Improving Hepatocellular Carcinoma Screening: Applying Lessons From Colorectal Cancer Screening

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Hepatocellular carcinoma (HCC) screening is a complex process, with failure at any step in the process contributing to a gap between its efficacy and effectiveness. Important lessons can be learned from colorectal cancer (CRC) screening studies to improve the HCC screening process in clinical practice. Lack of provider recommendations is a barrier for both CRC and HCC screening; however, under-recognition of at-risk individuals appears to be unique to HCC. Future HCC screening interventions should help providers identify at-risk patients as well as promote ordering of HCC screening among those with cirrhosis. Patient adherence, a well-recognized barrier to CRC screening, does not appear to be a major issue in HCC screening. Poor patient adherence may become an important factor in the future when upstream provider-level factors are addressed. Other steps in the screening process, including radiology capacity and timely follow-up, have been demonstrated as barriers for CRC screening but have yet to be assessed for HCC screening. Overall, many lessons learned from challenges to CRC screening can be applied to rapidly optimize HCC screening delivery.

Original languageEnglish (US)
Pages (from-to)472-477
Number of pages6
JournalClinical Gastroenterology and Hepatology
Volume11
Issue number5
DOIs
StatePublished - May 2013

Fingerprint

Early Detection of Cancer
Hepatocellular Carcinoma
Colorectal Neoplasms
Patient Compliance
Radiology
Fibrosis

Keywords

  • Colon Cancer
  • Effectiveness
  • Health Services Research
  • Liver Cancer
  • Process of Care
  • Screening

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Improving Hepatocellular Carcinoma Screening : Applying Lessons From Colorectal Cancer Screening. / Singal, Amit G.; Tiro, Jasmin A.; Gupta, Samir.

In: Clinical Gastroenterology and Hepatology, Vol. 11, No. 5, 05.2013, p. 472-477.

Research output: Contribution to journalArticle

@article{dc5e15a9fa1440f5a08948a4c0613355,
title = "Improving Hepatocellular Carcinoma Screening: Applying Lessons From Colorectal Cancer Screening",
abstract = "Hepatocellular carcinoma (HCC) screening is a complex process, with failure at any step in the process contributing to a gap between its efficacy and effectiveness. Important lessons can be learned from colorectal cancer (CRC) screening studies to improve the HCC screening process in clinical practice. Lack of provider recommendations is a barrier for both CRC and HCC screening; however, under-recognition of at-risk individuals appears to be unique to HCC. Future HCC screening interventions should help providers identify at-risk patients as well as promote ordering of HCC screening among those with cirrhosis. Patient adherence, a well-recognized barrier to CRC screening, does not appear to be a major issue in HCC screening. Poor patient adherence may become an important factor in the future when upstream provider-level factors are addressed. Other steps in the screening process, including radiology capacity and timely follow-up, have been demonstrated as barriers for CRC screening but have yet to be assessed for HCC screening. Overall, many lessons learned from challenges to CRC screening can be applied to rapidly optimize HCC screening delivery.",
keywords = "Colon Cancer, Effectiveness, Health Services Research, Liver Cancer, Process of Care, Screening",
author = "Singal, {Amit G.} and Tiro, {Jasmin A.} and Samir Gupta",
year = "2013",
month = "5",
doi = "10.1016/j.cgh.2012.11.010",
language = "English (US)",
volume = "11",
pages = "472--477",
journal = "Clinical Gastroenterology and Hepatology",
issn = "1542-3565",
publisher = "W.B. Saunders Ltd",
number = "5",

}

TY - JOUR

T1 - Improving Hepatocellular Carcinoma Screening

T2 - Applying Lessons From Colorectal Cancer Screening

AU - Singal, Amit G.

AU - Tiro, Jasmin A.

AU - Gupta, Samir

PY - 2013/5

Y1 - 2013/5

N2 - Hepatocellular carcinoma (HCC) screening is a complex process, with failure at any step in the process contributing to a gap between its efficacy and effectiveness. Important lessons can be learned from colorectal cancer (CRC) screening studies to improve the HCC screening process in clinical practice. Lack of provider recommendations is a barrier for both CRC and HCC screening; however, under-recognition of at-risk individuals appears to be unique to HCC. Future HCC screening interventions should help providers identify at-risk patients as well as promote ordering of HCC screening among those with cirrhosis. Patient adherence, a well-recognized barrier to CRC screening, does not appear to be a major issue in HCC screening. Poor patient adherence may become an important factor in the future when upstream provider-level factors are addressed. Other steps in the screening process, including radiology capacity and timely follow-up, have been demonstrated as barriers for CRC screening but have yet to be assessed for HCC screening. Overall, many lessons learned from challenges to CRC screening can be applied to rapidly optimize HCC screening delivery.

AB - Hepatocellular carcinoma (HCC) screening is a complex process, with failure at any step in the process contributing to a gap between its efficacy and effectiveness. Important lessons can be learned from colorectal cancer (CRC) screening studies to improve the HCC screening process in clinical practice. Lack of provider recommendations is a barrier for both CRC and HCC screening; however, under-recognition of at-risk individuals appears to be unique to HCC. Future HCC screening interventions should help providers identify at-risk patients as well as promote ordering of HCC screening among those with cirrhosis. Patient adherence, a well-recognized barrier to CRC screening, does not appear to be a major issue in HCC screening. Poor patient adherence may become an important factor in the future when upstream provider-level factors are addressed. Other steps in the screening process, including radiology capacity and timely follow-up, have been demonstrated as barriers for CRC screening but have yet to be assessed for HCC screening. Overall, many lessons learned from challenges to CRC screening can be applied to rapidly optimize HCC screening delivery.

KW - Colon Cancer

KW - Effectiveness

KW - Health Services Research

KW - Liver Cancer

KW - Process of Care

KW - Screening

UR - http://www.scopus.com/inward/record.url?scp=84875224556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875224556&partnerID=8YFLogxK

U2 - 10.1016/j.cgh.2012.11.010

DO - 10.1016/j.cgh.2012.11.010

M3 - Article

C2 - 23200983

AN - SCOPUS:84875224556

VL - 11

SP - 472

EP - 477

JO - Clinical Gastroenterology and Hepatology

JF - Clinical Gastroenterology and Hepatology

SN - 1542-3565

IS - 5

ER -