Colorectal cancer care equity in underserved communities: Innovative solutions for screening, outreach & capacity in rural Washington

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-02-13 DOI:10.1016/j.amjsurg.2025.116246

Lauren Duffy, Marley Anderson, Evelyn Rowe, Michelle Yan, Aliya Abdelhak, Juliana Garcia, Clemma Muller, Anjali Kumar

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引用次数: 0

Abstract

Background

Colorectal cancer (CRC) mortality hotspots in rural Washington, notably Yakima and Richland, identified an 8-year earlier median age of death in non-white patients. Post-pandemic data from WA State Department of Health and MultiCare's electronic health records revealed a 40 % decrease in CRC screenings.

Methods

During a 2023 CRC prevention summit, barriers and solutions were discussed focusing on rural Hispanic laborers as this population is often seen at partner locations, Yakima Valley Farm Workers Clinic (YVFWC).

Results

Community outreach—Our team established a presence at Yakima's largest health fair, Fiesta de Salud. We also provided screening resources at Richland's farmers' markets. Planned events -- We will network with local community leaders and health providers to actualize screening (stool-based testing, hands-on endoscopy training).

Conclusion

Persistent CRC mortality disparities in Washington State underscores the need for targeted interventions. Partnering with organizations and engaging in community outreach aims to increase screening rates and enhance education.

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服务不足社区的结直肠癌护理公平：华盛顿农村筛查，推广和能力的创新解决方案

结直肠癌（CRC）死亡率在华盛顿农村地区的热点地区，特别是雅基马和里奇兰，发现非白人患者的中位死亡年龄早8岁。来自西澳州卫生部和MultiCare电子健康记录的大流行后数据显示，CRC筛查减少了40%。方法在2023年的CRC预防峰会上，重点讨论了农村西班牙裔劳动力的障碍和解决方案，因为这一人群经常出现在合作地点，雅基马山谷农场工人诊所（YVFWC）。结果社区外展-我们的团队在亚基马最大的健康博览会Fiesta de Salud上建立了一个存在。我们还在里奇兰的农贸市场提供筛选资源。计划中的活动——我们将与当地社区领导人和卫生服务提供者建立联系，以实施筛查（粪便检测、内窥镜实践培训）。结论：华盛顿州持续存在的CRC死亡率差异强调了有针对性干预措施的必要性。与组织合作并参与社区外展旨在提高筛查率和加强教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.