Colorectal Cancer Screening During COVID-19: FIT testing as the Suggested Solution

Authors

  • Aleeza J. Leder Macek New York University Grossman School of Medicine, New York, New York, USA Author

DOI:

https://doi.org/10.65539/xngqed14

Keywords:

colorectal cancer, cancer screening, COVID-19, FIT testing, health disparities, preventive medicine

Abstract

In March 2020, healthcare in the United States changed, with primary care and preventative care, particularly colorectal cancer screening, grinding to a halt. COVID-19 brought to the forefront the racial healthcare disparities in the United States with the pandemic disproportionately affecting minority communities, reflecting the well-established disparities in colorectal cancer outcomes which are expected to be exacerbated by the lack of screening. This article aims to promote the use of FIT testing for colorectal cancer screening during this pandemic particularly for minority communities. Studies have shown that FIT tests have a high sensitivity and specificity, are inexpensive, and have better adherence than colonoscopies.

Downloads

Download data is not yet available.

References

Sharpless NE. COVID-19 and Cancer. Science. 2020;368(6497):1290 DOI: https://doi.org/10.1126/science.abd3377

Balzora S, Issaka RB, Anyane-Yeboa A, Gray DM, May FP. Impact of COVID-19 on colorectal cancer disparities and the way forward. Gastrointestinal Endoscopy. 2020; 92(4): 946-950 DOI: https://doi.org/10.1016/j.gie.2020.06.042

Carethers JM, Sengupta R, Blakey R, Ribas A, D'Souza G. Disparities in Cancer Prevention in the COVID-19 Era. Cancer Prev Res. 2020; 13(11): 893-896 DOI: https://doi.org/10.1158/1940-6207.CAPR-20-0447

Tsai MH, Xirasagar S, de Groen, PC. Persisting Racial Disparities in Colonoscopy Screening of Persons with a Family History of Colorectal Cancer. J. Racial and Ethnic Health Disparities. 2018; 5: 737–746 DOI: https://doi.org/10.1007/s40615-017-0418-1

Issa IA, Noureddine M. Colorectal cancer screening: An updated review of the available options. World journal of gastroenterology. 2017;23(28): 5086-5096. DOI: https://doi.org/10.3748/wjg.v23.i28.5086

Levin TR, Corley DA, Jensen CD, et al. Effects of Organized Colorectal Cancer Screening on Cancer Incidence and Mortality in a Large Community-Based Population. Gastroenterology. 2018;155(5): 1383-1391.e5. DOI: https://doi.org/10.1053/j.gastro.2018.07.017

Myint A, Hilda O, Lee S, et al. Impact of the COVID-19 Pandemic on Colorectal Cancer Screening Rates and Modalities in a Large Integrated Health System Am J Gastroenterol. 2020;115: S154-S155 DOI: https://doi.org/10.14309/01.ajg.0000703320.30592.7b

Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(23):2564-75. DOI: https://doi.org/10.1001/jama.2016.5989

Singal AG, Gupta S, Tiro JA, et al. Outreach invitations for FIT and colonoscopy improve colorectal cancer screening rates: A randomized controlled trial in a safety-net health system. Cancer. 2016;122:456-463. DOI: https://doi.org/10.1002/cncr.29770

Coronado GD, Petrik AF, Vollmer WM et al. Effectiveness of a Mailed Colorectal Cancer Screening Outreach Program in Community Health Clinics: The STOP CRC Cluster Randomized Clinical Trial. JAMA Intern Med. 2018;178(9):1174–1181. DOI: https://doi.org/10.1001/jamainternmed.2018.3629

Charlton ME, Mengeling MA, Halfdanarson TR, et al. Evaluation of a Home-Based Colorectal Cancer Screening Intervention in a Rural State. J Rural Health. 2014;30(3): 322-332. DOI: https://doi.org/10.1111/jrh.12052

Inadomi JM, Vijan S, Janz NK, et al. Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med. 2012;172(7):575-82. DOI: https://doi.org/10.1001/archinternmed.2012.332

Quintero E, Castells A, Bujanda L, et al. Colonoscopy versus Fecal Immunochemical Testing in Colorectal-Cancer Screening. NEJM 2012;366: 697-706 DOI: https://doi.org/10.1056/NEJMoa1108895

Coleman Wallace DA, Baltrus PT, Wallace TC, Blumenthal DS, Rust GS. Black white disparities in receiving a physician recommendation for colorectal cancer screening and reasons for not undergoing screening. J Healthcare Poor Underserved. 2013;24(3): 1115-24. DOI: https://doi.org/10.1353/hpu.2013.0132

Harewood GC, Wiersema MJ, Melton LJ. A prospective, controlled assessment of factors influencing acceptance of screening colonoscopy. Am J Gastroenterol. 2002;97(12): 3186-3194 DOI: https://doi.org/10.1111/j.1572-0241.2002.07129.x

Downloads

Published

2022-08-29

How to Cite

Colorectal Cancer Screening During COVID-19: FIT testing as the Suggested Solution. (2022). Harvard Medical Student Review, 7(1), 21-24. https://doi.org/10.65539/xngqed14

Similar Articles

1-10 of 56

You may also start an advanced similarity search for this article.