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Prevention and Screening for Cancer in Primary Health Care

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Epidemiologic Studies in Cancer Prevention and Screening

Part of the book series: Statistics for Biology and Health ((SBH,volume 79))

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Abstract

This chapter builds on the evidence presented in previous chapters. It focuses on the application of that evidence to practice in the primary care context. We present the current state of the evidence about what works for the implementation of cancer prevention and screening in primary care. In this chapter, the role of primary care practitioners in educating patients and supporting lifestyle changes to reduce exposure to cancer risk factors is highlighted. The organization of health-care delivery in primary care practices plays a key role in cancer prevention, and the targeting of specific populations is also supported by the evidence. We raise the issue of balancing the potential benefits and harms of screening and the need to inform patients of the risks involved. As genetic testing to assess cancer risk becomes more mainstream, primary care providers should be prepared to counsel their patients on hereditary cancer risk based on analysis of family history and to work with a genetic counselor when genetic risk assessment is warranted.

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References

  • Acheson LS, Wang C, Zyzanski SJ, Lynn A, Ruffin 4th MT, Gramling R et al. Family history and perceptions about risk and prevention for chronic diseases in primary care: A report from the family healthware impact trial. Genetics in Medicine 2010; 12:212–218.

    Article  Google Scholar 

  • Agosti JM, Goldie SJ. Introducing HPV vaccine in developing countries--key challenges and issues. New Engl J Med 2007; 356:1908–1910.

    Article  Google Scholar 

  • American Society of Clinical Oncology. American society of clinical oncology policy statement update: Genetic testing for cancer susceptibility. J Clin Oncol 2003; 21:2397–2406.

    Article  Google Scholar 

  • Anderson KK, Sebaldt RJ, Lohfeld L, Burgess K, Donald FC, Kaczorowski J. Views of family physicians in southwestern ontario on preventive care services and performance incentives. Family Practice 2006; 23:469–471.

    Article  Google Scholar 

  • Arroyave AM, Penaranda EK, Lewis CL. Organizational change: A way to increase colon, breast and cervical cancer screening in primary care practices. J Commun Hlth 2011; 36:281–288.

    Google Scholar 

  • Canadian Cancer Society’s Steering Committee on Cancer Statistics. Canadian Cancer Statistics 2011. Toronto, ON: Canadian Cancer Society; 2011.

    Google Scholar 

  • Collins F. Genomics and the family physician: Realizing the potential. American Family Physician 2004; 70:1637–1642.

    Google Scholar 

  • Dietrich AJ, Tobin JN, Cassells A, Robinson CM, Greene MA, Sox CH et al. Telephone care management to improve cancer screening among low-income women: A randomized, controlled trial. Ann Int Med 2006; 144:563–571.

    Google Scholar 

  • Downs LS, Smith JS, Scarinci I, Flowers L, Parham G. The disparity of cervical cancer in diverse populations. Gynecologic Oncology 2008; 109(2 Suppl):S22–30.

    Article  Google Scholar 

  • Gilfillan RJ, Tomcavage J, Rosenthal MB, Davis DE, Graham J, Roy JA et al. Value and the medical home: Effects of transformed primary care. The American Journal of Managed Care 2010; 16:607–614.

    Google Scholar 

  • Guerra CE, Schwartz JS, Armstrong K, Brown JS, Halbert CH, Shea JA. Barriers of and facilitators to physician recommendation of colorectal cancer screening. J Gen Int Med 2007; 22:1681–1688.

    Article  Google Scholar 

  • Hogg W, Lemelin J, Moroz I, Soto E, Russell G. Improving prevention in primary care: Evaluating the sustainability of outreach facilitation. Canadian Family Physician 2008; 54:712–720.

    Google Scholar 

  • Hontelez JA, Hahne S, Koedijk FH, de Melker HE. Effectiveness and impact of hepatitis B virus vaccination of children with at least one parent born in a hepatitis B virus endemic country: An early assessment. J Epidemiol Commun Hlth 2010; 64:890–894.

    Article  Google Scholar 

  • Hudson SV, Ohman-Strickland P, Cunningham R, Ferrante JM, Hahn K, Crabtree BF. The effects of teamwork and system support on colorectal cancer screening in primary care practices. Cancer Detection and Prevention 2007; 31:417–423.

    Article  Google Scholar 

  • Hung DY, Rundall TG, Crabtree BF, Tallia AF, Cohen DJ, Halpin HA. 2006. Influence of primary care practice and provider attributes on preventive service delivery. Am J Prev Med 2006; 30:413–422.

    Google Scholar 

  • IARC. Human papillomaviruses. IARC Monographs on the evaluation of carcinogenic risks to humans Vol 90. Lyon; International Agency for Research on Cancer, 2007.

    Google Scholar 

  • Klabunde CN, Lanier D, Breslau ES, Zapka JG, Fletcher RH, Ransohoff DF, Winawer SJ. Improving colorectal cancer screening in primary care practice: Innovative strategies and future directions. J Gen Intern Med 2007; 22:1195–1205.

    Article  Google Scholar 

  • Klug SJ, Hukelmann M, Blettner M. Knowledge about infection with human papillomavirus: A systematic review. Preventive Medicine 2008; 46:87–98.

    Article  Google Scholar 

  • Lai DT, Cahill K, Qin Y, Tang JL. Motivational interviewing for smoking cessation. Cochrane Database of Systematic Reviews (Online) 2010; 1:CD006936.

    Google Scholar 

  • Lin JS, O’Connor E, Whitlock EP, Beil TL. Behavioral counseling to promote physical activity and a healthful diet to prevent cardiovascular disease in adults: A systematic review for the U.S. preventive services task force. Ann Int Med 2010; 153:736–750.

    Google Scholar 

  • Ling BS, Schoen RE, Trauth JM, Wahed AS, Eury T, Simak DM et al. Physicians encouraging colorectal screening: A randomized controlled trial of enhanced office and patient management on compliance with colorectal cancer screening. Arch Int Med 2009;169:47–55.

    Article  Google Scholar 

  • Luckmann R, Savageau JA, Clemow L, Stoddard AM, Costanza ME. A randomized trial of telephone counseling to promote screening mammography in two HMOs. Cancer Detection and Prevention 2003; 27:442–450.

    Article  Google Scholar 

  • Markowitz LE, Dunne EF, Saraiya M, Lawson HW, Chesson H, Unger ER. Quadrivalent human papillomavirus vaccine: Recommendations of the advisory committee on immunization practices (ACIP). MMWR.Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports / Centers for Disease Control 2007; 56:1–24.

    Google Scholar 

  • Mays RM, Sturm LA, Zimet GD. 2004. Parental perspectives on vaccinating children against sexually transmitted infections. Social Science & Medicine 2004; 58:1405–1413.

    Google Scholar 

  • Mele A, Tosti ME, Mariano A, Pizzuti R, Ferro A, Borrini B et al. 2008. Acute hepatitis B 14 years after the implementation of universal vaccination in italy: Areas of improvement and emerging challenges. Clinical Infectious Diseases 2008; 46:868–875.

    Google Scholar 

  • Moran K, Burson R, Critchett J, Olla P. Exploring the cost and clinical outcomes of integrating the registered nurse-certified diabetes educator into the patient-centered medical home. The Diabetes Educator 2011; 37:780–793.

    Article  Google Scholar 

  • Moser K, Patnick J, Beral V. 2009. Inequalities in reported use of breast and cervical screening in great britain: Analysis of cross sectional survey data. BMJ 2009; 338:b2025.

    Google Scholar 

  • Myers RE, Sifri R, Hyslop T, Rosenthal M, Vernon SW, Cocroft J et al. A randomized controlled trial of the impact of targeted and tailored interventions on colorectal cancer screening. Cancer 2007; 110:2083–2091.

    Article  Google Scholar 

  • Ornstein S, Nemeth LS, Jenkins RG, Nietert PJ. Colorectal cancer screening in primary care: Translating research into practice. Medical Care 2010; 48:900–906.

    Article  Google Scholar 

  • Rawl SM, Champion VL, Scott LL, Zhou H, Monahan P, Ding Y et al. A randomized trial of two print interventions to increase colon cancer screening among first-degree relatives. Patient Education and Counseling 2008; 71:215–227.

    Article  Google Scholar 

  • Rosenthal TC. The medical home: Growing evidence to support a new approach to primary care. Journal of the American Board of Family Medicine 2008; 21:427–440.

    Article  Google Scholar 

  • Sarfaty M, Wender R. How to increase colorectal cancer screening rates in practice. CA 2007; 57:354–366.

    Google Scholar 

  • Sarfaty M, Wender R, and R. Smith. Promoting cancer screening within the patient centered medical home. CA 2011; 61:397–408.

    Google Scholar 

  • Scheuner MT, Gordon OK. Genetic risk assessment for common diseases. In Emery and Romoin’s principal and practice of medical genetics, 4th ed. London: Churchill-Livingstone 2002; pp 654–674

    Google Scholar 

  • Senior V, Marteau T, Weinman J. Impact of genetic testing on causal models of heart disease and arthritis: An analogue study. Psychol Health 2000; 14:1077–1088.

    Article  Google Scholar 

  • Shepard CW, Simard EP, Finelli L, Fiore AE, Bell BP. Hepatitis B virus infection: Epidemiology and vaccination. Epidemiologic Reviews 2006; 28:112–125.

    Article  Google Scholar 

  • Sohl SJ, Moyer A. Tailored interventions to promote mammography screening: A meta-analytic review. Preventive Medicine 2007; 45:252–261.

    Article  Google Scholar 

  • Spadea T, Bellini S, Kunst A, Stirbu I, Costa G. The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: A review. Preventive Medicine 2010; 50:159–164.

    Article  Google Scholar 

  • Starfield B. The effectiveness of primary health care. In A celebration of general practice., ed. M. Lakhani. Oxon, UK: Radcliffe. 2003.

    Google Scholar 

  • Trevena LJ, Irwig L, Barratt A. Randomized trial of a self-administered decision aid for colorectal cancer screening. Journal of Medical Screening 2008; 15:76–82.

    Article  Google Scholar 

  • Tu SP, Taylor V, Yasui Y, Chun A, Yip MP, Acorda E et al. Promoting culturally appropriate colorectal cancer screening through a health educator: A randomized controlled trial. Cancer 2006; 107:959–966.

    Article  Google Scholar 

  • U.S. Department of Health and Human Services. National healthcare quality report 2008. Agency for Healthcare Research and Quality, 09-0001, 2009.

    Google Scholar 

  • Vernon SW, del Junco DJ, Tiro JA, Coan SP, Perz CA, Bastian LA et al. 2008. Promoting regular mammography screening II. results from a randomized controlled trial in US women veterans. J Natl Cancer Inst 2008; 100:347–358.

    Google Scholar 

  • Wei EK, Ryan CT, Dietrich AJ, Colditz GA. Improving colorectal cancer screening by targeting office systems in primary care practices: Disseminating research results into clinical practice. Arch Int Med 2005; 165:661–666.

    Article  Google Scholar 

  • Weller DP, Campbell C. Uptake in cancer screening programmes: A priority in cancer control. Br J Cancer 2009a; 101 Suppl 2:S55–59.

    Article  Google Scholar 

  • Weller DP, Patnick J, McIntosh HM, Dietrich AJ. Uptake in cancer screening programmes. Lancet Oncology 2009b; 10:693–699.

    Article  Google Scholar 

  • Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL. 2003. Primary care: Is there enough time for prevention? Am J Pub Hlth 2003; 93:635–641.

    Google Scholar 

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Authors and Affiliations

  1. Family Medicine Research Unit, Faculty of Medicine, University of Manitoba, P228-770 Bannatyne Ave, Winnipeg, MBR3E0W, Canada

    Alan Katz MB ChB MSc CCFP & Jennifer Enns MSc

Authors
  1. Alan Katz MB ChB MSc CCFP
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  2. Jennifer Enns MSc
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Correspondence to Alan Katz MB ChB MSc CCFP .

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Editors and Affiliations

  1. University of Toronto, 392 Lakeshore Road East, Oakville, L6J 1J8, Ontario, Canada

    Anthony B. Miller

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Katz, A., Enns, J. (2013). Prevention and Screening for Cancer in Primary Health Care. In: Miller, A. (eds) Epidemiologic Studies in Cancer Prevention and Screening. Statistics for Biology and Health, vol 79. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5586-8_25

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