Create Account | Sign In: Author or Forum

Search Symptoms

Category: Family Medicine | Geriatrics | Gastroenterology | Gynecology | Internal Medicine | Nursing | Oncology | Pathology | Journal

Back to Journal Articles

Follow-Up of Colorectal CA Screens Lacking in Older Patients

Last Updated: July 13, 2016.

A considerable proportion of older patients are not up-to-date with colorectal cancer screening and do not receive timely follow-up of abnormal fecal blood tests, according to a study published online June 22 in the American Journal of Preventive Medicine.

WEDNESDAY, July 13, 2016 (HealthDay News) -- A considerable proportion of older patients are not up-to-date with colorectal cancer screening and do not receive timely follow-up of abnormal fecal blood tests, according to a study published online June 22 in the American Journal of Preventive Medicine.

Carrie N. Klabunde, Ph.D., from the National Institutes of Health in Rockville, Md., and colleagues conducted a population-based longitudinal study among health plan members (aged 65 to 89 years) enrolled in three health care systems participating in the Population-Based Research Optimizing Screening through Personalized Regimens consortium. Data were included for 846,267 patients.

The researchers found that 72 percent of patients were up-to-date with colorectal cancer screening. Sixty-five percent of those with a positive fecal blood test received follow-up colonoscopy within three months. Compared with younger participants, patients aged 76 years or older had a significantly lower likelihood of being up-to-date and receiving timely follow-up (P < 0.001). The influence of comorbidity was less than that of age, and had a stronger correlation with timely follow-up than with being up-to-date. A considerable number of patients with no/low comorbidity were not up-to-date or did not receive timely follow-up in all age groups.

"In three integrated health care systems, many older, relatively healthy patients were not screening up-to-date, and some relatively young, healthy patients did not receive timely follow-up," the authors write. "Findings suggest a need for reevaluating age-based screening guidelines and improving screening completion among the elderly."

Abstract
Full Text


Previous: FDA Approves Xiidra Eye Drops to Treat Dry Eye Disease Next: One Week of Bed Rest Lowers Muscle Mass, Insulin Sensitivity

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion: