TY - JOUR
T1 - Factors Associated With the Overuse of Colorectal Cancer Screening
T2 - A Systematic Review
AU - Predmore, Zachary
AU - Pannikottu, Jean
AU - Sharma, Ritu
AU - Tung, Monica
AU - Nothelle, Stephanie
AU - Segal, Jodi B.
N1 - Funding Information:
We would like to acknowledge Madeline Jackson, BA, who helped with article screening and data abstraction checking. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: We acknowledge the funding support from K24 AG049036-01A1 from the National Institute on Aging (JBS, RS); U1QHP28710 from the Health Resource and Services Administration (SN); 2016 MSTAR Summer Scholar from the American Federation for Research Training (JP); the Johns Hopkins University Dean?s Fund (MT); the Agency for Healthcare Research and Quality T32 Institutional Predoctoral Training Grant to Johns Hopkins University (ZP). The funders had no role in the study.
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: We acknowledge the funding support from K24 AG049036-01A1 from the National Institute on Aging (JBS, RS); U1QHP28710 from the Health Resource and Services Administration (SN); 2016 MSTAR Summer Scholar from the American Federation for Research Training (JP); the Johns Hopkins University Dean’s Fund (MT); the Agency for Healthcare Research and Quality T32 Institutional Predoctoral Training Grant to Johns Hopkins University (ZP). The funders had no role in the study.
Publisher Copyright:
© The Author(s) 2018.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - This systematic review examined factors associated with overuse of colorectal cancer (CRC) screening. The authors searched MEDLINE and EMBASE from January 1998 to March 2017. Studies were included if they were written in English, contained original data, involved a US population, and examined factors potentially associated with overuse of CRC screening. Paired reviewers independently screened abstracts, assessed quality, and extracted data. In 8 studies, the associations between patient factors, including age, sex, race, and number of comorbidities, were tested and were inconsistently associated with CRC screening overuse. Overuse of screening was greater in the Northeast/Mid-Atlantic regions and in urban areas and was lower in academically affiliated centers. Although the literature supports important overuse of CRC screening, it remains unclear what drives these practices. Future research should thoroughly explore these factors and test the impact of interventions to reduce overuse of screening.
AB - This systematic review examined factors associated with overuse of colorectal cancer (CRC) screening. The authors searched MEDLINE and EMBASE from January 1998 to March 2017. Studies were included if they were written in English, contained original data, involved a US population, and examined factors potentially associated with overuse of CRC screening. Paired reviewers independently screened abstracts, assessed quality, and extracted data. In 8 studies, the associations between patient factors, including age, sex, race, and number of comorbidities, were tested and were inconsistently associated with CRC screening overuse. Overuse of screening was greater in the Northeast/Mid-Atlantic regions and in urban areas and was lower in academically affiliated centers. Although the literature supports important overuse of CRC screening, it remains unclear what drives these practices. Future research should thoroughly explore these factors and test the impact of interventions to reduce overuse of screening.
KW - colorectal cancer
KW - overuse
KW - screening
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U2 - 10.1177/1062860618764302
DO - 10.1177/1062860618764302
M3 - Article
C2 - 29546768
AN - SCOPUS:85044019025
VL - 33
SP - 472
EP - 480
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
SN - 1062-8606
IS - 5
ER -