A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations

Background: Colorectal cancer (CRC) is the fourth leading cause of cancer-related death in the United States, despite being largely preventable and treatable. Improving overall screening rates among both men and women is considered an important and effective strategy toward reducing morbidity and mo...

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Main Authors: Jose Raul Valery, Andres Applewhite, Alyssa Manaois, John Dimuna, Taimur Sher, Michael G. Heckman, Danielle E. Brushaber, Fernando Stancampiano
Format: Article
Language:English
Published: SAGE Publishing 2020-06-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150132720931321
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spelling doaj-197b143832344da499f1f637db3934612020-11-25T03:46:39ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272020-06-011110.1177/2150132720931321A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening RecommendationsJose Raul Valery0Andres Applewhite1Alyssa Manaois2John Dimuna3Taimur Sher4Michael G. Heckman5Danielle E. Brushaber6Fernando Stancampiano7Mayo Clinic Florida, Jacksonville, FL, USAMayo Clinic Florida, Jacksonville, FL, USAMayo Clinic School of Health Sciences, Jacksonville, FL, USAMayo Clinic School of Health Sciences, Jacksonville, FL, USAMayo Clinic Florida, Jacksonville, FL, USAMayo Clinic Florida, Jacksonville, FL, USAMayo Clinic Rochester, Rochester, MN, USAMayo Clinic Florida, Jacksonville, FL, USABackground: Colorectal cancer (CRC) is the fourth leading cause of cancer-related death in the United States, despite being largely preventable and treatable. Improving overall screening rates among both men and women is considered an important and effective strategy toward reducing morbidity and mortality from CRC. In order to optimize screening strategies, factors associated with decreased compliance need to be understood. This study aimed to compare initial CRC screening rates between males and females in a population of patients who presented for an annual physical examination. Methods: A retrospective chart review study of 380 patients designed to compare rates of initial CRC screening between males and females was conducted. Patients who were seen at our institution for an annual physical examination and were between 51 and 60 years of age were included. Results: There was no evidence of a difference in the rate of initial colon cancer screening between females (83.0%) and males (80.9%) in either unadjusted analysis (odds ratio = 1.16, P = .59) or in multivariable analysis adjusting for potential confounding variables (odds ratio = 1.16, P = .61). Conclusions: There was no significant difference in the rate of initial CRC screening between males and females who presented for an annual physical examination. This suggests that designing interventions to improve screening specific to gender may not be needed in a population of patients who attend routine preventive health examinations. Further study is needed in the general population to examine for gender-based differences in initial CRC screening among patients who do not regularly follow up for preventive examinations.https://doi.org/10.1177/2150132720931321
collection DOAJ
language English
format Article
sources DOAJ
author Jose Raul Valery
Andres Applewhite
Alyssa Manaois
John Dimuna
Taimur Sher
Michael G. Heckman
Danielle E. Brushaber
Fernando Stancampiano
spellingShingle Jose Raul Valery
Andres Applewhite
Alyssa Manaois
John Dimuna
Taimur Sher
Michael G. Heckman
Danielle E. Brushaber
Fernando Stancampiano
A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
Journal of Primary Care & Community Health
author_facet Jose Raul Valery
Andres Applewhite
Alyssa Manaois
John Dimuna
Taimur Sher
Michael G. Heckman
Danielle E. Brushaber
Fernando Stancampiano
author_sort Jose Raul Valery
title A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
title_short A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
title_full A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
title_fullStr A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
title_full_unstemmed A Retrospective Analysis of Gender-Based Difference in Adherence to Initial Colon Cancer Screening Recommendations
title_sort retrospective analysis of gender-based difference in adherence to initial colon cancer screening recommendations
publisher SAGE Publishing
series Journal of Primary Care & Community Health
issn 2150-1327
publishDate 2020-06-01
description Background: Colorectal cancer (CRC) is the fourth leading cause of cancer-related death in the United States, despite being largely preventable and treatable. Improving overall screening rates among both men and women is considered an important and effective strategy toward reducing morbidity and mortality from CRC. In order to optimize screening strategies, factors associated with decreased compliance need to be understood. This study aimed to compare initial CRC screening rates between males and females in a population of patients who presented for an annual physical examination. Methods: A retrospective chart review study of 380 patients designed to compare rates of initial CRC screening between males and females was conducted. Patients who were seen at our institution for an annual physical examination and were between 51 and 60 years of age were included. Results: There was no evidence of a difference in the rate of initial colon cancer screening between females (83.0%) and males (80.9%) in either unadjusted analysis (odds ratio = 1.16, P = .59) or in multivariable analysis adjusting for potential confounding variables (odds ratio = 1.16, P = .61). Conclusions: There was no significant difference in the rate of initial CRC screening between males and females who presented for an annual physical examination. This suggests that designing interventions to improve screening specific to gender may not be needed in a population of patients who attend routine preventive health examinations. Further study is needed in the general population to examine for gender-based differences in initial CRC screening among patients who do not regularly follow up for preventive examinations.
url https://doi.org/10.1177/2150132720931321
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