The association of type and number of chronic diseases with breast, cervical, and colorectal cancer screening

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to examine associations between the number and types of patients' chronic diseases and being up to date for breast, cervical, and colorectal cancer screening.

Methods: Data were abstracted from medical charts at 4 primary care clinics located in 2 rural Oregon communities. Eligibility criteria included being at least 55 years old and having at least 1 clinic visit in the past 2 years.

Results: Of 3433 patients included, 503 (15%) had no chronic illness, 646 (19%) had 1, 786 (23%) had 2, and 1498 (44%) had ≤3 chronic conditions. Women with asthma/chronic lung disease and with cardiovascular disease were less likely to be up o date for mammography screening (odds ratio [OR], 0.59; 95% confidence interval [CI], 0.43-0.80), and those with chronic digestive disorders were more likely to be up to date for mammography (OR, 1.31; 95% CI, 1.03-1.66) compared with those without chronic conditions. Women with arthritis, diabetes mellitus, and hypertension were less likely to be up to date for cervical cancer screening (OR, 0.38; 95% CI, 0.21-0.68) compared with those without chronic conditions. Men with cardiovascular disease were less likely to be up to date for colorectal cancer screening (adjusted OR, 0.59; 95% CI, 0.44- 0.80), and women with depression were less likely to be up to date (OR, 0.71; 95% CI, 0.56-0.91) compared with men and women without chronic conditions.

Conclusion: Specific chronic conditions were found to be associated with up-to-date status for cancer screening. This finding may help practices to identify patients who need to receive cancer screening. (J Am Board Fam Med 2014;27:669-681.).

Original languageEnglish (US)
Pages (from-to)669-681
Number of pages13
JournalJournal of the American Board of Family Medicine
Volume27
Issue number5
DOIs
StatePublished - Sep 1 2014

Fingerprint

Early Detection of Cancer
Uterine Cervical Neoplasms
Colorectal Neoplasms
Chronic Disease
Odds Ratio
Confidence Intervals
Breast Neoplasms
Mammography
Cardiovascular Diseases
Rural Population
Ambulatory Care
Lung Diseases
Arthritis
Primary Health Care
Diabetes Mellitus
Asthma
Hypertension

Keywords

  • Cancer Screening
  • Chronic Disease
  • Rural Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Cite this

@article{f73867404bf843aa94f530185f6bfd03,
title = "The association of type and number of chronic diseases with breast, cervical, and colorectal cancer screening",
abstract = "Purpose: The purpose of this study was to examine associations between the number and types of patients' chronic diseases and being up to date for breast, cervical, and colorectal cancer screening.Methods: Data were abstracted from medical charts at 4 primary care clinics located in 2 rural Oregon communities. Eligibility criteria included being at least 55 years old and having at least 1 clinic visit in the past 2 years.Results: Of 3433 patients included, 503 (15{\%}) had no chronic illness, 646 (19{\%}) had 1, 786 (23{\%}) had 2, and 1498 (44{\%}) had ≤3 chronic conditions. Women with asthma/chronic lung disease and with cardiovascular disease were less likely to be up o date for mammography screening (odds ratio [OR], 0.59; 95{\%} confidence interval [CI], 0.43-0.80), and those with chronic digestive disorders were more likely to be up to date for mammography (OR, 1.31; 95{\%} CI, 1.03-1.66) compared with those without chronic conditions. Women with arthritis, diabetes mellitus, and hypertension were less likely to be up to date for cervical cancer screening (OR, 0.38; 95{\%} CI, 0.21-0.68) compared with those without chronic conditions. Men with cardiovascular disease were less likely to be up to date for colorectal cancer screening (adjusted OR, 0.59; 95{\%} CI, 0.44- 0.80), and women with depression were less likely to be up to date (OR, 0.71; 95{\%} CI, 0.56-0.91) compared with men and women without chronic conditions.Conclusion: Specific chronic conditions were found to be associated with up-to-date status for cancer screening. This finding may help practices to identify patients who need to receive cancer screening. (J Am Board Fam Med 2014;27:669-681.).",
keywords = "Cancer Screening, Chronic Disease, Rural Health",
author = "Liu, {Betty Y.} and Jean O'Malley and Mori, {Motomi (Tomi)} and Lyle Fagnan and David Lieberman and Cynthia Morris and David Buckley and John Heintzman and Carney, {Patricia (Patty)}",
year = "2014",
month = "9",
day = "1",
doi = "10.3122/jabfm.2014.05.140005",
language = "English (US)",
volume = "27",
pages = "669--681",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
number = "5",

}

TY - JOUR

T1 - The association of type and number of chronic diseases with breast, cervical, and colorectal cancer screening

AU - Liu, Betty Y.

AU - O'Malley, Jean

AU - Mori, Motomi (Tomi)

AU - Fagnan, Lyle

AU - Lieberman, David

AU - Morris, Cynthia

AU - Buckley, David

AU - Heintzman, John

AU - Carney, Patricia (Patty)

PY - 2014/9/1

Y1 - 2014/9/1

N2 - Purpose: The purpose of this study was to examine associations between the number and types of patients' chronic diseases and being up to date for breast, cervical, and colorectal cancer screening.Methods: Data were abstracted from medical charts at 4 primary care clinics located in 2 rural Oregon communities. Eligibility criteria included being at least 55 years old and having at least 1 clinic visit in the past 2 years.Results: Of 3433 patients included, 503 (15%) had no chronic illness, 646 (19%) had 1, 786 (23%) had 2, and 1498 (44%) had ≤3 chronic conditions. Women with asthma/chronic lung disease and with cardiovascular disease were less likely to be up o date for mammography screening (odds ratio [OR], 0.59; 95% confidence interval [CI], 0.43-0.80), and those with chronic digestive disorders were more likely to be up to date for mammography (OR, 1.31; 95% CI, 1.03-1.66) compared with those without chronic conditions. Women with arthritis, diabetes mellitus, and hypertension were less likely to be up to date for cervical cancer screening (OR, 0.38; 95% CI, 0.21-0.68) compared with those without chronic conditions. Men with cardiovascular disease were less likely to be up to date for colorectal cancer screening (adjusted OR, 0.59; 95% CI, 0.44- 0.80), and women with depression were less likely to be up to date (OR, 0.71; 95% CI, 0.56-0.91) compared with men and women without chronic conditions.Conclusion: Specific chronic conditions were found to be associated with up-to-date status for cancer screening. This finding may help practices to identify patients who need to receive cancer screening. (J Am Board Fam Med 2014;27:669-681.).

AB - Purpose: The purpose of this study was to examine associations between the number and types of patients' chronic diseases and being up to date for breast, cervical, and colorectal cancer screening.Methods: Data were abstracted from medical charts at 4 primary care clinics located in 2 rural Oregon communities. Eligibility criteria included being at least 55 years old and having at least 1 clinic visit in the past 2 years.Results: Of 3433 patients included, 503 (15%) had no chronic illness, 646 (19%) had 1, 786 (23%) had 2, and 1498 (44%) had ≤3 chronic conditions. Women with asthma/chronic lung disease and with cardiovascular disease were less likely to be up o date for mammography screening (odds ratio [OR], 0.59; 95% confidence interval [CI], 0.43-0.80), and those with chronic digestive disorders were more likely to be up to date for mammography (OR, 1.31; 95% CI, 1.03-1.66) compared with those without chronic conditions. Women with arthritis, diabetes mellitus, and hypertension were less likely to be up to date for cervical cancer screening (OR, 0.38; 95% CI, 0.21-0.68) compared with those without chronic conditions. Men with cardiovascular disease were less likely to be up to date for colorectal cancer screening (adjusted OR, 0.59; 95% CI, 0.44- 0.80), and women with depression were less likely to be up to date (OR, 0.71; 95% CI, 0.56-0.91) compared with men and women without chronic conditions.Conclusion: Specific chronic conditions were found to be associated with up-to-date status for cancer screening. This finding may help practices to identify patients who need to receive cancer screening. (J Am Board Fam Med 2014;27:669-681.).

KW - Cancer Screening

KW - Chronic Disease

KW - Rural Health

UR - http://www.scopus.com/inward/record.url?scp=84907046273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907046273&partnerID=8YFLogxK

U2 - 10.3122/jabfm.2014.05.140005

DO - 10.3122/jabfm.2014.05.140005

M3 - Article

VL - 27

SP - 669

EP - 681

JO - Journal of the American Board of Family Medicine

JF - Journal of the American Board of Family Medicine

SN - 1557-2625

IS - 5

ER -