American Indian/Alaska native access to colorectal cancer screening: Does gastroenterologist density matter?

Alaskan Natives Colorectal Neoplasms Early Detection of Cancer Gastroenterologists Humans Indians, North American United States
American Indian Cancer screening Colorectal cancer Endoscopy Gastroenterologist

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
09 2022
Historique:
received: 02 01 2022
revised: 12 04 2022
accepted: 19 04 2022
pubmed: 7 5 2022
medline: 31 8 2022
entrez: 6 5 2022
Statut: ppublish

Résumé

American Indians/Alaska Natives (AI/AN) receive less colorectal cancer (CRC) screening than other populations. Using gastroenterologist (GI) locations as a measure of colonoscopy access, we correlate GI density and AI/AN CRC screening rates. We identified GIs from the 2016 National Provider Identifier registry, and calculated GI density per 100,000 people. We identified screening, demographic, and socioeconomic variables from the 2016 Behavioral Risk Factor Surveillance System Survey. GI density and CRC screening rates were analyzed with Multivariable Poisson regression. In states with GI Density greater than 3.98/100,000, odds of AI/AN CRC screening are 1.27-1.37 times higher than in states below this threshold (p < 0.036). GI density has a limited association on CRC screening, with decrease impact beyond threshold of 3.98 GI/100,000. Minimal access to GIs is important in improving AI/AN CRC screening; however, further research is required to elucidate the most critical factors contributing to CRC screening.

Sections du résumé

BACKGROUND
American Indians/Alaska Natives (AI/AN) receive less colorectal cancer (CRC) screening than other populations. Using gastroenterologist (GI) locations as a measure of colonoscopy access, we correlate GI density and AI/AN CRC screening rates.
METHODS
We identified GIs from the 2016 National Provider Identifier registry, and calculated GI density per 100,000 people. We identified screening, demographic, and socioeconomic variables from the 2016 Behavioral Risk Factor Surveillance System Survey. GI density and CRC screening rates were analyzed with Multivariable Poisson regression.
RESULTS
In states with GI Density greater than 3.98/100,000, odds of AI/AN CRC screening are 1.27-1.37 times higher than in states below this threshold (p < 0.036).
CONCLUSIONS
GI density has a limited association on CRC screening, with decrease impact beyond threshold of 3.98 GI/100,000. Minimal access to GIs is important in improving AI/AN CRC screening; however, further research is required to elucidate the most critical factors contributing to CRC screening.

Identifiants

DOI: 10.1016/j.amjsurg.2022.04.023 PMID: 35513914
pubmed: 35513914
pii: S0002-9610(22)00262-8
doi: 10.1016/j.amjsurg.2022.04.023
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

965-970

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Lily Gutnik (L)

University of Alabama at Birmingham, Department of Surgery, 1807 Seventh Ave South, BDB 515, Birmingham, AL, 35233, USA; University of Utah, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, USA. Electronic address: lgutnik@uabmc.edu.

Josh Bleicher (J)

University of Utah, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, USA. Electronic address: Josh.bleicher@hsc.utah.edu.

Andrea Davis (A)

University of Utah, Department of Geography, 260 Central Campus Dr #4625, Salt Lake City, UT, 84112, USA. Electronic address: Rounkles22@hotmail.com.

M Chandler McLeod (MC)

University of Alabama at Birmingham, Department of Surgery, 1807 Seventh Ave South, BDB 515, Birmingham, AL, 35233, USA. Electronic address: marshallcmcleod@uabmc.edu.

Marta McCrum (M)

University of Utah, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, USA. Electronic address: Marta.mccrum@hsc.utah.edu.

Courtney Scaife (C)

University of Utah, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, USA; Huntsman Cancer Institute at the University of Utah, Division of Surgical Oncology, 2000 Cir of Hope Dr #1950, Salt Lake City, UT, 84112, USA. Electronic address: Courtney.scaife@hci.utah.edu.

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Classifications MeSH

questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Maladies du rectum › Tumeurs colorectales › American Indian/Alaska native access to...
questionsmedicales.fr › Diagnostic › Diagnostic précoce › Dépistage précoce du cancer › American Indian/Alaska native access to...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Gastro-entérologues › American Indian/Alaska native access to...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › American Indian/Alaska native access to...
questionsmedicales.fr › Personnes › Nord-Américains › Indiens d'Amérique Nord › American Indian/Alaska native access to...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › American Indian/Alaska native access to...