Client-directed interventions to increase community access to breast, cervical, and colorectal cancer screening a systematic review. Export

@article{citeulike:3352118, abstract = {Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community access to these services. Evidence from these reviews indicates that screening for breast cancer (by mammography) has been increased effectively by reducing structural barriers and by reducing out-of pocket client costs, and that screening for colorectal cancer (by fecal occult blood test) has been increased effectively by reducing structural barriers. Additional research is needed to determine whether screening for cervical cancer (by Pap test) can be increased by reducing structural barriers and by reducing out-of-pocket costs, whether screening for colorectal cancer (fecal occult blood test) can be increased by reducing out-of-pocket costs, and whether these interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report.}, address = {Community Guide Branch, National Center for Health Marketing, CDC, Atlanta, Georgia, USA. rbaron@cdc.gov}, author = {Baron, Roy C. and Rimer, Barbara K. and Coates, Ralph J. and Kerner, Jon and Kalra, Geetika P. and Melillo, Stephanie and Habarta, Nancy and Wilson, Katherine M. and Chattopadhyay, Sajal and Leeks, Kimberly and {Task Force on Community Preventive Services}}, citeulike-article-id = {3352118}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.amepre.2008.04.001}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S0749379708003206}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/18541188}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=18541188}, doi = {10.1016/j.amepre.2008.04.001}, issn = {0749-3797}, journal = {American journal of preventive medicine}, keywords = {access, cervical\_cancer, disparities}, month = {July}, number = {1 Suppl}, pages = {S56--S66}, posted-at = {2009-09-14 21:03:49}, priority = {0}, title = {Client-directed interventions to increase community access to breast, cervical, and colorectal cancer screening a systematic review.}, url = {http://dx.doi.org/10.1016/j.amepre.2008.04.001}, volume = {35}, year = {2008} }

TY - JOUR ID - citeulike:3352118 L3 - citeulike-article-id:3352118 N2 - Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community access to these services. Evidence from these reviews indicates that screening for breast cancer (by mammography) has been increased effectively by reducing structural barriers and by reducing out-of pocket client costs, and that screening for colorectal cancer (by fecal occult blood test) has been increased effectively by reducing structural barriers. Additional research is needed to determine whether screening for cervical cancer (by Pap test) can be increased by reducing structural barriers and by reducing out-of-pocket costs, whether screening for colorectal cancer (fecal occult blood test) can be increased by reducing out-of-pocket costs, and whether these interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report. IS - 1 Suppl JF - American journal of preventive medicine SN - 0749-3797 AD - Community Guide Branch, National Center for Health Marketing, CDC, Atlanta, Georgia, USA. rbaron@cdc.gov EP - S66 TI - Client-directed interventions to increase community access to breast, cervical, and colorectal cancer screening a systematic review. VL - 35 SP - S56 KW - access KW - cervical_cancer KW - disparities AU - Baron, Roy AU - Rimer, Barbara AU - Coates, Ralph AU - Kerner, Jon AU - Kalra, Geetika AU - Melillo, Stephanie AU - Habarta, Nancy AU - Wilson, Katherine AU - Chattopadhyay, Sajal AU - Leeks, Kimberly PY - 2008/07// UR - http://dx.doi.org/10.1016/j.amepre.2008.04.001 ER -