A colorectal cancer screening program in an underserved, ethnically diverse population in Chicago, IL

Andrew J. Gawron*, Barbara Jung, Angela J. Fought, Babs H. Waldman, Neehar D. Parikh

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The purpose of this project was to describe the structure and outcomes of a colorectal cancer screening program at CommunityHealth, the largest free health clinic in Illinois. We conducted a retrospective observational study using administrative clinical data from 2006 to 2011. A total of 4,026 patients were eligible for colorectal cancer screening of which 2,418 (60.0 %) completed fecal occult blood testing (FOBT). Subsequently, 1,657 patients had negative FOBT results and 1,365 patients underwent on-site flexible sigmoidoscopy. Over 90 % of patients had never had a prior screening examination. A majority of patients were female (61.7 %) and self-identified as Mexican (37.5 %) or Polish (28.2 %). A total of 203 biopsies were performed resulting in the detection of 69 adenomas (5.0 %) and 1 adenocarcinoma (0.1 %). A comprehensive colorectal cancer screening program was successfully implemented in a large community health center serving a population of diverse racial and ethnic backgrounds without prior access to screening. This program could serve as model for colorectal cancer screening in diverse, low resource communities.

Original languageEnglish (US)
Pages (from-to)603-608
Number of pages6
JournalJournal of Community Health
Volume38
Issue number4
DOIs
StatePublished - Aug 1 2013

Keywords

  • Colorectal cancer
  • Community health
  • Public health
  • Screening

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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