{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:06:07Z","timestamp":1760954767763,"version":"build-2065373602"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,8,9]],"date-time":"2005-08-09T00:00:00Z","timestamp":1123545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Despite evidence\u2010based recommendations for colorectal carcinoma screening, population\u2010based surveys report low screening rates. To the authors' knowledge, the extent to which screening procedures are used by patients seen in primary care is not as clear. The authors estimated the annual and 5\u2010year colorectal carcinoma screening procedure use among a cohort of primary care patients and evaluated the correlation between patient characteristics and the use of screening procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The authors identified a cohort of patients (<jats:italic>n<\/jats:italic> = 21,833 patients) ages 55\u201370 years who had a primary care visit in 2003 and who were enrolled in a health plan for the 5\u2010year period ending December 31, 2003. Using automated data for the 5\u2010year period ending December 31, 2003, information on patient sociodemographic characteristics, primary care and health maintenance examination (HME) visits, comorbid diagnoses, income, and screening receipt was compiled. The latter included barium enema, colonoscopy, fecal occult blood testing (FOBT), and flexible sigmoidoscopy use.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Approximately one\u2010half of insured, primary care patients (54%) received recommended colorectal carcinoma screening procedures over the 5\u2010year observation period. Among individuals who received screening, colonoscopy was used most frequently (39.9%), followed by flexible sigmoidoscopy testing alone (28.3%) or in combination with FOBT (4.3%). Annual screening rates increased by 3.1% between 1999 and 2003. Among individuals who did not receive recommended colorectal carcinoma screening, 64% had at least 3 HME visits, and 41% received at least 1 FOBT. Increasing HME visits and other primary care visit frequency, along with increasing age, income, male gender, and African\u2010American race, were associated with screening receipt.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Significant opportunities exist to increase colorectal carcinoma screening among primary care patients. Cancer 2005. \u00a9 2005 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.21333","type":"journal-article","created":{"date-parts":[[2005,8,9]],"date-time":"2005-08-09T15:16:41Z","timestamp":1123600601000},"page":"1356-1361","source":"Crossref","is-referenced-by-count":24,"title":["Colorectal carcinoma screening procedure use among primary care patients"],"prefix":"10.1002","volume":"104","author":[{"given":"Jennifer Elston","family":"Lafata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Keoki","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamir","family":"Ben\u2010Menachem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Moon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Divine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,9,17]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"594","article-title":"Colorectal cancer screening: clinical guidelines and rationale","volume":"112","author":"Winawer SJ","year":"1997","journal-title":"Am J Gastroenterol."},{"key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1016\/S0002-9270(00)00851-0","article-title":"Colorectal cancer prevention 2000: screening recommendations of the American College of Gastroenterology","volume":"95","author":"Rex DK","year":"2000","journal-title":"Am J Gastroenterol."},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00014"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02238562"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00014"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.54.1.41"},{"key":"e_1_2_5_8_2","first-page":"193","article-title":"Colorectal cancer test use among persons aged > or = 50 years\u2014United States, 2001","volume":"52","author":"MMWR","year":"2003","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.12.1570"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200205000-00002"},{"key":"e_1_2_5_11_2","first-page":"1","article-title":"Surveillance for certain health behaviors among selected local areas\u2014United States, Behavioral Risk Factor Surveillance System, 2002","volume":"53","author":"Balluz L","year":"2004","journal-title":"MMWR Surveill Summ."},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.97105598"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1059"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(02)00444-0"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2000.0700"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00013"},{"key":"e_1_2_5_18_2","first-page":"211","article-title":"Patient preferences for colorectal cancer screening","volume":"45","author":"Leard LE","year":"1997","journal-title":"J Fam Pract."},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1999.00018.x"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.10337.x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2001.01224.x"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(00)00288-9"}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.21333","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.21333","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T12:34:37Z","timestamp":1760272477000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.21333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,17]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2005,10]]}},"alternative-id":["10.1002\/cncr.21333"],"URL":"https:\/\/doi.org\/10.1002\/cncr.21333","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"type":"print","value":"0008-543X"},{"type":"electronic","value":"1097-0142"}],"subject":[],"published":{"date-parts":[[2005,9,17]]}}}