Disparities Among Limited English Proficient Patients in Colon Cancer Screening with Multi-target DNA Stool Test

James C. Hill, Jane W. Njeru, Mark L. Wieland, Lila J. Rutten, Debra J. Jacobson, Gregory D. Jenkins, Chun Fan

Research output: Contribution to journalArticlepeer-review

Abstract

Racial and language minority groups in the U.S. are at a higher risk for morbidity and mortality from colorectal cancer (CRC), partially due to lower screening rates. This is a retrospective cohort study comparing successful multi-target stool DNA test (mt-sDNA) test completion among patients with limited English proficiency (LEP) and English proficient (EP) patients, from 2015 to 2018. Patients with LEP were frequency matched to EP patients by age at a 3:1 ratio. The percentage of mt-sDNA tests without useful results was 53% among patients with LEP compared to 29% among EP patients (p < 0.0001). The median number of days from order placement to test completion was 62.5 among patients with LEP compared to 33 for EP patients (p = 0.003). This study demonstrates a significant disparity in CRC screening completion using the mt-sDNA test among populations with LEP, which may widen existing disparities in CRC mortality.

Original languageEnglish (US)
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/In press - 2021

Keywords

  • CRC
  • Cancer screening
  • Colon cancer
  • Disparity
  • Limited English proficiency
  • Multi-target stool DNA

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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