Yao, Joanna
(2024)
Assessment of Colorectal Cancer Screening and Surveillance Methods: A Literature Review and Pilot Data Analysis.
Master Essay, University of Pittsburgh.
Abstract
Monitoring for colorectal cancer (CRC) comes in the form of screening and surveillance. Screening for CRC presents an opportunity to detect early-stage CRC or prevent onset entirely, leading to better outcomes. However, engagement with screening varies widely across different populations. The literature review describes barriers and facilitators of screening experienced by both eligible individuals and providers of CRC screening. Using the Ovid MEDLINE database, a thorough search process resulted in 13 studies being included for review. Surveillance of CRC is a critical component of care after treatment with curative intent for CRC. It provides the opportunity to monitor for CRC recurrence or new onset of cancer. A data analysis of a separate observational study evaluated the effectiveness of a current CRC surveillance method. Results from both components of this essay emphasize that use of current screening and surveillance methods are not optimal, leading to a greater public health burden due to increased CRC incidence and mortality that otherwise could have been prevented. Consistent barriers and facilitators to screening identified in the literature review include an individual’s age, psychological factors such as attitude towards screening or potential diagnosis, knowledge of CRC and CRC screening, and insurance status. The literature review in particular highlighted the public health significance of promoting a holistic, evidence-based approach to identify factors impacting screening rates to inform new methods and interventions that can increase the population screening rate from the current level of compliance in the United States of only 58.7%.
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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
|
| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Chair | Glynn, Nancy W | epidnwg@pitt.edu | epidnwg | UNSPECIFIED | | Committee Member | Diergaarde, Brenda | diergaardeb@upmc.edu | bbd3 | UNSPECIFIED | | Committee Member | Marron, Megan M | mmm133@pitt.edu | mmm133 | UNSPECIFIED |
|
| Date: |
21 May 2024 |
| Date Type: |
Completion |
| Submission Date: |
25 April 2024 |
| Access Restriction: |
2 year -- Restrict access to University of Pittsburgh for a period of 2 years. |
| Number of Pages: |
76 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Epidemiology |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
barriers; carcinoembryonic antigen; colorectal cancer; facilitators; sensitivity; screening; surveillance; guidelines; specificity |
| Date Deposited: |
21 May 2024 13:59 |
| Last Modified: |
21 May 2024 13:59 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/46290 |
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