Increasing colorectal cancer screening in health care systems using evidence-based interventions. 10.1002/cncr.28818ĭeGroff A, Sharma K, Satsangi A, Kenney K, Joseph D, Ross K, et al. Public health national approach to reducing breast and cervical cancer disparities. US Department of Health and Human Services. Has recommended preventive service use increased after elimination of cost-sharing as part of the Affordable Care Act in the United States? Prev Med 2015 78:85–91. Han X, Robin Yabroff K, Guy GP Jr, Zheng Z, Jemal A. Agency for Healthcare Research and Quality 2014.
The guide to clinical preventive services 2014: recommendations of the US Preventive Services Task Force. Public health programs incorporating strategies shown to be effective can help increase screening rates. Increasing use of CRC screening would prevent approximately 8.5 times as many deaths as the equivalent increase in use of breast cancer screening (women only), although twice as many people (men and women) would have to be screened for CRC.Ī large number of deaths could be avoided by increasing breast, cervical, and CRC screening. Increased use of screening from current levels to 100% would prevent an additional 2,821 deaths from breast cancer, 6,834 deaths from cervical cancer, and 35,530 deaths from CRC over a lifetime of the respective single-year cohort. We calculated prevented cancer deaths for each 1% increase in screening uptake and extrapolated to current level of screening (2016), current level plus 10 percentage points, and increasing screening to 90% and 100% of the eligible population. We used model-based estimates of avoidable deaths for the lifetime of single-year age cohorts under the current and increased use of screening scenarios (data year 2016 analysis, 2018).
We assessed the number of avoidable deaths from increased screening, according to USPSTF recommendations, for CRC and female breast and cervical cancers. The Centers for Disease Control and Prevention leads initiatives to increase breast, cervical, and colorectal cancer (CRC) screening. However, screening for cancers remains underutilized in the United States. The US Preventive Services Task Force (USPSTF) recommends select preventive clinical services, including cancer screening.
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