Enhancing the Use and Quality of Colorectal Cancer Screening PDF Download
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Author: U. S. Department of Health and Human Services
Publisher: Createspace Independent Pub
ISBN: 9781484931585
Category : Medical
Languages : en
Pages : 670
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Book Description
Periodic screening of people at average risk for colorectal cancer (CRC) is recommended by three important national guideline groups, the United States Preventive Services Task Force (USPSTF), the American Cancer Society (ACS), and the U.S. Multi-Society Task Force on Colorectal Cancer (MSTF), as well as multiple professional societies. For CRC screening to contribute to a reduction in CRC mortality without unreasonable harms and costs, however, it must be offered to people who have a reasonable probability of net benefit, and it must be conducted effectively and efficiently. These issues of use and quality are especially salient for CRC screening because it is in some ways more complex (e.g., variation in timing and types of tests, invasiveness of most tests) than other screening programs. Underuse of CRC screening has been a clear problem for some years; evidence is now growing that overuse (i.e., screening people with little potential for net benefit) and misuse (i.e., conducting screening in ways that reduce net benefit) may also be important problems. This report is a systematic review of evidence about the use and quality of screening for CRC focusing on four primary key questions (KQs). It also includes an initial background section (KQ 1) on trends and the current situation of use and quality, and it presents a concluding discussion on needed research (KQ 6). The specific KQs of interest were as follows: KQ 1. What are the recent trends in the use and quality of CRC screening? KQ 2. What factors influence the use of CRC screening? KQ 3. Which strategies are effective in increasing the appropriate use of CRC screening and followup? KQ 4. What are the current and projected capacities to deliver CRC screening and followup at the population level? KQ 5. What are the effective approaches for monitoring the use and quality of CRC screening? KQ 6. What research is needed to make the most progress and have the greatest public health impact in promoting the appropriate use of CRC screening?
Author: U. S. Department of Health and Human Services
Publisher: Createspace Independent Pub
ISBN: 9781484931585
Category : Medical
Languages : en
Pages : 670
Get Book Here
Book Description
Periodic screening of people at average risk for colorectal cancer (CRC) is recommended by three important national guideline groups, the United States Preventive Services Task Force (USPSTF), the American Cancer Society (ACS), and the U.S. Multi-Society Task Force on Colorectal Cancer (MSTF), as well as multiple professional societies. For CRC screening to contribute to a reduction in CRC mortality without unreasonable harms and costs, however, it must be offered to people who have a reasonable probability of net benefit, and it must be conducted effectively and efficiently. These issues of use and quality are especially salient for CRC screening because it is in some ways more complex (e.g., variation in timing and types of tests, invasiveness of most tests) than other screening programs. Underuse of CRC screening has been a clear problem for some years; evidence is now growing that overuse (i.e., screening people with little potential for net benefit) and misuse (i.e., conducting screening in ways that reduce net benefit) may also be important problems. This report is a systematic review of evidence about the use and quality of screening for CRC focusing on four primary key questions (KQs). It also includes an initial background section (KQ 1) on trends and the current situation of use and quality, and it presents a concluding discussion on needed research (KQ 6). The specific KQs of interest were as follows: KQ 1. What are the recent trends in the use and quality of CRC screening? KQ 2. What factors influence the use of CRC screening? KQ 3. Which strategies are effective in increasing the appropriate use of CRC screening and followup? KQ 4. What are the current and projected capacities to deliver CRC screening and followup at the population level? KQ 5. What are the effective approaches for monitoring the use and quality of CRC screening? KQ 6. What research is needed to make the most progress and have the greatest public health impact in promoting the appropriate use of CRC screening?
Author: Debra J. Holden
Publisher:
ISBN: 9781587633904
Category : Colon (Anatomy)
Languages : en
Pages :
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Book Description
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170133
Category : Medical
Languages : en
Pages : 564
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Book Description
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Author: Aasma Shaukat
Publisher: Springer
ISBN: 1493923331
Category : Medical
Languages : en
Pages : 210
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Book Description
This volume provides a comprehensive overview of quality metrics and methods used to improve quality for all major modalities of CRC screening. It introduces the readers to the evidence of effectiveness behind various CRC screening modalities: stool-based tests (Fecal Occult Blood, Fecal Immunochemical and Fecal DNA tests), flexible sigmoidoscopy, colonoscopy and CT colonography. In-depth chapters review the latest guidelines for CRC screening, compare differences among the five major national guidelines, and highlight the need for valid quality and cost indicators. While the main focus of this volume is on colonoscopy, since most quality indicators and analyses have focused on this modality of screening and surveillance, one chapter is devoted to quality indicators of other screening modalities. Differences between process and outcome measures are also highlighted and a small but valid set of recommended national measures are listed. Written by experts in the field, Colorectal Cancer Screening: Quality and Benchmarks is an important and useful resource written for gastroenterologists, primary care physicians, general and colorectal surgeons, family physicians, and investigators with research focus in screening and quality metrics.
Author: National Institutes of Health
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
Author: Nereo Segnan
Publisher:
ISBN:
Category : Colon (Anatomy)
Languages : en
Pages : 452
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Book Description
Recoge: 1. Introduction -- 2. Organisation -- Guiding principles for organising a colorectal cancer screening programme -- 3. Evaluation and interpretation of screening outcomes -- 4. Faecal occult blood testing -- 5. Quality assurance in endoscopy in colorectal cancer screening and diagnosis -- 6. Professional requirements and training -- 7. Quality assurance in pathology in colorectal cancer screening and diagnosis -- 8. Management of lesions detected in colorectal cancer screening -- 9. Colonoscopic surveillance following adenoma removal --10. Communication -- Appendices.
Author: Han-Mo Chiu
Publisher: Springer Nature
ISBN: 9811574820
Category : Medical
Languages : en
Pages : 145
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Book Description
This book offers a self-contained review of the theoretical and practical basis of colorectal cancer screening. Colorectal cancer is currently the fourth leading cause of cancer deaths worldwide and represents a significant burden for both public health and health care systems. However, colorectal cancer deaths can be prevented using effective screening, and many countries and regions have launched population colorectal cancer screening programs. This book covers various essential aspects of colorectal cancer screening, including the epidemiology of colorectal cancer, the various screening and diagnostic tests or exams, quality issues in colorectal cancer screening, necessary infrastructures, the evaluation of effectiveness, and economic appraisals of screening programs. Focusing on organized screening, in which various quality indicators can easily monitored and effectiveness is more likely to be evaluated, it discusses the basics of screening theory and the natural history of colorectal neoplasms, to help readers understand the rationale behind cancer screening. Lastly, it features international consensus and guidelines on colorectal cancer screening to highlight the current trends in the field. This comprehensive book on recent technological developments and conceptual advances in colorectal cancer screening is a valuable resource for public health workers and clinicians alike.
Author: Benoît Rihoux
Publisher: SAGE
ISBN: 1412942357
Category : Reference
Languages : en
Pages : 241
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Book Description
This new addition to the Applied Social Research Methods series is unrivalled, it is written by leaders in the growing field of rigorous, comparative techniques.
Author: Douglas K. Rex
Publisher: Elsevier Health Sciences
ISBN: 0323733395
Category : Medical
Languages : en
Pages : 257
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Book Description
Together with Consulting Editor, Dr. Charles Lightdale, Dr. Doug Rex has put together an issue of Gastrointestinal Endoscopy Clinics that provides state-of-the-art clinical coverage of colorectal screening. Expert authors from all over the world have contributed clinical reviews that will be a staple for all practicing endoscopists. The articles are devoted to the following topics: What is organized screening and what is its value; Screening decisions in the opportunistic setting; The National Colorectal Cancer Round Table: Past performance and current and future goals; Proven strategies for increasing screening adherence; Colorectal cancer in persons under age 50: Seeking causes and solutions; Risk stratification strategies: From logistic regression to artificial intelligence; Cost-effectiveness of current screening tests; Quality in colorectal cancer screening; Screening for the serrated pathway; FIT: The world's colorectal cancer screening test; Fecal DNA testing: What has it accomplished and where is it headed; Is bowel preparation without complete colon clearing a viable concept: Update on flexible sigmoidoscopy, CTC, and capsule colonoscopy; Evidenced based screening strategies for a positive family history; Aspirational ADR and ideal colonoscopy performance: How long can we go between colonoscopies; and How Artificial Intelligence will impact colonoscopy and colorectal cancer screening. Readers will come away with the clinical knowledge they need to improve outcomes in colon cancer screening and prevention.
Author: Joseph Anderson, MD
Publisher: Springer Science & Business Media
ISBN: 1607613980
Category : Medical
Languages : en
Pages : 210
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Book Description
Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.
