PCR047: Patient-centered home cancer screening attitudes during SARS-CoV-2 pandemic
Christelle El Khoury, MD; Elizabeth Haro, MPH; Martha Alves, MPH, MSW; Marie Claire O'Dwyer, MBChB, MPH, NCMP; Kaitlin Meixner, MD; Laura Crespo Albiac; Juana Nicoll Capizzano, MD; Cullen Salada, MD; Sherri Sheinfeld Gorin, PhD, FSBM; Masahito Jimbo, MD, PhD, MPH; Diane Harper, MD, MPH, MS
COVID-19 has caused disruptions in health care, in particular cancer screenings. The primary aim of our work was to evaluate the degree to which populations were accepting of home-based screenings for colorectal cancer (CRC) and cervical cancer (primary HPV testing). Three groups of adults having distinct health burdens which may affect acceptance of home-based cancer screening were identified through outpatient electronic medical records as follows as either having survived a COVID hospitalization, having been positive for non-COVID respiratory illness or having type 2 diabetes. 132 respondents (58% female) completed an online survey with hypothetical cases about their acceptance of home-based CRC or cervical cancer screening. Among females, urine and vaginal screening for primary HPV testing was acceptable to 64% and 59%, respectively. Among both males and females, CRC home screening with fecal immunochemical test (FIT) or Cologuard ® was acceptable to 60% of the respondents. When adjusting for education, women with a positive attitude toward home-based urine /vaginal screening were 49 times and 23 times more likely to have a positive attitude toward CRC screening (aOR=48.7 (95% CI: 7.1, 337) and aOR=23.2 (95% CI: 3.8, 142), respectively). This report indicates that home-based cancer screens for CRC and primary HPV testing are acceptable to men and women and may allow for greater compliance with screening in the future.
Jack Westfall
jwestfall@aafp.org 11/20/2021This is a great topic and research study. Nice work. Thanks