Implementing Colorectal Cancer Screening

Workshop Summary

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• Publisher: National Academies Press
• Year: 2008
• eBook ISBN: 9780309178303
• Edition: 0
• Topic: Medicine

The IOM's National Cancer Policy Board estimated in 2003 that even modest efforts to implement known tactics for cancer prevention and early detection could result in up to a 29 percent drop in cancer deaths in about 20 years. The IOM's National Cancer Policy Forum, which succeeded the Board after it was disbanded in 2005, continued the Board's work to outline ways to increase screening in the U.S.On February 25 and 26, 2008, the Forum convened a workshop to discuss screening for colorectal cancer. Colorectal cancer screening remains low, despite strong evidence that screening prevents deaths. With the aim to make recommended colorectal cancer screening more widespread, the workshop discussed steps to be taken at the clinic, community, and health system levels. Workshop speakers, representing a broad spectrum of leaders in the field, identified major barriers to increased screening and described strategies to overcome these obstacles. This workshop summary highlights the information presented, as well as the subsequent discussion about actions needed to increase colorectal screening and, ultimately, to prevent more colorectal cancer deaths.

Table of contents

• COVER PAGE
• THE NATIONAL ACADEMIES
• WORKSHOP PLANNING COMMITTEE
• NATIONAL CANCER POLICY FORUM
• Reviewers
• Contents
• INTRODUCTION
• NATURAL HISTORY AND EPIDEMIOLOGY
• EFFECTIVENESS OF COLORECTAL CANCER SCREENING
• SCREENING STRATEGIES
• EFFECTIVENESS OF COMMUNITY- AND OFFICE-BASED INTERVENTIONS
• OVERCOMING BARRIERS TO SCREENING
• PUBLIC AND PATIENT INTERVENTIONS TO IMPLEMENT SCREENING
• PRIMARY CARE PRACTICE INTERVENTIONS TO IMPLEMENT SCREENING
• GASTROINTESTINAL SPECIALTY PRACTICE CONCERNS
• STATE AND FEDERAL INITIATIVES TO BOOST COLORECTAL CANCER SCREENING
• EMPLOYER-BASED INITIATIVES TO INCREASE SCREENING
• STRATEGIES TO MONITOR PERFORMANCE
• INTERVENTIONS TO ADDRESS COSTS OF DEVELOPING AND MAINTAINING SCREENING PROGRAMS
• GENERAL DISCUSSION AND WRAP-UP
• Acronyms
• Glossary
• References
• Appendix A Workshop Agenda
• Appendix B Workshop Speakers
• Appendix C Epidemiology of Colorectal Cancer and Colorectal Cancer Screening: A Background Paper
• Appendix D The Medical Home