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Colorectal Cancer Screening Among Patients who Receive Medical and Dental Care at an Urban Community Health Center.

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Title: Colorectal Cancer Screening Among Patients who Receive Medical and Dental Care at an Urban Community Health Center.
Authors: McDonald, Caitlin1 caitlin.mcdonald2@pennmedicine.upenn.edu, Johnson, Jill R.2,3, Castro, Juan C.4, Reitz, Catherine1, Torrisi, Frank M.4, Mehta, Shivan J.1,5
Source: Journal of Community Health. Jun2020, Vol. 45 Issue 3, p626-634. 9p. 1 Diagram, 4 Charts.
Subject Terms: *Black people, *Community health services, *Retrospective studies, Colon tumors, Dental care, Health insurance, Medical appointments, Medical care, Medical records, Metropolitan areas, Preventive health services, Rectum tumors, White people, Early detection of cancer, Acquisition of data methodology
Abstract: Colorectal cancer (CRC) screening rates remain subpar, particularly among underserved populations. As the role of health care providers evolves, it has been suggested that dentists could play a larger role in preventive health. Building on this concept, dental visits could serve as an additional touchpoint for CRC screening outreach. The primary goal of this study was to compare CRC screening rates among patients who receive both dental and medical care to those who only receive medical care at an urban community health center in order to inform future CRC screening intervention development. We conducted a retrospective medical and dental record data abstraction of all patients meeting the criteria for CRC screening who had a medical and/or dental appointment within the last 2 years. A total of 1081 eligible patients were identified—250 in the dental and medical group and 831 in the medical only group. The patient population was largely black, female, and publicly insured. Among the dental and medical group patients, 36% were up to date on CRC screening compared to 22% among the medical only group (p < 0.001). In addition, the medical and dental group patients had higher screening rates in all other preventive health measures analyzed (p < 0.001). Despite higher screening rates among patients who received both dental and medical care, overall rates were very low. Further screening outreach is needed in this population, and engaging patients at dental visits may be one approach. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Colorectal Cancer Screening Among Patients who Receive Medical and Dental Care at an Urban Community Health Center.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McDonald%2C+Caitlin%22&quot;&gt;McDonald, Caitlin&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; caitlin.mcdonald2@pennmedicine.upenn.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Johnson%2C+Jill+R%2E%22&quot;&gt;Johnson, Jill R.&lt;/searchLink&gt;&lt;relatesTo&gt;2,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Castro%2C+Juan+C%2E%22&quot;&gt;Castro, Juan C.&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Reitz%2C+Catherine%22&quot;&gt;Reitz, Catherine&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Torrisi%2C+Frank+M%2E%22&quot;&gt;Torrisi, Frank M.&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mehta%2C+Shivan+J%2E%22&quot;&gt;Mehta, Shivan J.&lt;/searchLink&gt;&lt;relatesTo&gt;1,5&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Community+Health%22&quot;&gt;Journal of Community Health&lt;/searchLink&gt;. Jun2020, Vol. 45 Issue 3, p626-634. 9p. 1 Diagram, 4 Charts.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Black+people%22&quot;&gt;Black people&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Community+health+services%22&quot;&gt;Community health services&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Retrospective+studies%22&quot;&gt;Retrospective studies&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Colon+tumors%22&quot;&gt;Colon tumors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Dental+care%22&quot;&gt;Dental care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+insurance%22&quot;&gt;Health insurance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+appointments%22&quot;&gt;Medical appointments&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+records%22&quot;&gt;Medical records&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Metropolitan+areas%22&quot;&gt;Metropolitan areas&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Preventive+health+services%22&quot;&gt;Preventive health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Rectum+tumors%22&quot;&gt;Rectum tumors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22White+people%22&quot;&gt;White people&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Early+detection+of+cancer%22&quot;&gt;Early detection of cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Acquisition+of+data+methodology%22&quot;&gt;Acquisition of data methodology&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Colorectal cancer (CRC) screening rates remain subpar, particularly among underserved populations. As the role of health care providers evolves, it has been suggested that dentists could play a larger role in preventive health. Building on this concept, dental visits could serve as an additional touchpoint for CRC screening outreach. The primary goal of this study was to compare CRC screening rates among patients who receive both dental and medical care to those who only receive medical care at an urban community health center in order to inform future CRC screening intervention development. We conducted a retrospective medical and dental record data abstraction of all patients meeting the criteria for CRC screening who had a medical and/or dental appointment within the last 2 years. A total of 1081 eligible patients were identified—250 in the dental and medical group and 831 in the medical only group. The patient population was largely black, female, and publicly insured. Among the dental and medical group patients, 36% were up to date on CRC screening compared to 22% among the medical only group (p &lt; 0.001). In addition, the medical and dental group patients had higher screening rates in all other preventive health measures analyzed (p &lt; 0.001). Despite higher screening rates among patients who received both dental and medical care, overall rates were very low. Further screening outreach is needed in this population, and engaging patients at dental visits may be one approach. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10900-019-00782-y
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        Text: English
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        PageCount: 9
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    Subjects:
      – SubjectFull: Black people
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Colon tumors
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      – SubjectFull: Dental care
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      – SubjectFull: Health insurance
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      – SubjectFull: Medical care
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      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Metropolitan areas
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      – SubjectFull: Preventive health services
        Type: general
      – SubjectFull: Rectum tumors
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      – SubjectFull: White people
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      – SubjectFull: Early detection of cancer
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      – SubjectFull: Acquisition of data methodology
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      – TitleFull: Colorectal Cancer Screening Among Patients who Receive Medical and Dental Care at an Urban Community Health Center.
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              Text: Jun2020
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              Y: 2020
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