#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Geospatial analysis of the influence of family doctor on colorectal cancer screening adherence


Autoři: Fabrizio Stracci aff001;  Alessio Gili aff002;  Giulia Naldini aff003;  Vincenza Gianfredi aff003;  Morena Malaspina aff004;  Basilio Passamonti aff004;  Fortunato Bianconi aff002
Působiště autorů: Department of Experimental Medicine, Public Health Section, University of Perugia, Perugia, Italy aff001;  Umbria Cancer Registry, Perugia, Italy aff002;  School of Specialization in Hygiene and Preventive Medicine, University of Perugia, Perugia, Italy aff003;  Azienda USL Umbria 1,Laboratorio Unico di Screening, Perugia, Italy aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222396

Souhrn

Background

Despite the well-recognised relevance of screening in colorectal cancer (CRC) control, adherence to screening is often suboptimal. Improving adherence represents an important public health strategy. We investigated the influence of family doctors (FDs) as determinant of CRC screening adherence by comparing each FDs practice participation probability to that of the residents in the same geographic areas using the whole population geocoded.

Methods

We used multilevel logistic regression model to investigate factors associated with CRC screening adherence, among 333,843 people at their first screening invitation. Standardized Adherence Rates (SAR) by age, gender, and socioeconomic status were calculated comparing FDs practices to the residents in the same geographic areas using geocoded target population.

Results

Screening adherence increased from 41.0% (95% CI, 40.8–41.2) in 2006–2008 to 44.7% (95% CI, 44.5–44.9) in 2011–2012. Males, the most deprived and foreign-born people showed low adherence. FD practices and the percentage of foreign-born people in a practice were significant clustering factors. SAR for 145 (21.4%) FDs practices differed significantly from people living in the same areas. Predicted probabilities of adherence were 31.7% and 49.0% for FDs with low and high adherence, respectively.

Discussion

FDs showed a direct and independent effect to the CRC screening adherence of the people living in their practice. FDs with significantly high adherence level could be the key to adherence improvement.

Impact

Most deprived individuals and foreigners represent relevant targets for interventions in public health aimed to improve CRC screening adherence.

Klíčová slova:

Age groups – Cancer screening – Census – Colorectal cancer – Geographic areas – Italian people – Public and occupational health – Socioeconomic aspects of health


Zdroje

1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1. 0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. Lyon, France: International Agency for Research on Cancer; 2013. 2015.

2. Brenner H, Kloor M, Pox CP. Colorectal cancer. Lancet (London, England). Elsevier; 2014;383: 1490–1502. doi: 10.1016/S0140-6736(13)61649-9 24225001

3. Meyskens FL, Mukhtar H, Rock CL, Cuzick J, Kensler TW, Yang CS, et al. Cancer Prevention: Obstacles, Challenges, and the Road Ahead. JNCI J Natl Cancer Inst. 2016;108. doi: 10.1093/jnci/djv309 26547931

4. Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66: 683–691. doi: 10.1136/gutjnl-2015-310912 26818619

5. Fidler MM, Bray F, Vaccarella S, Soerjomataram I. Assessing global transitions in human development and colorectal cancer incidence. Int J Cancer. 2017;140: 2709–2715. doi: 10.1002/ijc.30686 28281292

6. Stracci F, Zorzi M, Grazzini G. Colorectal Cancer Screening: Tests, Strategies, and Perspectives. Front Public Heal. 2014;2: 210. doi: 10.3389/fpubh.2014.00210 25386553

7. Naishadham D, Lansdorp-Vogelaar I, Siegel R, Cokkinides V, Jemal A. State Disparities in Colorectal Cancer Mortality Patterns in the United States. Cancer Epidemiol Biomarkers Prev. 2011;20: 1296–1302. doi: 10.1158/1055-9965.EPI-11-0250 21737410

8. Giorgi Rossi P, Carrozzi G, Federici A, Mancuso P, Sampaolo L, Zappa M. Invitation coverage and participation in Italian cervical, breast and colorectal cancer screening programmes. J Med Screen. SAGE PublicationsSage UK: London, England; 2018;25: 17–23. doi: 10.1177/0969141317704476 28614991

9. Senore C, Inadomi J, Segnan N, Bellisario C, Hassan C. Optimising colorectal cancer screening acceptance: a review. Gut. 2015;64: 1158–1177. doi: 10.1136/gutjnl-2014-308081 26059765

10. Swan J, Breen N, Graubard BI, McNeel TS, Blackman D, Tangka FK, et al. Data and trends in cancer screening in the United States. Cancer. 2010;116: 4872–4881. doi: 10.1002/cncr.25215 20597133

11. Lo screening colorettale | Osservatorio Nazionale Screening [Internet]. [cited 9 Jul 2018]. Available: https://www.osservatorionazionalescreening.it/content/lo-screening-colorettale

12. Zorzi M, Fedeli U, Schievano E, Bovo E, Guzzinati S, Baracco S, et al. Impact on colorectal cancer mortality of screening programmes based on the faecal immunochemical test. Gut. 2015;64: 784–790. doi: 10.1136/gutjnl-2014-307508 25179811

13. Giorgi Rossi P, Vicentini M, Sacchettini C, Di Felice E, Caroli S, Ferrari F, et al. Impact of Screening Program on Incidence of Colorectal Cancer: A Cohort Study in Italy. Am J Gastroenterol. 2015;110: 1359–1366. doi: 10.1038/ajg.2015.240 26303133

14. Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Epling JW, García FAR, et al. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315: 2564. doi: 10.1001/jama.2016.5989 27304597

15. Halloran S, Launoy G, Zappa M, International Agency for Research on Cancer. European guidelines for quality assurance in colorectal cancer screening and diagnosis.–First Edition Faecal occult blood testing. Endoscopy. 2012;44: SE65–SE87. doi: 10.1055/s-0032-1309791

16. Indicatori demografici [Internet]. [cited 6 Aug 2018]. Available: http://dati.istat.it/Index.aspx?DataSetCode=DCIS_INDDEMOG1&Lang=it

17. Smith SG, Wardle J, Atkin W, Raine R, McGregor LM, Vart G, et al. Reducing the socioeconomic gradient in uptake of the NHS bowel cancer screening Programme using a simplified supplementary information leaflet: a cluster-randomised trial. BMC Cancer. 2017;17: 543. doi: 10.1186/s12885-017-3512-1 28806955

18. Frazier AL, Colditz GA, Fuchs CS, Kuntz KM. Cost-effectiveness of screening for colorectal cancer in the general population. JAMA. 2000;284: 1954–61. Available: http://www.ncbi.nlm.nih.gov/pubmed/11035892 doi: 10.1001/jama.284.15.1954 11035892

19. Caranci N, Biggeri A, Grisotto L, Pacelli B, Spadea T, Costa G. The Italian deprivation index at census block level: definition, description and association with general mortality. Epidemiol Prev. 2010;34: 167–176. 21224518

20. Krieger N, Williams DR, Moss NE. Measuring Social Class in US Public Health Research: Concepts, Methodologies, and Guidelines. Annu Rev Public Health. 1997;18: 341–378. doi: 10.1146/annurev.publhealth.18.1.341 9143723

21. Bianconi F, Brunori V, Valigi P, La Rosa F, Stracci F. Information technology as tools for cancer registry and regional cancer network integration. IEEE Trans Syst Man, Cybern Part ASystems Humans. 2012;42. doi: 10.1109/TSMCA.2012.2210209

22. Austin PC, Merlo J. Intermediate and advanced topics in multilevel logistic regression analysis. Stat Med. 2017;36: 3257–3277. doi: 10.1002/sim.7336 28543517

23. Neath AA, Cavanaugh JE. The Bayesian information criterion: background, derivation, and applications. Wiley Interdiscip Rev Comput Stat. Wiley-Blackwell; 2012;4: 199–203. doi: 10.1002/wics.199

24. Larsen K, Petersen JH, Budtz-Jørgensen E, Endahl L. Interpreting parameters in the logistic regression model with random effects. Biometrics. 2000;56: 909–14. Available: http://www.ncbi.nlm.nih.gov/pubmed/10985236 10985236

25. Merlo J, Chaix B, Ohlsson H, Beckman A, Johnell K, Hjerpe P, et al. A brief conceptual tutorial of multilevel analysis in social epidemiology: using measures of clustering in multilevel logistic regression to investigate contextual phenomena. J Epidemiol Community Heal. 2006;60: 290–297. doi: 10.1136/jech.2004.029454 16537344

26. Stata Statistical Software: Release 14. In: StataCorp. [Internet]. 2015 [cited 31 Aug 2017]. Available: https://www.stata.com/support/faqs/resources/citing-software-documentation-faqs/

27. Rat C, Latour C, Rousseau R, Gaultier A, Pogu C, Edwards A, et al. Interventions to increase uptake of faecal tests for colorectal cancer screening. Eur J Cancer Prev. 2017;27: 1. doi: 10.1097/CEJ.0000000000000344 28665812

28. Wools A, Dapper EA, Leeuw JRJ de. Colorectal cancer screening participation: a systematic review. Eur J Public Health. 2016;26: 158–168. doi: 10.1093/eurpub/ckv148 26370437

29. Camilloni L, Ferroni E, Cendales BJ, Pezzarossi A, Furnari G, Borgia P, et al. Methods to increase participation in organised screening programs: a systematic review. BMC Public Health. BioMed Central; 2013;13: 464. doi: 10.1186/1471-2458-13-464 23663511

30. Benton SC, Butler P, Allen K, Chesters M, Rickard S, Stanley S, et al. GP participation in increasing uptake in a national bowel cancer screening programme: the PEARL project. Br J Cancer. 2017;116: 1551–1557. doi: 10.1038/bjc.2017.129 28524157

31. Power E, Miles A, von Wagner C, Robb K, Wardle J. Uptake of colorectal cancer screening: system, provider and individual factors and strategies to improve participation. Futur Oncol. 2009;5: 1371–1388. doi: 10.2217/fon.09.134 19903066

32. Shin HY, Suh M, Park B, Jun JK, Choi KS. Perceptions of colorectal cancer screening and recommendation behaviors among physicians in Korea. BMC Cancer. 2017;17: 860. doi: 10.1186/s12885-017-3881-5 29246126

33. Brown T, Lee JY, Park J, Nelson CA, McBurnie MA, Liss DT, et al. Colorectal cancer screening at community health centers: A survey of clinicians’ attitudes, practices, and perceived barriers. Prev Med Reports. 2015;2: 886–891. doi: 10.1016/j.pmedr.2015.09.003 26844165

34. López-Torres-Hidalgo J, Simarro-Herráez MJ, Rabanales-Sotos J, Campos-Rosa R, de-la-Ossa-Sendra B, Carrasco-Ortiz C. The attitudes of primary care providers towards screening for colorectal cancer. Rev Esp Enferm Dig. 105: 272–8. Available: http://www.ncbi.nlm.nih.gov/pubmed/23971658 doi: 10.4321/s1130-01082013000500005 23971658

35. Weiss JM, Pickhardt PJ, Schumacher JR, Potvien A, Kim DH, Pfau PR, et al. Primary Care Provider Perceptions of Colorectal Cancer Screening Barriers: Implications for Designing Quality Improvement Interventions. Gastroenterol Res Pract. 2017;2017: 1–9. doi: 10.1155/2017/1619747 28163715

36. Hudson S V., Ohman-Strickland P, Cunningham R, Ferrante JM, Hahn K, Crabtree BF. The effects of teamwork and system support on colorectal cancer screening in primary care practices. Cancer Detect Prev. 2007;31: 417–423. doi: 10.1016/j.cdp.2007.08.004 18031947

37. Honein-AbouHaidar GN, Kastner M, Vuong V, Perrier L, Daly C, Rabeneck L, et al. Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening. Cancer Epidemiol Biomarkers Prev. 2016;25: 907–917. doi: 10.1158/1055-9965.EPI-15-0990 27197277

38. Fang CY, Tseng M. Ethnic density and cancer: A review of the evidence. Cancer. 2018;124: 1877–1903. doi: 10.1002/cncr.31177 29411868

39. I.STAT Resident foreigners—Balance [Internet]. [cited 30 Jul 2019]. Available: http://dati.istat.it/Index.aspx?lang=en&SubSessionId=3d9c8597-abbb-4776-b356-2d81f688a807

40. von Wagner C, Baio G, Raine R, Snowball J, Morris S, Atkin W, et al. Inequalities in participation in an organized national colorectal cancer screening programme: results from the first 2.6 million invitations in England. Int J Epidemiol. 2011;40: 712–718. doi: 10.1093/ije/dyr008 21330344

41. Pornet C, Dejardin O, Morlais F, Bouvier V, Launoy G. Socioeconomic determinants for compliance to colorectal cancer screening. A multilevel analysis. J Epidemiol Community Heal. 2010;64: 318–324. doi: 10.1136/jech.2008.081117 19740776

42. Ferroni E, Camilloni L, Jimenez B, Furnari G, Borgia P, Guasticchi G, et al. How to increase uptake in oncologic screening: A systematic review of studies comparing population-based screening programs and spontaneous access. Prev Med (Baltim). 2012;55: 587–596. doi: 10.1016/j.ypmed.2012.10.007 23064024

43. Raine R, Duffy SW, Wardle J, Solmi F, Morris S, Howe R, et al. Impact of general practice endorsement on the social gradient in uptake in bowel cancer screening. Br J Cancer. 2016;114: 321–326. doi: 10.1038/bjc.2015.413 26742011

44. Gupta S, Halm EA, Rockey DC, Hammons M, Koch M, Carter E, et al. Comparative Effectiveness of Fecal Immunochemical Test Outreach, Colonoscopy Outreach, and Usual Care for Boosting Colorectal Cancer Screening Among the Underserved. JAMA Intern Med. 2013;173: 1725–32. doi: 10.1001/jamainternmed.2013.9294 23921906

45. Hughes AG, Watanabe-Galloway S, Schnell P, Soliman AS. Rural–Urban Differences in Colorectal Cancer Screening Barriers in Nebraska. J Community Health. 2015;40: 1065–1074. doi: 10.1007/s10900-015-0032-2 25910484

46. Salas D, Vanaclocha M, Ibáñez J, Molina-Barceló A, Hernández V, Cubiella J, et al. Participation and detection rates by age and sex for colonoscopy versus fecal immunochemical testing in colorectal cancer screening. Cancer Causes Control. 2014;25: 985–997. doi: 10.1007/s10552-014-0398-y 24859111

47. Brenner H, Hoffmeister M, Arndt V, Haug U. Gender differences in colorectal cancer: implications for age at initiation of screening. Br J Cancer. Nature Publishing Group; 2007;96: 828–31. doi: 10.1038/sj.bjc.6603628 17311019

48. Gennep A Van. Les Rites de Passage; Etude Systematique des Rites de la Porte et du Seuil, de l’Hospitalite de l’Adoption, de la Grossesse et de l’Accouchement de la Naissance. Nourry E, editor. Paris: Edité par Librairie Critique; 1909.

49. Janz NK, Wren PA, Schottenfeld D, Guire KE. Colorectal cancer screening attitudes and behavior: a population-based study. Prev Med (Baltim). 2003;37: 627–34. Available: http://www.ncbi.nlm.nih.gov/pubmed/14636796 doi: 10.1016/j.ypmed.2003.09.016 14636796

50. McGregor SE, Bryant HE. Predictors of colorectal cancer screening: a comparison of men and women. Can J Gastroenterol. 2005;19: 343–9. Available: http://www.ncbi.nlm.nih.gov/pubmed/15997267 doi: 10.1155/2005/359243 15997267

51. Stronks K, Kunst AE. The complex interrelationship between ethnic and socio-economic inequalities in health. J Public Health (Bangkok). Oxford University Press; 2009;31: 324–325. doi: 10.1093/pubmed/fdp070


Článek vyšel v časopise

PLOS One


2019 Číslo 10
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

KOST
Koncepce osteologické péče pro gynekology a praktické lékaře
nový kurz
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Svět praktické medicíny 5/2023 (znalostní test z časopisu)

Imunopatologie? … a co my s tím???
Autoři: doc. MUDr. Helena Lahoda Brodská, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#