Primary care, economic barriers to health care, and use of colorectal cancer screening tests among medicare enrollees over time

Annals of Family Medicine

Volumn 8, Issue 4, 2010, Pages 299-307

  Doubeni, Chyke A ^a,b   Laiyemo, Adeyinka O ^a   Young, Angela C ^c   Klabunde, Carrie N ^c   Reed, George ^a   Field, Terry S ^b   Fletcher, Robert H ^d  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c NATIONAL CANCER INSTITUTE   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Cancer screening tests; Colorectal cancer; Cost of health care; Health; Health care disparities; Insurance; Physician's practice patterns

Indexed keywords

AGED; ARTICLE; CLINICAL PRACTICE; COLONOSCOPY; COLORECTAL TUMOR; CONFIDENCE INTERVAL; CROSS-SECTIONAL STUDY; EARLY DIAGNOSIS; ECONOMICS; FEMALE; HEALTH CARE DELIVERY; HEALTH DISPARITY; HEALTH SURVEY; HUMAN; INSURANCE; MALE; MEDICARE; MULTIVARIATE ANALYSIS; OCCULT BLOOD; PRIMARY HEALTH CARE; RISK; SIGMOIDOSCOPY; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AGED; AGED, 80 AND OVER; COLONOSCOPY; COLORECTAL NEOPLASMS; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; EARLY DETECTION OF CANCER; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS DISPARITIES; HEALTH SURVEYS; HUMANS; INSURANCE COVERAGE; MALE; MEDICARE; MULTIVARIATE ANALYSIS; OCCULT BLOOD; ODDS RATIO; PHYSICIAN'S PRACTICE PATTERNS; PRIMARY HEALTH CARE; SIGMOIDOSCOPY; UNITED STATES;

EID: 77955134233     PISSN: 15441709     EISSN: 15441717     Source Type: Journal    
DOI: 10.1370/afm.1112     Document Type: Article

References (46)

1. Mandel JS, Bond JH, Church TR, et al. Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med. 1993;328(19):1365-1371.
2. Selby JV, Friedman GD, Quesenberry CP Jr, Weiss NS. A case-control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med. 1992;326(10):653-657.
3. Winawer SJ, Zauber AG, Ho MN, et al; The National Polyp Study Workgroup. Prevention of colorectal cancer by colonoscopic polyp-ectomy. N Engl J Med. 1993;329(27):1977-1981.
4. Centers for Disease Control and Prevention (CDC). Use of colorectal cancer tests-United States, 2002, 2004, and 2006. MMWR Morb Mortal Wkly Rep. 2008;57(10):253-258.
5. Shapiro JA, Seeff LC, Thompson TD, Nadel MR, Klabunde CN, Ver-non SW. Colorectal cancer test use from the 2005 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 2008;17(7): 1623-1630.
6. Seeff LC, Nadel MR, Klabunde CN, et al. Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer. 2004;100(10):2093-2103.
7. Chen X, White MC, Peipins LA, Seeff LC. Increase in screening for colorectal cancer in older Americans: results from a national survey. J Am Geriatr Soc. 2008;56(8):1511-1516.
8. Bindman AB, Grumbach K, Osmond D, Vranizan K, Stewart AL. Primary care and receipt of preventive services. J Gen Intern Med. 1996;11(5):269 -276.
9. Meissner HI, Breen N, Klabunde CN, Vernon SW. Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev. 2006;15(2):389-394.
10. Etzioni DA, Yano EM, Rubenstein LV, et al. Measuring the quality of colorectal cancer screening: the importance of follow-up. Dis Colon Rectum. 2006;49(7):1002-1010.
11. DeVoe JE, Fryer GE, Phillips R, Green L. Receipt of preventive care among adults: insurance status and usual source of care. Am J Public Health. 2003;93(5):786-791.
12. Robinson JM, Shavers V. The role of health insurance coverage in cancer screening utilization. J Health Care Poor Underserved. 2008;19(3):842-856.
13. Schneider EC, Rosenthal M, Gatsonis CG, Zheng J, Epstein AM. Is the type of Medicare insurance associated with colorectal cancer screening prevalence and selection of screening strategy? Med Care. 2008;46(9)(Suppl 1):S84-S90.
14. Ioannou GN, Chapko MK, Dominitz JA. Predictors of colorectal cancer screening participation in the United States. Am J Gastroenterol. 2003;98(9):2082-2091.
15. Koroukian SM, Xu F, Dor A, Cooper GS. Colorectal cancer screening in the elderly population: disparities by dual Medicare-Medicaid enrollment status. Health Serv Res. 2006;41(6):2136-2154.
16. Centers for Medicare and Medicaid Services. National Medicare Handbook. Medicare and You, 2009. CMS Publication No. 10050. 2008. http://www.medicare.gov/publications/pubs/pdf/10050.pdf.
17. Jonas DE, Russell LB, Sandler RS, Chou J, Pignone M. Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Med Decis Making. 2008; 28(1):56-65.
18. Fenton JJ, Cai Y, Green P, Beckett LA, Franks P, Baldwin LM. Trends in colorectal cancer testing among Medicare subpopulations. Am J Prev Med. 2008;35(3):194-202.
19. Marbet UA, Bauerfeind P, Brunner J, Dorta G, Valloton JJ, Delcò F. Colonoscopy is the preferred colorectal cancer screening method in a population-based program. Endoscopy. 2008;40(8):650-655.
20. Schenck A P, Peacock SC, Klabunde CN, Lapin P, Coan JF, Brown ML. Trends in colorectal cancer test use in the medicare population, 1998-20 05. Am J Prev Med. 2009;37(1):1-7.
21. Atherly A. Supplemental insurance: Medicare's accidental stepchild. Med Care Res Rev. 2001;58(2):131-161.
22. Adler GS. A prof le of the Medicare Current Benef ciary Survey. Health Care Financ Rev. 1994;15(4):153-163.
23. Doubeni CA, Laiyemo AO, Reed G, Field TS, Fletcher RH. Socio-economic and racial patterns of colorectal cancer screening among Medicare enrollees in 2000 to 2005. Cancer Epidemiol Biomarkers Prev. 2009;18(8):2170-2175.
24. U.S. Preventive Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;149(9):627-637.
25. National Committee for Quality Assurance (NCQA). Colorectal cancer screening: percentage of adults 50 to 80 years of age who had appropriate screening for colorectal cancer. In: HEDIS 2008: Healthcare Effectiveness Data & Information Set. Vol. 2, Technical Specif cations. http://www.qualitymeasures.ahrq.gov/summary/summary. aspx?doc_id=13036.
26. Doubeni CA, Laiyemo AO, Klabunde C, Young AC, Field TS, Fletcher RH. Racial and ethnic trends of colorectal cancer screening among Medicare enrollees. Am J Prev Med. 2010;38(2):184-191.
27. Levin B, Lieberman DA, McFarland B, et al.; American Cancer Society Colorectal Cancer Advisory Group; US Multi-Society Task Force; American College of Radiology Colon Cancer Committee. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134(5):1570-1595.
28. Centers for Medicare and Medicaid Services. Appendix A: technical documentation for the Medicare Current Benef f ciary Survey. Health & Health Care of the Medicare Population: 2002. 2002. http:// www.cms.hhs.gov/mcbs/downloads/HHC2002appendixA.pdf.
29. Archer KJ, Lemeshow S. Goodness-of-f t test for a logistic regression model f tted using survey sample data. The Stata Journal. 2006;6(1):97-105.
30. Begg CB, Gray R. Calculation of polychotomous logistic regression parameters using individualized regressions. Biometrika. 1984;71(1):11-18.
31. Korn EL, Graubard BI. Simultaneous testing of regression coef-f cients with complex survey data: use of Bonferroni t statistics. Am Stat. 1990;44(4):270-276.
32. Klabunde CN, Schenck AP, Davis WW. Barriers to colorectal cancer screening among Medicare consumers. Am J Prev Med. 2006;30(4):313-319.
33. Rittenhouse DR, Shortell SM. The patient-centered medical home: will it stand the test of health reform? JAMA. 2009;301(19): 2038-2040.
34. Levy BT, Joshi M, Xu Y, Daly J, James PA. Perceptions of Iowa family physicians regarding colorectal cancer screening. Med Care. 2008;46(9)(Suppl 1):S103-S108.
35. Wee CC, McCarthy EP, Phillips RS. Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med. 2005;41(1):23-29.
36. Klabunde CN, Vernon SW, Nadel MR, Breen N, Seeff LC, Brown ML. Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care. 2005;43(9):939-944.
37. Sequist TD, Zaslavsky AM, Marshall R, Fletcher RH, Ayanian JZ. Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial. Arch Intern Med. 2009;169(4):364-371.
38. Fiscella K, Williams DR. Health disparities based on socioeco-nomic inequities: implications for urban health care. Acad Med. 2004;79(12):1139-1147.
39. Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM. Unmet health needs of uninsured adults in the United States. JAMA. 2000;284(16):2061-2069.
40. Klabunde CN, Riley GF, Mandelson MT, Frame PS, Brown ML. Health plan policies and programs for colorectal cancer screening: a national prof le. Am J Manag Care. 2004;10(4):273-279.
41. Adams EK, Thorpe KE, Becker ER, Joski PJ, Flome J. Colorectal cancer screening, 1997-1999: role of income, insurance and policy. Prev Med. 2004;38(5):551-557.
42. Wharam JF, Galbraith AA, Kleinman K P, Soumerai SB, Ross-Degnan D, Landon BE. Cancer screening before and after switching to a high-deductible health plan. Ann Intern Med. 2008;148(9):647-655.
43. Zauber AG, Knudsen AB, Rutter CM, et al. Cost-effectiveness of CT colonography to screen for colonorectal cancer. CMS Technology Assessment Report. 2009. http://www1.cms.hhs.gov/determination-process/downloads/id58TA.pdf.
44. Fenton JJ, Cai Y, Weiss NS, et al. Delivery of cancer screening: how important is the preventive health examination? Arch Intern Med. 2007;167(6):580-585.
45. Vernon SW. Participation in colorectal cancer screening: a review. J Natl Cancer Inst. 1997;89(19):1406-1422.
46. Committee on Cancer Survivorship. Improving Care and Quality of Life National Policy Board. Delivering cancer survivorship care. In: Hewitt M, Greenf eld S, Stovall E, eds. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: Institute of Medicine; 2005:187-321.