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Invited Commentary
April 11, 2011

Improving Colorectal Cancer Screening in 2011: Comment on “Patient Outreach to Promote Colorectal Cancer Screening Among Patients With an Expired Order for Colonoscopy”

Author Affiliations

Author Affiliations: Linebeger Cancer Center, Department of Medicine, and Cecil Sheps Center for Health Services Research, University of North Carolina–Chapel Hill.

Arch Intern Med. 2011;171(7):647-648. doi:10.1001/archinternmed.2011.104

Over the past 12 years, we have made substantial progress in screening US adults aged 50 to 75 years for colorectal cancer (CRC). In 1999, 44% of US adults were up to date with some form of CRC screening1; in 2002, the proportion had increased to 52%, and it was 63% in 2008.2 Mortality rates for CRC have also decreased substantially over this same period.3 However, despite this increase in screening and reduction in mortality, over one-third of age-eligible US adults were not up-to-date in 2008, and there were substantial disparities based on income, education, and health insurance coverage.2

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