Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department
Background: Decreasing primary care access and increasing emergency department (ED) usage is a potential contributor to declining cancer screening prevalences in those facing barriers to health care access. The ED is a non-traditional yet potentially high-yield setting for implementation of interven...
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| Language: | English |
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Mary Ann Liebert
2024-04-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0104 |
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| author | Sally K. Stauder Shalmali R. Borkar Anna Najor Adrienne Hunter Christopher DeStephano Michael Mohseni |
| author_facet | Sally K. Stauder Shalmali R. Borkar Anna Najor Adrienne Hunter Christopher DeStephano Michael Mohseni |
| author_sort | Sally K. Stauder |
| collection | DOAJ |
| description | Background: Decreasing primary care access and increasing emergency department (ED) usage is a potential contributor to declining cancer screening prevalences in those facing barriers to health care access. The ED is a non-traditional yet potentially high-yield setting for implementation of interventions to monitor and increase cancer screening. Methods: An ED-administered survey in July 2022 gathered data on breast, cervical, and colorectal cancer screening, as well as human papillomavirus (HPV) vaccination status of females presenting to the ED for care. This was compared with electronic health record (EHR) data extraction of all ED patients during the same timeframe. Primary outcome was proportion of cancer screening and HPV vaccination not up to date in each group. Results: ED survey was administered to 101 individuals; EHR data was extracted on 2934 patients. Survey versus EHR, respectively, found cervical cancer screening was not up to date in 6.2% vs. 77.6%, breast cancer screening in 14.3% vs. 73.4%, colorectal cancer screening in 22.9% vs. 56.5%, and HPV vaccination in 33.3% vs. 57.8%. p value was < 0.001 for all screening category comparisons between survey and EHR. Discussion: Our data indicate significant discrepancies between self-reported screening history and EHR data. ED survey results were more in line with the observed screening rates in various surveillance systems and published in the literature. This suggests that point-of-care ED survey administration may be more effective in identifying those needing preventative cancer screening, especially in individuals with less access to routine health care. |
| format | Article |
| id | doaj-art-005dc31eee734415933c0d7e48996236 |
| institution | OA Journals |
| issn | 2688-4844 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-005dc31eee734415933c0d7e489962362025-08-20T02:30:55ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-015168969610.1089/whr.2024.0104Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency DepartmentSally K. Stauder0Shalmali R. Borkar1Anna Najor2Adrienne Hunter3Christopher DeStephano4Michael Mohseni5Florida State University College of Medicine, Tallahassee, Florida, USA.Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, Florida, USA.Department of Obstetrics and Gynecology, Montefiore Medical Center, Bronx, New York, USA.Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, Florida, USA.Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, Florida, USA.Department of Emergency Medicine, Mayo Clinic, Jacksonville, Florida, USA.Background: Decreasing primary care access and increasing emergency department (ED) usage is a potential contributor to declining cancer screening prevalences in those facing barriers to health care access. The ED is a non-traditional yet potentially high-yield setting for implementation of interventions to monitor and increase cancer screening. Methods: An ED-administered survey in July 2022 gathered data on breast, cervical, and colorectal cancer screening, as well as human papillomavirus (HPV) vaccination status of females presenting to the ED for care. This was compared with electronic health record (EHR) data extraction of all ED patients during the same timeframe. Primary outcome was proportion of cancer screening and HPV vaccination not up to date in each group. Results: ED survey was administered to 101 individuals; EHR data was extracted on 2934 patients. Survey versus EHR, respectively, found cervical cancer screening was not up to date in 6.2% vs. 77.6%, breast cancer screening in 14.3% vs. 73.4%, colorectal cancer screening in 22.9% vs. 56.5%, and HPV vaccination in 33.3% vs. 57.8%. p value was < 0.001 for all screening category comparisons between survey and EHR. Discussion: Our data indicate significant discrepancies between self-reported screening history and EHR data. ED survey results were more in line with the observed screening rates in various surveillance systems and published in the literature. This suggests that point-of-care ED survey administration may be more effective in identifying those needing preventative cancer screening, especially in individuals with less access to routine health care.https://www.liebertpub.com/doi/10.1089/whr.2024.0104obstetrics/gynecologyelectronic health records and systemsemergency medicinecancerpreventive medicineclinical information systems |
| spellingShingle | Sally K. Stauder Shalmali R. Borkar Anna Najor Adrienne Hunter Christopher DeStephano Michael Mohseni Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department Women's Health Reports obstetrics/gynecology electronic health records and systems emergency medicine cancer preventive medicine clinical information systems |
| title | Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department |
| title_full | Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department |
| title_fullStr | Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department |
| title_full_unstemmed | Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department |
| title_short | Comparing Cancer Primary and Secondary Prevention Documentation Between Different Digital Health Approaches in the Emergency Department |
| title_sort | comparing cancer primary and secondary prevention documentation between different digital health approaches in the emergency department |
| topic | obstetrics/gynecology electronic health records and systems emergency medicine cancer preventive medicine clinical information systems |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0104 |
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