abstract: 'Colorectal cancer (CRC) is a leading cause of cancer mortality

  worldwide. CRC incidence and mortality can be reduced through screening.

  However, in the United States, screening participation remains

  suboptimal, particularly among underserved populations such as the

  uninsured, recent immigrants, and racial/ethnic minority groups.

  Increasing screening rates among underserved populations will reduce the

  US burden of CRC. In this commentary focusing on underserved

  populations, we highlight the public health impact of CRC screening,

  list key challenges to screening the underserved, and review promising

  approaches to boost screening rates. We identify four key policy and

  research priorities to increase screening among underserved populations:

  1) actively promote the message, ``the best test is the one that gets

  done{''''}; 2) develop and implement methods to identify unscreened

  individuals within underserved population groups for screening

  interventions; 3) develop and implement approaches for organized

  screening delivery; and 4) fund and enhance programs and policies that

  provide access to screening, diagnostic follow-up, and CRC treatment for

  underserved populations. This commentary represents the consensus of a

  diverse group of experts in cancer control and prevention, epidemiology,

  gastroenterology, and primary care from across the country who formed

  the Coalition to Boost Screening among the Underserved in the United

  States. The group was organized and held its first annual working group

  meeting in conjunction with the World Endoscopy Organization''s annual

  Colorectal Cancer Screening Committee meeting during Digestive Disease

  Week 2012 in San Diego, California.'
affiliation: 'Gupta, S (Corresponding Author), VA San Diego Healthcare Syst, 3350
  La Jolla Village Dr MC 111D, San Diego, CA 92161 USA.

  Gupta, Samir, Univ Calif San Diego, Div Gastroenterol, Dept Internal Med, Vet Affairs
  San Diego Healthcare Syst, San Diego, CA 92103 USA.

  Gupta, Samir; Martinez, Maria Elena, Univ Calif San Diego, Moores Canc Ctr, San
  Diego, CA 92103 USA.

  Sussman, Daniel A.; Deshpande, Amar R., Univ Miami, Miller Sch Med, Dept Internal
  Med, Div Gastroenterol, Miami, FL 33136 USA.

  Doubeni, Chyke A., Univ Penn, Dept Family Med \& Community Hlth, Perelman Sch Med,
  Leonard Davis Inst Hlth Econ,Ctr Clin Epidemiol \&, Philadelphia, PA 19104 USA.

  Doubeni, Chyke A., Univ Penn, Ctr Publ Hlth Initiat, Philadelphia, PA 19104 USA.

  Anderson, Daniel S., Southern Calif Kaiser Permanente Grp, San Diego, CA USA.

  Day, Lukejohn; Somsouk, Ma; Allison, James, San Francisco Gen Hosp, San Francisco,
  CA 94110 USA.

  Day, Lukejohn; Somsouk, Ma; Allison, James, Univ Calif San Francisco, San Francisco,
  CA 94143 USA.

  Elmunzer, B. Joseph, Univ Michigan, Med Ctr, Div Gastroenterol, Ann Arbor, MI USA.

  Laiyemo, Adeyinka O., Howard Univ, Dept Med, Div Gastroenterol, Washington, DC 20059
  USA.

  Mendez, Jeanette, MD Inc, Encinitas, CA USA.

  Allison, James, Kaiser Northern Calif Div Res, Oakland, CA USA.

  Bhuket, Taft, Alameda Cty Med Ctr, Oakland, CA USA.

  Geng, Zhuo, Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA.

  Green, Beverly B., Grp Hlth Res Inst, Seattle, WA USA.

  Itzkowitz, Steven H., Icahn Sch Med Mt Sinai, Dept Med, Div Gastroenterol, New York,
  NY USA.

  Martinez, Maria Elena, Univ Calif San Diego, Dept Family \& Prevent Med, La Jolla,
  CA 92093 USA.'
article-number: dju032
author: Gupta, Samir and Sussman, Daniel A. and Doubeni, Chyke A. and Anderson, Daniel
  S. and Day, Lukejohn and Deshpande, Amar R. and Elmunzer, B. Joseph and Laiyemo,
  Adeyinka O. and Mendez, Jeanette and Somsouk, Ma and Allison, James and Bhuket,
  Taft and Geng, Zhuo and Green, Beverly B. and Itzkowitz, Steven H. and Martinez,
  Maria Elena
author-email: s1gupta@ucsd.edu
author_list:
- family: Gupta
  given: Samir
- family: Sussman
  given: Daniel A.
- family: Doubeni
  given: Chyke A.
- family: Anderson
  given: Daniel S.
- family: Day
  given: Lukejohn
- family: Deshpande
  given: Amar R.
- family: Elmunzer
  given: B. Joseph
- family: Laiyemo
  given: Adeyinka O.
- family: Mendez
  given: Jeanette
- family: Somsouk
  given: Ma
- family: Allison
  given: James
- family: Bhuket
  given: Taft
- family: Geng
  given: Zhuo
- family: Green
  given: Beverly B.
- family: Itzkowitz
  given: Steven H.
- family: Martinez
  given: Maria Elena
da: '2023-09-28'
doi: 10.1093/jnci/dju032
eissn: 1460-2105
files: []
issn: 0027-8874
journal: JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE
keywords-plus: 'HEALTH-CARE-SYSTEM; LOW-INCOME; RACIAL DISPARITIES; DIVERSE; QUALITY;

  COLON; ASSOCIATION; STATISTICS; INCREASES; ADHERENCE'
language: English
month: APR
number: '4'
number-of-cited-references: '69'
orcid-numbers: 'Doubeni, Chyke A/0000-0001-7495-0285

  '
papis_id: 87d38c25c3bc6e083050d52e02979d92
ref: Gupta2014challengespossible
researcherid-numbers: 'Doubeni, Chyke A/W-6749-2019

  Elmunzer, Badih J/G-3032-2013'
times-cited: '136'
title: Challenges and Possible Solutions to Colorectal Cancer Screening for the Underserved
type: Editorial Material
unique-id: WOS:000334691500015
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '106'
web-of-science-categories: Oncology
year: '2014'