Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
Access Status
Authors
Date
2015Type
Metadata
Show full item recordCitation
Source Title
ISSN
Collection
Abstract
BACKGROUND: The National Colorectal Cancer Roundtable, a national coalition of public, private, and voluntary organizations, has recently announced an initiative to increase colorectal cancer (CRC) screening rates in the United States to 80% by 2018. The authors evaluated the potential public health benefits of achieving this goal. METHODS: The authors simulated the 1980 through 2030 United States population of individuals aged 50 to 100 years using microsimulation modeling. Test-specific historical screening rates were based on National Health Interview Survey data for 1987 through 2013. The effects of increasing screening rates from approximately 58% in 2013 to 80% in 2018 were compared to a scenario in which the screening rate remained approximately constant. The outcomes were cancer incidence and mortality rates and numbers of CRC cases and deaths during short-term follow-up (2013-2020) and extended follow-up (2013-2030). RESULTS: Increasing CRC screening rates to 80% by 2018 would reduce CRC incidence rates by 17% and mortality rates by 19% during short-term follow-up and by 22% and 33%, respectively, during extended follow-up. These reductions would amount to a total of 277,000 averted new cancers and 203,000 averted CRC deaths from 2013 through 2030. CONCLUSIONS: Achieving the goal of increasing the uptake of CRC screening in the United States to 80% by 2018 may have a considerable public health impact by averting approximately 280,000 new cancer cases and 200,000 cancer deaths within <20 years.
Related items
Showing items related by title, author, creator and subject.
-
Cenin, D.; St John, D J.; Ledger, M.; Slevin, Terry; Lansdorp-Vogelaar, I. (2014)Objectives: To estimate the impact of various expansion scenarios of the National Bowel Cancer Screening Program (NBCSP) on the number of bowel cancer deaths prevented; and to investigate the impact of the expansion ...
-
Meester, R.; Zauber, A.; Doubeni, C.; Jensen, C.; Quinn, V.; Helfand, M.; Dominitz, J.; Levin, T.; Corley, D.; Lansdorp_Vogelaar, Iris (2016)Background & Aims: Delays in diagnostic testing after a positive result from a screening test can undermine the benefits of colorectal cancer (CRC) screening, but there are few empirical data on the effects of such delays. ...
-
Protani, M.M.; Jordan, S.J.; Kendall, B.J.; Siskind, D.; Lawrence, David ; Sara, G.; Brophy, L.; Kisely, S. (2021)Introduction: Colorectal cancer (CRC) mortality is significantly higher in those with severe mental illness (SMI) compared with the general population, despite similar incidence rates, suggesting that barriers to optimal ...