Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018

BACKGROUND: The National Colorectal Cancer Roundtable, a national coalition of public, private, and voluntary organizations, has recently announced an initiative to increase colorectal cancer (CRC) screening rates in the United States to 80% by 2018. The authors evaluated the potential public health...

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Main Authors: Meester, R., Doubeni, C., Zauber, A., Goede, S., Levin, T., Corley, D., Jemal, A., Lansdorp-Vogelaar, Iris
Format: Journal Article
Published: John Wiley & Sons, Inc. 2015
Online Access:http://hdl.handle.net/20.500.11937/49908
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author Meester, R.
Doubeni, C.
Zauber, A.
Goede, S.
Levin, T.
Corley, D.
Jemal, A.
Lansdorp-Vogelaar, Iris
author_facet Meester, R.
Doubeni, C.
Zauber, A.
Goede, S.
Levin, T.
Corley, D.
Jemal, A.
Lansdorp-Vogelaar, Iris
author_sort Meester, R.
building Curtin Institutional Repository
collection Online Access
description BACKGROUND: The National Colorectal Cancer Roundtable, a national coalition of public, private, and voluntary organizations, has recently announced an initiative to increase colorectal cancer (CRC) screening rates in the United States to 80% by 2018. The authors evaluated the potential public health benefits of achieving this goal. METHODS: The authors simulated the 1980 through 2030 United States population of individuals aged 50 to 100 years using microsimulation modeling. Test-specific historical screening rates were based on National Health Interview Survey data for 1987 through 2013. The effects of increasing screening rates from approximately 58% in 2013 to 80% in 2018 were compared to a scenario in which the screening rate remained approximately constant. The outcomes were cancer incidence and mortality rates and numbers of CRC cases and deaths during short-term follow-up (2013-2020) and extended follow-up (2013-2030). RESULTS: Increasing CRC screening rates to 80% by 2018 would reduce CRC incidence rates by 17% and mortality rates by 19% during short-term follow-up and by 22% and 33%, respectively, during extended follow-up. These reductions would amount to a total of 277,000 averted new cancers and 203,000 averted CRC deaths from 2013 through 2030. CONCLUSIONS: Achieving the goal of increasing the uptake of CRC screening in the United States to 80% by 2018 may have a considerable public health impact by averting approximately 280,000 new cancer cases and 200,000 cancer deaths within <20 years.
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spelling curtin-20.500.11937-499082017-11-22T02:59:26Z Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018 Meester, R. Doubeni, C. Zauber, A. Goede, S. Levin, T. Corley, D. Jemal, A. Lansdorp-Vogelaar, Iris BACKGROUND: The National Colorectal Cancer Roundtable, a national coalition of public, private, and voluntary organizations, has recently announced an initiative to increase colorectal cancer (CRC) screening rates in the United States to 80% by 2018. The authors evaluated the potential public health benefits of achieving this goal. METHODS: The authors simulated the 1980 through 2030 United States population of individuals aged 50 to 100 years using microsimulation modeling. Test-specific historical screening rates were based on National Health Interview Survey data for 1987 through 2013. The effects of increasing screening rates from approximately 58% in 2013 to 80% in 2018 were compared to a scenario in which the screening rate remained approximately constant. The outcomes were cancer incidence and mortality rates and numbers of CRC cases and deaths during short-term follow-up (2013-2020) and extended follow-up (2013-2030). RESULTS: Increasing CRC screening rates to 80% by 2018 would reduce CRC incidence rates by 17% and mortality rates by 19% during short-term follow-up and by 22% and 33%, respectively, during extended follow-up. These reductions would amount to a total of 277,000 averted new cancers and 203,000 averted CRC deaths from 2013 through 2030. CONCLUSIONS: Achieving the goal of increasing the uptake of CRC screening in the United States to 80% by 2018 may have a considerable public health impact by averting approximately 280,000 new cancer cases and 200,000 cancer deaths within <20 years. 2015 Journal Article http://hdl.handle.net/20.500.11937/49908 10.1002/cncr.29336 http://creativecommons.org/licenses/by-nc-nd/4.0/ John Wiley & Sons, Inc. fulltext
spellingShingle Meester, R.
Doubeni, C.
Zauber, A.
Goede, S.
Levin, T.
Corley, D.
Jemal, A.
Lansdorp-Vogelaar, Iris
Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title_full Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title_fullStr Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title_full_unstemmed Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title_short Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018
title_sort public health impact of achieving 80% colorectal cancer screening rates in the united states by 2018
url http://hdl.handle.net/20.500.11937/49908