Jordana Jampel

Urban Health Today

A research group led by Eugene Annor, MD, MPH, aimed to evaluate colorectal cancer (CRC) screening rates between Black and other racial populations between 2014 and 2023 to highlight the remaining racial disparities in CRC screening rates.United States Preventive Services Task Force guidelines recommend starting CRC screening at age 45 years, and according to the Centers for Disease Control and Prevention, the 2022 rate of CRC screening was 74.6% among White individuals and 75.3% among Black individuals. Despite these high national screening rates, CRC screening remains suboptimal due to racial disparities.In this study, researchers assessed CRC screening rates of Black compared with other racial populations using data across various ethnicities at a single academic tertiary health care system. They conducted a retrospective analysis using Electronic Medical Records (EMR) data of 39,523 patients who met the inclusion criteria aged 45-75 years and analyzed race, age, gender, and type of CRC screening (colonoscopy, fecal immunochemical test [FIT], or multitarget stool DNA test [sDNA-FIT]).Participant inclusion data were as follows:<ul>
<li>86% White; 9.5% Black; 1.3% Asian; 3.1% categorized as Native Hawaiian/Pacific Islander/Samoan/Unknown</li>
<li>6% were women; 46.4% men</li>
<li>Median age was approximately 59 years</li>
<li>8% were screened via colonoscopy; 25.9% by FIT; 8.2% by sDNA-FIT</li>
</ul>Among Black patients, 64.8% were screened via colonoscopy and were up to date with screening, whereas 66.2% of non-Hispanic White patients were screened via colonoscopy and were up to date with screening.Though non-Hispanic White patients had only slightly higher screening rates than Black patients, the rates found at the academic tertiary hospital in this study are still below the national average, and further research is needed to identify barriers to successful CRC screening across all races and ethnicities.ReferenceAnnor E, Jolaoye O, Dhillon S. Racial Differences in Colorectal Cancer Screening Rates in a Tertiary Healthcare System. Abstract #P0439. Presented at the American College of Gastroenterology 2024 Annual Scientific Meeting &amp; Postgraduate Course; October 25-30, Philadelphia, Pennsylvania.

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