2023-09-28 14:46:10 +00:00
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abstract: 'Colorectal cancer (CRC) is a leading cause of cancer mortality
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worldwide. CRC incidence and mortality can be reduced through screening.
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However, in the United States, screening participation remains
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suboptimal, particularly among underserved populations such as the
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uninsured, recent immigrants, and racial/ethnic minority groups.
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Increasing screening rates among underserved populations will reduce the
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US burden of CRC. In this commentary focusing on underserved
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populations, we highlight the public health impact of CRC screening,
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list key challenges to screening the underserved, and review promising
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approaches to boost screening rates. We identify four key policy and
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research priorities to increase screening among underserved populations:
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1) actively promote the message, ``the best test is the one that gets
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done{''''}; 2) develop and implement methods to identify unscreened
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individuals within underserved population groups for screening
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interventions; 3) develop and implement approaches for organized
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screening delivery; and 4) fund and enhance programs and policies that
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provide access to screening, diagnostic follow-up, and CRC treatment for
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underserved populations. This commentary represents the consensus of a
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diverse group of experts in cancer control and prevention, epidemiology,
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gastroenterology, and primary care from across the country who formed
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the Coalition to Boost Screening among the Underserved in the United
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States. The group was organized and held its first annual working group
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meeting in conjunction with the World Endoscopy Organization''s annual
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Colorectal Cancer Screening Committee meeting during Digestive Disease
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Week 2012 in San Diego, California.'
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affiliation: 'Gupta, S (Corresponding Author), VA San Diego Healthcare Syst, 3350
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La Jolla Village Dr MC 111D, San Diego, CA 92161 USA.
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Gupta, Samir, Univ Calif San Diego, Div Gastroenterol, Dept Internal Med, Vet Affairs
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San Diego Healthcare Syst, San Diego, CA 92103 USA.
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Gupta, Samir; Martinez, Maria Elena, Univ Calif San Diego, Moores Canc Ctr, San
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Diego, CA 92103 USA.
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Sussman, Daniel A.; Deshpande, Amar R., Univ Miami, Miller Sch Med, Dept Internal
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Med, Div Gastroenterol, Miami, FL 33136 USA.
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Doubeni, Chyke A., Univ Penn, Dept Family Med \& Community Hlth, Perelman Sch Med,
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Leonard Davis Inst Hlth Econ,Ctr Clin Epidemiol \&, Philadelphia, PA 19104 USA.
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Doubeni, Chyke A., Univ Penn, Ctr Publ Hlth Initiat, Philadelphia, PA 19104 USA.
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Anderson, Daniel S., Southern Calif Kaiser Permanente Grp, San Diego, CA USA.
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Day, Lukejohn; Somsouk, Ma; Allison, James, San Francisco Gen Hosp, San Francisco,
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CA 94110 USA.
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Day, Lukejohn; Somsouk, Ma; Allison, James, Univ Calif San Francisco, San Francisco,
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CA 94143 USA.
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Elmunzer, B. Joseph, Univ Michigan, Med Ctr, Div Gastroenterol, Ann Arbor, MI USA.
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Laiyemo, Adeyinka O., Howard Univ, Dept Med, Div Gastroenterol, Washington, DC 20059
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USA.
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Mendez, Jeanette, MD Inc, Encinitas, CA USA.
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Allison, James, Kaiser Northern Calif Div Res, Oakland, CA USA.
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Bhuket, Taft, Alameda Cty Med Ctr, Oakland, CA USA.
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Geng, Zhuo, Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA.
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Green, Beverly B., Grp Hlth Res Inst, Seattle, WA USA.
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Itzkowitz, Steven H., Icahn Sch Med Mt Sinai, Dept Med, Div Gastroenterol, New York,
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NY USA.
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Martinez, Maria Elena, Univ Calif San Diego, Dept Family \& Prevent Med, La Jolla,
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CA 92093 USA.'
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article-number: dju032
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author: Gupta, Samir and Sussman, Daniel A. and Doubeni, Chyke A. and Anderson, Daniel
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S. and Day, Lukejohn and Deshpande, Amar R. and Elmunzer, B. Joseph and Laiyemo,
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Adeyinka O. and Mendez, Jeanette and Somsouk, Ma and Allison, James and Bhuket,
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Taft and Geng, Zhuo and Green, Beverly B. and Itzkowitz, Steven H. and Martinez,
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Maria Elena
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author-email: s1gupta@ucsd.edu
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author_list:
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- family: Gupta
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given: Samir
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- family: Sussman
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given: Daniel A.
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- family: Doubeni
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given: Chyke A.
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- family: Anderson
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given: Daniel S.
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- family: Day
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given: Lukejohn
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- family: Deshpande
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given: Amar R.
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- family: Elmunzer
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given: B. Joseph
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- family: Laiyemo
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given: Adeyinka O.
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- family: Mendez
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given: Jeanette
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- family: Somsouk
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given: Ma
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- family: Allison
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given: James
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- family: Bhuket
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given: Taft
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- family: Geng
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given: Zhuo
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- family: Green
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given: Beverly B.
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- family: Itzkowitz
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given: Steven H.
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- family: Martinez
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given: Maria Elena
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da: '2023-09-28'
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doi: 10.1093/jnci/dju032
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eissn: 1460-2105
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files: []
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issn: 0027-8874
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journal: JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE
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keywords-plus: 'HEALTH-CARE-SYSTEM; LOW-INCOME; RACIAL DISPARITIES; DIVERSE; QUALITY;
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COLON; ASSOCIATION; STATISTICS; INCREASES; ADHERENCE'
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language: English
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month: APR
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number: '4'
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number-of-cited-references: '69'
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orcid-numbers: 'Doubeni, Chyke A/0000-0001-7495-0285
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'
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papis_id: 87d38c25c3bc6e083050d52e02979d92
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ref: Gupta2014challengespossible
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researcherid-numbers: 'Doubeni, Chyke A/W-6749-2019
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Elmunzer, Badih J/G-3032-2013'
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times-cited: '136'
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title: Challenges and Possible Solutions to Colorectal Cancer Screening for the Underserved
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000334691500015
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '106'
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web-of-science-categories: Oncology
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year: '2014'
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