Abstract
Racial and language minority groups in the U.S. are at a higher risk for morbidity and mortality from colorectal cancer (CRC), partially due to lower screening rates. This is a retrospective cohort study comparing successful multi-target stool DNA test (mt-sDNA) test completion among patients with limited English proficiency (LEP) and English proficient (EP) patients, from 2015 to 2018. Patients with LEP were frequency matched to EP patients by age at a 3:1 ratio. The percentage of mt-sDNA tests without useful results was 53% among patients with LEP compared to 29% among EP patients (p < 0.0001). The median number of days from order placement to test completion was 62.5 among patients with LEP compared to 33 for EP patients (p = 0.003). This study demonstrates a significant disparity in CRC screening completion using the mt-sDNA test among populations with LEP, which may widen existing disparities in CRC mortality.
Original language | English (US) |
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Pages (from-to) | 556-559 |
Number of pages | 4 |
Journal | Journal of Immigrant and Minority Health |
Volume | 24 |
Issue number | 2 |
DOIs | |
State | Published - Apr 2022 |
Keywords
- CRC
- Cancer screening
- Colon cancer
- Disparity
- Limited English proficiency
- Multi-target stool DNA
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health