The researchers analyzed outcome data for 439 persons who had positive fecal occult blood tests in a 1984 statewide program for Connecticut residents. Among those with positive test results, colorectal cancer was diagnosed in 33 persons, 7.5 percent of the sample, during 3.5 years of follow-up. More than one-half of all cases found, 15 of 29 persons, or 52 percent, were diagnosed with in-situ or localized tumors, which are most likely to be treated successfully. The predictive value of a positive test varied according to the screened person's age and the number of positive tests obtained from that person. Among those 60 years or older, the positive predictive value of the screening test was 9 percent, compared to 3 percent for persons younger than 60 years. Having more than one positive test was associated with a positive predictive value of 12 percent, compared to 5 percent for one positive test. The findings support the use of fecal occult blood testing for early detection of colorectal cancer.
Data from linked birth and death certificates from the State of Oregon were used to determine the monthly distribution of deaths from sudden infant death syndrome (SIDS) for the years 1976 through 1984. The monthly number of SIDS deaths increased in ...
This paper considers the financial burden of parents caring for severely disabled children. A model to predict parents' out-of-pocket expenses and caregiving time demands is described. Discriminant analysis correctly classified high and low group mem...
Anderson, D M; Duffy, K; Hallett, C D; Marcus, A C;
Published Date:
1992 May-Jun
Source:
Public Health Rep. 107(3):278-283
Description:
Since 1983, the National Cancer Institute (NCI) has collected data by means of its Cancer Information Service (CIS), a toll-free telephone helpline for health care professionals and members of the public who have questions about cancer treatment, dia...
On June 13, 1991, President George Bush announced in a White House ceremony a local planning effort to break down barriers and provide better access to immunization in six representative localities "to solve the problem of late immunization." (childr...
An integrated approach to estimate the total number of pregnancies that begin in a population during one calendar year and the probability of spontaneous abortion is described. This includes an indirect estimate of the number of pregnancies that resu...
Total quality management (TQM) is a participative, systematic approach to planning and implementing a continuous organizational improvement process. Its approach is focused on satisfying customers' expectations, identifying problems, building commitm...
The researchers undertook to identify the factors that are most likely to influence children's intentions to use bicycle helmets. To determine the most important intention influencing factors, a random sample of 797 students in grades 4 through 6 com...
A comparative analysis was made of day of the week variations in homicide and suicide deaths among 15-24-year-old white males, black males, white females, and black females in the 22 counties with the most black persons in the United States. Thirty-s...
Brewster, M A; Kirby, R S; Feild, C R; Cunniff, C M;
Published Date:
1992 May-Jun
Source:
Public Health Rep. 107(3):290-296
Description:
Planning of service delivery systems for children with special health care needs would be enhanced by knowledge of numbers of cases anticipated in defined geographic areas. A method is described for predicting numbers of children who will likely have...
Lando, H A; Johnson, K M; Graham-Tomasi, R P; McGovern, P G; Solberg, L;
Published Date:
1992 May-Jun
Source:
Public Health Rep. 107(3):340-344
Description:
Little is known about smoking patterns of urban American Indians and their interest in quitting. Most published research has focused upon American Indians who live on rural reservations. In this study, personal interviews were conducted with a conven...
There has been little effort directed at training health care professionals in behaviors and attitudes that are effective in communicating with persons with mental retardation. Such training would be beneficial not only to assist those with congenita...
Most addictions to tobacco begin when a person is younger than age 18. Although the sale of tobacco to minors is illegal in most jurisdictions, there is often little enforcement of these laws, and minors can usually purchase tobacco easily. The impac...
The Public Health Service's Interagency Committee to Improve Access to Immunization Services (ICI) has responsibility for improving the immunization protection of the nation's children and other vulnerable populations. ICI's Action Plan to Improve Ac...
Questions on awareness, use, and results of blood cholesterol tests were included in telephone surveys on cancer conducted in 1988 on random samples of persons 40-74 years of age in Long Island, NY (N = 440), and in Connecticut (N = 453). Educational...
The stool guaiac slide test (SGST) is a relatively recent innovation in screening for colorectal cancer. The test detects occult blood in the stool that may indicate the presence of cancer. In recent years, the SGST has been widely promoted as a scre...
We assess annual costs of screening provision activities implemented by 23 of the Centers for Disease Control and Prevention's Colorectal Cancer Control Program (CRCCP) grantees and report differences in costs between colonoscopy and FOBT/FIT-based s...
Shapiro, Jean A.; Bobo, Janet K.; Church, Timothy R.; Rex, Douglas K.; Chovnick, Gary; Thompson, Trevor D.; Zauber, Ann G.; Lieberman, David; Levin, Theodore R.; Joseph, Djenaba A.; Nadel, Marion R;
Published Date:
Oct 10 2017
Source:
Am J Gastroenterol. 112(11):1728-1735.
Description:
OBJECTIVES:Annual testing using either a high-sensitivity guaiac fecal occult blood test (HS-gFOBT) or a fecal immunochemical test (FIT) is recommended for screening average-risk people for colorectal cancer. We compared the performance characteristi...
IntroductionAlaska Native colorectal cancer (CRC) incidence and mortality rates are the highest of any ethnic/racial group in the United States. CRC screening using guaiac-based fecal occult blood tests (gFOBT) are not recommended for Alaska Native p...
IntroductionSince 2009, the Centers for Disease Control and Prevention (CDC) has awarded nearly $95 million to 29 states and tribes through the Colorectal Cancer Control Program (CRCCP) to fund 2 program components: 1) providing colorectal cancer (CR...