderson, Daniel S. ; Day, Lukejohn ; Deshpande, Amar R ; Joseph Elmunzer, B. ; Laiyemo, Adeyinka O. ; Mendez, Jeanette ; Somsouk, Ma ; Allison, James ; Bhuket, Taft ; Geng, Zhuo ; Green, Beverly B. ; Itzkowitz, Steven H. ; Martinez, Maria Elena. / Challenges and possible solutions to colorectal cancer screening for the underserved. In: Journal of the National Cancer Institute. 2014 ; Vol. 106, No. 4.
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