Allison Perry

By

College: Public Health

Study Shows Colorectal Cancer Screening Rates High in Patients with Multiple Health Problems

Published: Mar 20, 2012

LEXINGTON, Ky. (March 20, 2012) — A study by University of Kentucky researchers showed that in Appalachia, colorectal cancer screening rates were higher in the population with multiple morbidities or diseases compared to those who had no morbidities at all.

 

Published in the Southern Medical Journal, the study used data based on a survey of 1,153 Appalachian men and women aged 50-76. Respondents were given four sets of questions designed to gather information on demographics; the presence of co-mordibities such as heart disease, diabetes, stroke, and various types of cancer; adherence to colorectal cancer screening guidelines; and barriers to and facilitators of colorectal cancer screening behavior.

 

Researchers found a dose-response relationship between the number of morbidities and the prevalence of colon cancer screening in the Appalachian population. Of those who reported two to three morbidities, 61.6 percent had received a colonoscopy; 65.7 percent had received a guideline-concordant colorectal screening. For patients with six or more morbidities, the rates rose to 69.6 percent and 79.6 percent, respectively.

 

In contrast, just 50 percent of those who reported no morbidities had undergone a colonoscopy, and only 56.5 percent had received any guideline-concordant colorectal screening.

 

The high screening rates in the multimorbid population were surprising, but it's a strong indication that the efforts to raise awareness about the importance of colonoscopies and other screening methods is working, says Nancy Schoenberg, Marion Pearsall Professor of Behavioral Science at the UK College of Medicine and principal investigator of the study.

 

"Over the past 10 years, there has been increasing coverage of the importance of colorectal cancer screening," Schoenberg said. "We are probably at about the same screening rate for colorectal cancer now that we were for cervical cancer and breast cancer several decades ago. We hope that colorectal cancer screening will eventually become as commonplace and routine as Pap tests and mammograms."

 

The higher screening rates in those with multiple health problems could also be due to more frequent contact with physicians, while residents who are otherwise healthy may not be visiting their physician as frequently, said Steve Fleming, associate professor of epidemiology at the UK College of Public Health.

 

"Doctors who see these multimorbid patients on a regular basis are more likely to remind patients about receiving regular screenings," Fleming said. "This shows that perhaps some of our outreach efforts should target the folks who are relatively healthy and see no need to visit their physicians regularly."

 

The study was funded by the National Cancer Institute. The researchers hope to take the lessons learned from this project and develop a large intervention project that can prevent colon cancer mortality in the U.S.

 

Colorectal cancer is preventable, but it remains the second-leading cause of cancer death in the United States. Kentucky is ranked in the highest tier for both colorectal cancer incidence and death. 

 

A colonoscopy is the most popular screening test for colorectal cancer, but patients may receive other screening tests including sigmoidoscopy and a fecal occult blood test. When colorectal cancer is found early and treated, the 5-year relative survival rate is 90 percent. However, only one of every three colon cancers is being detected at an early, treatable stage.

 

According to the American Cancer Society, colorectal cancer screening should begin at age 50 or earlier if you have a family history of colon or rectal cancer.

 

 

MEDIA CONTACT: Allison Perry, (859) 323-2399 or allison.perry@uky.edu

doctors_visit.jpg
September
 
 
1
Last Day to Add a Class
Last Day to Receive 80% Refund
Suicide Prevention: Raising Awareness & Sharing Our Stories
Welcome Coffee
Game Show
Tue
2
Wildcat Wellness Meditation
Wed
3
The Late Night Film Series Presents - Rosemary's Baby
The Late Night Film Series Presents - Pitch Perfect 2
Adjusting to College
Adjusting to College
Kickoff Football Season Grill Out
Thu
4
The Late Night Film Series Presents - Akira
The Late Night Film Series Presents - Whiplash
To Live in the Borderlands: A Household Perspective on Frontier Politics from the Middle Jequetepeque Valley, Peru
Fri
5
Go Swing Dancing!
Sat
6
 
Sun
7
Labor Day
Mon
8
Wildcat Wellness Relaxation
The Late Night Film Series Presents - Ivory Tower
Tue
9
Wildcat Wellness Meditation
Wed
10
The Late Night Film Series Presents - Selena
The Late Night Film Series Presents - Jurassic World
Adjusting to College
Thu
11
The Late Night Film Series Presents - The Great Beauty
The Late Night Film Series Presents - Predator
Friday Swing Dance Lessons - Free!
Friday Swing Dance Lessons - Free!
Accounting Internship & Career Fair
Fri
12
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wayne Koestenbaum: Unfamiliar Grammar
Sculptors On Paper
Swing Dance Lessons - Free
Sat
13
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Sun
14
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Kentucky Law Schools Forum
Outdoor Installation
Wildcat Wellness Expressions - Superhero
Mon
15
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Outdoor Installation
Wildcat Wellness Relaxation
Women's Forum Board Meeting
Southern Sirens Concert
Tue
16
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Outdoor Installation
Wildcat Wellness Meditation
Last Day to Drop a Course Without Appearing on Transcript
Wed
17
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Outdoor Installation
Adjusting to College
Thu
18
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Outdoor Installation
The Late Night Film Series Presents - Dark Girls
The Late Night Film Series Presents - The Pokémon Movie
Curator Tour with Stuart Horodner
Fri
19
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Swing Dance Lessons - Free
Sat
20
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
LexHop
Sun
21
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wildcat Wellness Expressions - Finger Painting
Mon
22
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wildcat Wellness Relaxation
Tue
23
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wildcat Wellness Meditation
Last Day to Receive 50% Refund
2 Day Business Internship & Career Fair
Pinterest Party I
Wed
24
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
2 Day Business Internship & Career Fair
Wildcat Wellness - Yoga for Relaxation
Wildcat Wellness - Yoga for Relaxation
Wildcat Wellness - Yoga for Relaxation
Wildcat Wellness - Yoga for Relaxation
Wildcat Wellness - Yoga for Relaxation
The Late Night Film Series Presents - Wild Tales
The Late Night Film Series Presents - Mad Max: Fury Road
Adjusting to College
Thu
25
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wayne Koestenbaum: Unfamiliar Grammar
The Late Night Film Series Presents - All.I.Can
The Late Night Film Series Presents - Nightcrawler
Fri
26
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Paint the Town Blue/Banner Competition
Wayne Koestenbaum: Unfamiliar Grammar
Swing Dance Lessons - Free
Swing Dance Lessons - Free
Arts Writing Workshop
Sat
27
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Paint the Town Blue/Banner Competition
Wayne Koestenbaum: Unfamiliar Grammar
Sun
28
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Paint the Town Blue/Banner Competition
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wildcat Wellness Expressions - Mandala
Mon
29
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wildcat Wellness Relaxation
Wildcat Wellness Relaxation
Wayne Koestenbaum: Unfamiliar Grammar
Kitty Karnival
Tue
30
Bottoms Up: A Sculpture Survey
Nina Katchadourian: Collection Interventions
Wildcat Wellness Meditation
Wildcat Wellness Meditation
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wayne Koestenbaum: Unfamiliar Grammar
Wed
 
 
 
Sep 01
Last Day to Add a Class 09/01/2015

Tue, 09/01/2015

Repeats every week until Tue Dec 08 2015 .
Tue, 09/01/2015

Repeats every week until Wed Dec 09 2015 except Wed Nov 25 2015.
Wed, 09/02/2015

Reset Page