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Assessment of Colon Prostate Cancer Screening PowerPoint Presentation

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About This Presentation

Slide 1 - Assessment of Colon & Prostate Cancer Screening in WA Peggy Hannon, PhD, MPH Alliance for Reducing Cancer NW
Slide 2 - Baseline Assessment Questions Colon cancer screening Rates of screening in WA Who gets screened? Physician knowledge, attitudes, practices Prostate cancer screening & IDM Rates of screening & IDM in WA Who gets screened? Physician knowledge, attitudes, practices for screening and IDM
Slide 3 - Assessment Methods BRFSS analysis, 2001-2002 data Core questions for colon cancer screening and prostate cancer screening State-added questions for colon screening in 2002 Physician Survey Primary care providers practicing in WA 397 completed surveys, 72% response rate
Slide 4 - Assessment Methods, contin’d Insurance claims analyses Medicare, Medicaid, PPO, HMO Available data ranged from 2000 – 2004 Studied all colon cancer screening tests & PSA for prostate cancer screening Literature review Community Guide recommendations
Slide 5 - Colon Cancer Screening Findings WA BRFSS 2001-2002, participants 50 years of age and older (N = 3643) Current FOBT (in past year) -- 25% Current Flexible Sigmoidoscopy or Colonoscopy (in past 5 years) -- 42% Currently screened by any method -- 52%
Slide 6 - Colon Cancer Screening Findings 2002 BRFSS asked unscreened participants the most important reason they were not screened Lack of awareness (50%) No physician recommendation (29%) Unwilling (19%) No insurance (2%)
Slide 7 - Colon Cancer Screening Findings Physicians’screening recommendations 93% recommend FOBT 56% recommend flexible sigmoidoscopy 88% recommend colonoscopy 76% rec. one or more screening tests in agreement with USPSTF guidelines
Slide 8 - Colon Cancer Screening Findings Physician mechanisms to complete screening 33% have mechanism to encourage return of FOBT kits 65% have mechanism to ensure patients complete screening and follow-up tests referred to another provider Perceived patient barriers (% physicians reporting as major or minor barrier) Fear of finding cancer (89%) Anxiety about tests (94%) Unaware of screening (92%)
Slide 9 - Interventions Sought in RFP General systems for provider recommendations and referral Improve provider knowledge & recommendations for screening Improve clinical tracking & performance of screening Guiding test completion and follow-up of positive tests Targeted interventions for underserved groups
Slide 10 - Prostate Cancer Screening Findings WA BRFSS 2001-2002 (N = 1431) 61% of men ages 50+ were screened for prostate cancer in the past year 39% screened with PSA and DRE 13% screened with DRE only 9% screened with PSA only No questions about IDM Similar to national screening rates
Slide 11 - Prostate Cancer Screening Findings 90% of physicians recommend DRE & 83% recommend PSA Most recommend starting testing at ages 45-50 & yearly screening 55% collect family history of prostate cancer for 75%+ of male patients
Slide 12 - Prostate Cancer Screening Findings 74% of physicians always/almost always discuss benefits/risks of PSA Few report always using educational materials to discuss benefits/risks of PSA Written materials (9%) Videotapes (0.3%) Websites (6%)
Slide 13 - Prostate Cancer Screening Findings Issues discussed by majority of physicians Efficacy of PSA in detecting prostate cancer (64%) PSA may prompt further tests (64%) Issues discussed by minority of physicians Efficacy of treatment options for prostate cancer (35%) Possible side effects of treatment for prostate cancer (35%)
Slide 14 - Interventions Sought in RFP Provider-targeted interventions Provider discussion of risks and benefits Provider collection of family history of PCa Placing IDM tools/cues in providers’ offices Consumer-targeted interventions Placing IDM tools in community settings Forums to increase capacity to make informed decisions
Slide 15 - Conclusions Baseline assessment has been very useful in shaping the CCCP’s first RFPs ARCNW’s Cancer Screening workgroup and partners have also benefited Future directions Preliminary studies for grant applications
 

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