Modifiable Failures in the Colorectal Cancer Screening Process and Their Association With Risk of Death.

ABSTRACT:

Background & aims

Colorectal cancer (CRC) deaths occur when patients do not receive screening or have inadequate follow-up of abnormal results or when the screening test fails. We have few data on the contribution of each to CRC-associated deaths or factors associated with these events.

Methods

We performed a retrospective cohort study of patients in the Kaiser Permanente Northern and Southern California systems (55-90 years old) who died of CRC from 2006 through 2012 and had ≥5 years of enrollment before diagnosis. We compared data from patients with those from a matched cohort of cancer-free patients in the same system. Receipt, results, indications, and follow-up of CRC tests in the 10-year period before diagnosis were obtained from electronic databases and chart audits.<

SUBMITTER: Doubeni CA 

PROVIDER: S-EPMC6309478 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature