NIH Panel Concerned about Barriers to Colon Cancer Screenings

A number of interventions, though, have been found to improve colorectal screening rates, Steinwachs said at a briefing on the recommendations. These interventions include the use of patient reminders, one-on-one communications with patients and providers, and facilitated follow-ups with patient navigators.

Also, keeping in mind the variety of tests available, the panel said that providers should consider an individual's personal preferences to help reluctant patients determine which tests they'd prefer. This means looking at factors such as invasiveness, frequency, and required preparation combined attributes. For example, an individual may choose a more invasive test that requires less frequent follow up, or a less invasive test that requires more frequent follow up.

Differences were detected as well in screening rates across racial and ethnic groups, socioeconomic status, and geographic location. Compared with non Hispanic whites, Hispanics are less likely to be screened.

The panel also noted that if efforts to increase messages are successful, the demand for colorectal cancer screening services will rise. "Available capacity" involves not only facilities and appropriately trained providers, but also support for informed decision-making.

The conference was sponsored by the NIH's Office of Medical Applications of Research and the National Cancer Institute along with other NIH and Department of Health and Human Services components. The 13-member conference panel included experts in the fields of cancer surveillance, health services research, community based research, informed decision making, access to care, healthcare policy, health communication, health economics, health disparities, and epidemiology.