Geographic and population-level disparities in colorectal cancer testing: A multilevel analysis of Medicaid and commercial claims data

Preventive Medicine

Volumn 101, Issue , 2017, Pages 44-52

  Davis, Melinda M ^a   Renfro, Stephanie ^a   Pham, Robyn ^a   Hassmiller Lich, Kristen ^b   Shannon, Jackilen ^a   Coronado, Gloria D ^c   Wheeler, Stephanie B ^b,d  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b University of North Carolina at Chapel Hill   (United States)

^c CENTER FOR HEALTH RESEARCH   (United States)

^d UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

Cancer screening; Colorectal cancer; Geographic information systems; Health disparity; Multilevel analysis

Indexed keywords

ADULT; AGE; ARTICLE; CANCER SCREENING; COLONOSCOPY; COLORECTAL CANCER; COMMERCIAL PHENOMENA; FEMALE; GEOGRAPHY; HEALTH CARE ACCESS; HEALTH CARE DISPARITY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICALLY UNINSURED; MIDDLE AGED; MULTILEVEL ANALYSIS; POVERTY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RURAL POPULATION; SEX DIFFERENCE; UNITED STATES; URBAN POPULATION; COLORECTAL TUMOR; EARLY CANCER DIAGNOSIS; GEOGRAPHIC INFORMATION SYSTEM; HEALTH CARE DELIVERY; INSURANCE; OREGON; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA;

COLORECTAL NEOPLASMS; EARLY DETECTION OF CANCER; FEMALE; GEOGRAPHIC INFORMATION SYSTEMS; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE COVERAGE; MALE; MEDICAID; MIDDLE AGED; OREGON; POVERTY; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 85020023722     PISSN: 00917435     EISSN: 10960260     Source Type: Journal    
DOI: 10.1016/j.ypmed.2017.05.001     Document Type: Article

References (76)

1. American Cancer Society, Colorectal Cancer Facts & Figures 2014–2016. 2014, American Cancer Society, Atlanta.
2. American Cancer Society, Cancer Statistics Center. https://cancerstatisticscenter.cancer.org/#/. Accessed, 2017 February 11.
3. Anderson, A.E., Henry, K.A., Samadder, N.J., Merrill, R.M., Kinney, A.Y., Rural vs urban re-sidence affects risk-appropriate colorectal cancer screening. Clin. Gastroenterol. Hepatol. 11:5 (2013 May), 526–533.
4. Benarroch-Gampel, J., Sheffield, K.M., Lin, Y.L., Kuo, Y.F., Goodwin, J.S., Riall, T.S., Colonoscopist and primary care physician supply and disparities in colorectal cancer screening. Health Serv. Res. 47:3 Pt 1 (2012 Jun), 1137–1157.
5. Bradbury, B.D., Brooks, D.R., Brawarsky, P., Mucci, L.A., Test-retest reliability of colorectal testing questions on the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS). Prev. Med. 41:1 (2005 Jul), 303–311.
6. Briant, K.J., Espinoza, N., Galvan, A., et al. An innovative strategy to reach the underserved for colorectal cancer screening. J. Cancer Educ. 30:2 (2015 Jun), 237–243.
7. Brouwers, M.C., De Vito, C., Bahirathan, L., et al. Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline. Implement. Sci., 6(112), 2011 Sep 29.
8. Burnett-Hartman, A.N., Mehta, S.J., Zheng, Y., et al. Racial/ethnic disparities in colorectal cancer screening across healthcare systems. Am. J. Prev. Med., 2016 Apr 1.
9. Calo, W.A., Vernon, S.W., Lairson, D.R., Linder, S.H., Associations between contextual factors and colorectal cancer screening in a racially and ethnically diverse population in Texas. Cancer Epidemiol. 39:6 (2015 Dec), 798–804.
10. Charlton, M.E., Mengeling, M.A., Halfdanarson, T.R., et al. Evaluation of a home-based colorectal cancer screening intervention in a rural state. J. Rural. Health 30:3 (2014 Summer), 322–332.
11. Charlton, M.E., Matthews, K.A., Gaglioti, A., et al. Is travel time to colonoscopy associated with late-stage colorectal cancer among Medicare beneficiaries in Iowa?. J. Rural. Health 32:4 (2016 Sep), 363–373.
12. Clarke, N., McNamara, D., Kearney, P.M., O'Morain, C.A., Shearer, N., Sharp, L., The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening. Prev. Med. 93 (2016), 198–203.
13. Cole, A.M., Jackson, J.E., Doescher, M., Urban-rural disparities in colorectal cancer screening: cross-sectional analysis of 1998–2005 data from the Centers for Disease Control's Behavioral Risk Factor Surveillance Study. Cancer Med. 1:3 (2012 Dec), 350–356.
14. Coronado, G.D., Golovaty, I., Longton, G., Levy, L., Jimenez, R., Effectiveness of a clinic-based colorectal cancer screening promotion program for underserved Hispanics. Cancer 117:8 (2011), 1745–1754.
15. Davis M, Freeman M, Shannon J. A systematic review of clinic and community interventions to increase fecal testing for colorectal cancer in rural and low-income populations in the United States - How, What, and When? (In review).
16. Dodou, D., de Winter, J.C.F., Agreement between self-reported and registered colorectal cancer screening: a meta-analysis. Eur. J. Cancer Care 24:3 (2015), 286–298.
17. Green, B.B., Anderson, M.L., Chubak, J., et al. Colorectal cancer screening rates increased after exposure to the Patient-Centered Medical Home (PCMH). J. Am. Board Fam. Med. 29:2 (2016), 191–200 March 1, 2016.
18. Gupta, S., Tong, L., Anderson, P., et al. Measurement of colorectal cancer test use with medical claims data in a safety-net health system. Am. J. Med. Sci. 345:2 (2013 Feb), 99–103.
19. Gupta, S., Halm, E.A., Rockey, D.C., et al. Comparative effectiveness of fecal immunochemical test outreach, colonoscopy outreach, and usual care for boosting colorectal cancer screening among the underserved: a randomized clinical trial. JAMA Intern. Med. 173:18 (2013), 1725–1732.
20. Gupta, S., Sussman, D.A., Doubeni, C.A., et al. Challenges and possible solutions to colorectal cancer screening for the underserved. J. Natl. Cancer Inst., 106(4), 2014 Apr (dju032).
21. Hassmiller Lich, K.M., Cornejo, D.A., Mayorga, M.E., et al. Cost-effectiveness analysis of four simulated colorectal cancer screening interventions North Carolina. Prev. Chronic Dis., 14, 2017, 160158.
22. Hayanga, A.J., Mukherjee, D., Chang, D., et al. Teaching hospital status and operative mortality in the United States: tipping point in the volume-outcome relationship following colon resections?. Arch. Surg. 145:4 (2010), 346–350.
23. Hillyer, G.C., Basch, C.E., Schmitt, K.M., Neugut, A.I., Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan. Prev. Med. 53:3 (2011), 194–198.
24. Holden, D., Harris, R., Porterfield, D., et al. Enhancing the Use and Quality of Colorectal Cancer Screening. 2010, Agency for Healthcare Research and Quality, Rockville, MD.
25. Hughes, A., Watanabe-Galloway, S., Schnell, P., Soliman, A.S., Rural-urban differences in colorectal cancer screening barriers in Nebraska. J. Community Health 40:6 (2015), 1065–1074.
26. Jandorf, L., Ellison, J., Villagra, C., et al. Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant Hispanics. J. Immigr. Minor. Health 12:4 (2010 Aug), 462–469.
27. Johnson, C.M., Wei, C., Ensor, J.E., et al. Meta-analyses of colorectal cancer risk factors. Cancer Causes Control 24:6 (2013 Jun), 1207–1222.
28. Jones, R.M., Devers, K.J., Kuzel, A.J., Woolf, S.H., Patient-reported barriers to colorectal cancer screening: a mixed-methods analysis. Am. J. Prev. Med. 38:5 (2010 May), 508–516.
29. Klabunde, C.N., Vernon, S.W., Nadel, M.R., Breen, N., Seeff, L.C., Brown, M.L., Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med. Care 43:9 (2005), 939–944.
30. Ko, C.W., Kreuter, W., Baldwin, L.M., Effect of Medicare coverage on use of invasive colorectal cancer screening tests. Arch. Intern. Med. 162:22 (2002 Dec 9–23), 2581–2586.
31. Ko, C.W., Kreuter, W., Baldwin, L.M., Persistent demographic differences in colorectal cancer screening utilization despite Medicare reimbursement. BMC Gastroenterol., 5, 2005, 10.
32. Koroukian, S.M., Litaker, D., Dor, A., Cooper, G.S., Use of preventive services by Medicare fee-for-service beneficiaries: does spillover from managed care matter?. Med. Care 43:5 (2005), 445–452.
33. Koroukian, S.M., Xu, F., Dor, A., Cooper, G.S., Colorectal cancer screening in the elderly population: disparities by dual Medicare-Medicaid enrollment status. Health Serv. Res. 41:6 (2006), 2136–2154.
34. Lian, M., Schootman, M., Yun, S., Geographic variation and effect of area-level poverty rate on colorectal cancer screening. BMC Public Health, 8, 2008, 358.
35. Lieberman, D., Ladabaum, U., Cruz-Correa, M., et al. Screening for colorectal cancer and evolving issues for physicians and patients: a review. JAMA 316:20 (2016), 2135–2145.
36. Liss, D.T., Baker, D.W., Understanding current racial/ethnic disparities in colorectal cancer screening in the United States: the contribution of socioeconomic status and access to care. Am. J. Prev. Med. 46:3 (2014 Mar), 228–236.
37. Mansfield, C., Tangka, F.K.L., Ekwueme, D.U., Smith, J.L., Guy, G.P. Jr., Li, C., Stated preference for cancer screening: a systematic review of the literature, 1990–2013. Prev. Chronic Dis., 13, 2016, E27.
38. Marshall, D.A., Johnson, F.R., Phillips, K.A., Marshall, J.K., Thabane, L., Kulin, N.A., Measuring patient preferences for colorectal cancer screening using a choice-format survey. Value Health 10:5 (2007 Sep–Oct), 415–430.
39. Martens, C.E., Crutchfield, T.M., Laping, J.L., et al. Why wait until our community gets cancer? Exploring CRC screening barriers and facilitators in the Spanish-speaking community in North Carolina. J. Cancer Educ., 2015 Aug 13.
40. McConnell, K.J., Oregon's Medicaid Coordinated Care Organizations. JAMA 315:9 (2016 Mar 1), 869–870.
41. Mobley, L.R., Kuo, T.M., Urato, M., Subramanian, S., Community contextual predictors of endoscopic colorectal cancer screening in the USA: spatial multilevel regression analysis. Int. J. Health Geogr., 9(44), 2010 Sep 03.
42. Mobley, L.R., Kuo, T.M., Watson, L., Gordon, Brown G., Geographic disparities in late-stage cancer diagnosis: multilevel factors and spatial interactions. Health Place 18:5 (2012 Sep), 978–990.
43. Mobley, L.R., Kuo, T.M., Urato, M., Subramanian, S., Watson, L., Anselin, L., Spatial heterogeneity in cancer control planning and cancer screening behavior. Ann. Assoc. Am. Geogr. 102:5 (2012), 1113–1124.
44. Mobley, L.R., Kuo, T.M., Traczynski, J., Udalova, V., Frech, H.E. 3rd., Macro-level factors impacting geographic disparities in cancer screening. Heal. Econ. Rev., 4(1), 2014 Dec, 13.
45. Morbidity, and Mortality Weekly Report (MMWR), Vital signs: colorectal cancer screening test use - United States, 2012. MMWR 62:44 (2013), 881–888.
46. Naishadham, D., Lansdorp-Vogelaar, I., Siegel, R., Cokkinides, V., Jemal, A., et al. Cancer Epidemiol. Biomark. Prev. 20:7 (2011), 1296–1302 July 1, 2011.
47. National, Colorectal Cancer Roundtable. Tools & Resources - 80% by 2018. http://nccrt.org/tools/80-percent-by-2018/. Accessed March 4, 2015.
48. Ojinnaka, C.O., Choi, Y., Kum, H.C., Bolin, J.N., Predictors of colorectal cancer screening: does rurality play a role?. J. Rural. Health 31:3 (2015 Summer), 254–268.
49. O'Malley, A.S., Forrest, C.B., Feng, S., Mandelblatt, J., Disparities despite coverage: gaps in colorectal cancer screening among Medicare beneficiaries. Arch. Intern. Med. 165:18 (2005 Oct 10), 2129–2135.
50. Oregon, Health Authority. Technical Specifications and Guidance Documents for CCO Incentive Measures. http://www.oregon.gov/oha/analytics/Pages/CCO-Baseline-Data.aspx. Accessed August 3, 2016.
51. Oregon, Health Authority. All Payer All Claims Reporting Program. https://www.oregon.gov/oha/OHPR/RSCH/pages/apac.aspx. Accessed April 30, 2016.
52. Perdue, D.G., Haverkamp, D., Perkins, C., Daley, C.M., Provost, E., Geographic variation in colorectal cancer incidence and mortality, age of onset, and stage at diagnosis among American Indian and Alaska native people, 1990–2009. Am. J. Public Health 104:Suppl. 3 (2014), S404–S414.
53. Pignone, M., Bucholtz, D., Harris, R., Patient preferences for colon cancer screening. J. Gen. Intern. Med. 14:7 (1999), 432–437.
54. Pruitt, S.L., Shim, M.J., Mullen, P.D., Vernon, S.W., Amick, B.C. 3rd., Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review. Cancer Epidemiol. Biomark. Prev. 18:10 (2009 Oct), 2579–2599.
55. Rural-Urban Commuting Area Codes, http://depts.washington.edu/uwruca/ruca-codes.php, 2005 (Accessed June 9, 2015).
56. Sabatino, S.A., Lawrence, B., Elder, R., et al. Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am. J. Prev. Med. 43:1 (2012 Jul), 97–118.
57. Sabatino, S.A., White, M.C., Thompson, T.D., Klabunde, C.N., Cancer screening test use - United States, 2013. Morb. Mortal. Wkly Rep. 64 (2015), 464–468.
58. Schenck, A.P., Klabunde, C.N., Warren, J.L., et al. Data sources for measuring colorectal endoscopy use among Medicare enrollees. Cancer Epidemiol. Biomark. Prev. 16:10 (2007), 2118–2127.
59. Schenck, A.P., Klabunde, C.N., Warren, J.L., et al. Evaluation of claims, medical records, and self-report for measuring fecal occult blood testing among Medicare enrollees in fee for service. Cancer Epidemiol. Biomark. Prev. 17:4 (2008 Apr), 799–804.
60. Schenck, A.P., Peacock, S.C., Klabunde, C.N., Lapin, P., Coan, J.F., Brown, M.L., Trends in colorectal cancer test use in the medicare population, 1998–2005. Am. J. Prev. Med. 37:1 (2009 Jul), 1–7.
61. Schootman, M., Jeffe, D.B., Baker, E.A., Walker, M.S., Effect of area poverty rate on cancer screening across US communities. J. Epidemiol. Community Health 60:3 (2006 Mar), 202–207.
62. Sheinfeld Gorin, S., Heck, J.E., Cancer screening among Latino subgroups in the United States. Prev. Med. 40:5 (2005), 515–526.
63. Siegel, R.L., Sahar, L., Robbins, A., Jemal, A., Where can colorectal cancer screening interventions have the most impact?. Cancer Epidemiol. Biomark. Prev., 2015 July 8, 2015.
64. Steinwachs, D., Allen, J.D., Barlow, W.E., et al. Enhancing use and quality of colorectal cancer screening. NIH State-of-the-Science Conference Statement, 27, 2010, 1–31.
65. Stimpson, J.P., Pagan, J.A., Chen, L.W., Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care. Health Aff. (Millwood) 31:12 (2012 Dec), 2747–2754.
66. Subramanian, S.V., Jones, K., Kaddour, A., Krieger, N., Revisiting Robinson: the perils of individualistic and ecologic fallacy. Int. J. Epidemiol. 38:2 (2009), 342–360.
67. The Community Guide: Cancer. https://www.thecommunityguide.org/topic/cancer. Accessed Feb 12, 2017.
68. Tomeo, C.A., Colditz, G.A., Willett, W.C., et al. Harvard report on cancer prevention. Volume 3: prevention of colon cancer in the United States. Cancer Causes Control 10:3 (1999, Jun), 167–180.
69. US, Department of Health and Human Services. Healthy People 2020. Washington, DC.
70. US, Department of Health and Human Services. Area Health Resources File (AHRF) National, State and County Health Resources Information Database. http://ahrf.hrsa.gov/. Accessed March 24, 2016.
71. Wheeler, S.B., Basch, E., Translating cancer surveillance data into effective public health interventions. JAMA 317:4 (2017), 365–367.
72. Wheeler, S.B., Carpenter, W.R., Peppercorn, J., Schenck, A.P., Weinberger, M., Biddle, A.K., Structural/organizational characteristics of health services partly explain racial variation in timeliness of radiation therapy among elderly breast cancer patients. Breast Cancer Res. Treat. 133:1 (2012 May), 333–345.
73. Wheeler, S.B., Kuo, T.M., Goyal, R.K., et al. Regional variation in colorectal cancer testing and geographic availability of care in a publicly insured population. Health Place 29 (2014 Sep), 114–123.
74. Whitlock, E.P., Lin, J.S., Liles, E., Beil, T.L., Fu, R., Screening for colorectal cancer: a targeted, updated systematic review for the U.S. Preventive Services Task Force. Ann. Intern. Med. 149:9 (2008), 638–658.
75. Wilkins, T., Gillies, R.A., Harbuck, S., Garren, J., Looney, S.W., Schade, R.R., Racial disparities and barriers to colorectal cancer screening in rural areas. J. Am. Board Fam. Med. 25:3 (2012 May–Jun), 308–317.
76. Wolf, R.L., Basch, C.E., Brouse, C.H., Shmukler, C., Shea, S., Patient preferences and adherence to colorectal cancer screening in an urban population. Am. J. Public Health 96:5 (2006), 809–811.