Colorectal Cancer Screening Project | 2023-5_CRC Screening Disparities in Underserved Populations

Pdf Summary

This presentation discusses the disparities in the delivery of colorectal cancer (CRC) screening across different stratifications and the importance of addressing these disparities. The speaker defines CRC screening and the screening continuum, emphasizing the need to mitigate disparities. <br /><br />The speaker highlights various stratifications that contribute to disparities in CRC screening, including sex, race and ethnicity, income, educational attainment, insurance, geography, and sexual and gender minority status. The speaker emphasizes the intersections between these stratifications and the need to address societal inequities. <br /><br />The presentation stresses the significance of addressing CRC health inequities by providing statistics on CRC incidence and mortality rates across different races and ethnicities. The speaker also discusses the correlation between geography and CRC mortality rates, highlighting the importance of the screening continuum in advancing CRC health equity. <br /><br />The presentation explains the components of the screening continuum, including risk assessment, detection and diagnosis, and treatment. It emphasizes the importance of each step in reducing the risk of death from CRC. <br /><br />Disparities in screening, follow-up, and completion of CRC screening are discussed. The presentation provides examples of disparities in CRC testing rates, endoscopy use, and follow-up colonoscopy rates among different groups. The speaker also discusses the quality of colonoscopy services in relation to race and ethnicity and emphasizes the need to deliver high-quality colonoscopy to everyone. <br /><br />The presentation concludes by suggesting strategies to mitigate disparities in CRC screening. This includes addressing barriers at both the systems and individual levels, such as removing policy and regulatory barriers, improving capabilities in safety net care, and addressing interpersonal bias and distrust. A systems-first approach is recommended, focusing on consistent and coordinated delivery of screening, ensuring high-quality care for everyone, and addressing social and structural barriers. The presentation encourages the audience to seek partnerships to work towards achieving CRC health equity.

Asset Subtitle

Chyke Doubeni, MD, MPH

Keywords

colorectal cancer screening

disparities

stratifications

incidence rates

mortality rates

screening continuum

risk assessment

follow-up

high-quality care

barriers