Walden University week 1 Prostate Cancer Rates Discussion
Walden University week 1 Prostate Cancer Rates Discussion
Carlin Nelson Carlin Nelson’s RE: Discussion – Week 1COLLAPSEPost a brief explanation of the use of informatics, the applications, and the methodologies used to monitor the event/trend you selected.Public Health prioritizes the “common good” for populations over individualism, forming the three core functions and ten essential services. These can only be accomplished through the dissemination of current findings. Informatics is defined as the inclusion of computer science and technology in Public Health through methodology, protection, and dissemination (Lombardo and Buckeridge, 2007). Not to be confused or used interchangeably with health information technology (IT), informatics aims to take the extra initiative of inquiry behind why and how (Savel and Foldy,2012). The trend that I selected is the increasing cases of prostate cancer in Charleston, South Carolina. While physicians and health practitioners aim to treat prostate cancer, eliminate and reduce the health disparity concerning prostate cancer, they recommend either active surveillance or watchful waiting, depending on severity. The use of informatics to monitor prostate cancer varies from patient to patient. Like many cancers, prostate cancer can be latent and depending on its’ severity, healthcare professionals recommend treatment plans that include testing frequency, pinpointing risk factors, and types of treatments. Commonly recommended are two exams to assist in diagnosing prostate cancer, the digital rectum exam (DRE) and the prostate-specific antigen (PSA) blood test. If possible, tumors are found on/in the prostate, then biopsies are done, or imaging tests are conducted. With the prostate-specific antigen (PSA) blood test, informatics has assisted the medical field in not only creating a parameter to define what a high Gleason score means but has given it meaning. These results are stored, analyzed, and disseminated with informatics in the forms of electronic health records (EHR) and cancer registries. With informatics assistance, Public Health professionals can create surveillance systems and identify common risk factors and disparities, similar to the Proactive Surveillance System for Prostate Cancer (PASS-PC)(Wang et al., 2012). Explain your position on whether the methods used to monitor the event/trend (i.e., systems, procedures) were and are adequate and effective. The methods used to monitor Public Health are sub-adequate and effective. While monitoring prostate cancer has improved as technology and science advances with different new and less invasive test and treatment options, my position’s underlying reasoning is that our medical healthcare system and all that dwell within emphasize intervention superior to prevention. Many informatics teams and surveillance systems that I found focused on secondary and tertiary levels of prevention. Granted, these systems and procedures have decreased the mortality rates with early detection, but coupled with the other social determinants of health (SDOH), the morbidity rate and health disparities still exist. Provide recommendations to improve the use of informatics to monitor this event/trend. To improve informatics used to monitor prostate cancer, I recommend emphasizing prevention through collected data in which informaticists can highlight common associations. In addition to prevention, continue to improve on less invasive but accessible ways to detect prostate cancer so that men are comfortable, able to endure the exams, and have access to high quality, low-cost diagnostics. To improve the use of informatics to monitor prostate cancer could be a key in not only early detection but prevention. References:Lombardo, J. S., & Buckeridge, D. L. (2007). Chapter 1: Disease Surveillance, a Public Health Priority. In Disease surveillance: A public health informatics approach (pp. 27-65). Hoboken, NJ: Wiley-Interscience.Savel, T. G., & Foldy, S. (2012, July 27). The Role of Public Health Informatics in Enhancing Public Health Surveillance. Morbidity and Mortality Weekly Report (MMWR). https://www.cdc.gov/mmwr/preview/mmwrhtml/su6103a5.htm.Wang, H., Yatawara, M., Huang, S. C., Dudley, K., Szekely, C., Holden, S., & Piantadosi, S. (2012). The integrated proactive surveillance system for prostate cancer. The open medical informatics journal, 6, 1–8. https://doi.org/10.2174/18744311012060100012 days agoShellie Bynum RE: Discussion – Week 1COLLAPSEWeek 1 DiscussionLocal Public Health Events/TrendsWhat is Informatics? Informatics is defined as the systematic application of information and computer science and technology to public health practice (Lombardo and Buckeridge, 2007). Simply put, informatics is an approach that uses technology to store data that will be applied to health research.Why is Informatics important to the field of Public Health? In the field of public health, informatics is vital because the information that is gathered is analyzed in order to determine what health trends or potential concerns are present and from there a strategy is developed that will inform the public of this trend and provide them with prevention methods and strategies that will help to decrease their chances of being affected by the public health trend.What are the Informatics, Applications and Methods used to monitor Social Determinants in Cancer? A trend that is very prevalent in today’s society are social determinants and their effects on health, specifically, the impacts or effect that social determinants have on cancer diagnosis and treatment. An example of an application that is used to monitor cancer trends is the National Program of Cancer Registries (NPCR). The NCPR is an application that is used for cancer data collection (CDC, 2018). This application helps to monitor cancer trends over time, while also providing specified information that may cause certain groups to have a higher incidence rate. This application collects data from 97% of the U.S. population (CDC, 2018). As a result of such an application, researches, policy makers, state representatives, etc. can analyze findings and learn of the factors that may be leading to cancers within specific communities and work together to formulate a plan that will mitigate the determinants that cause the illness.Do you feel the methods used to monitor the trend (system, procedures) were adequate and effective? Why or why not? This application is both adequate and effective. The software is constantly being developed that will make data collection in healthcare more efficient. This applications adequateness is based on the fact that its data is streamed from several sources and it includes several factors or variables related to patients, i.e. their demographic, age, etc. With the inclusion of the National Cancer Institute’s (NCI’s) Surveillance, Epidemiology, and End Results (SEER) Program, there is a 100% coverage of all cancer incidence in the U.S. (CDC, 2018). This inclusivity helps to provide a much clearer understanding of the impact of cancer as well as factors that may be associated with the disease. Recommendations to improve the use of informatics to monitor cancerOne recommendation that could be utilized to improve the use of informatics to monitor cancer, could be the implementation of data collection from around the world. Currently, the NPCR, on its own, only collects data from 97% of the U.S. population, however sickness does not stop at the border. The prevalence of cancer in other countries is also great. The World Cancer Research Fund, site ranks the U.S. forth as having the highest prevalence of cancer (WCRF, nd). There are over 700 cancer registries worldwide (ICCP, nd). With this type of information collection, a collaborative effort of research and policy could greatly improve cancers rates worldwide. ReferenceCenters for Disease Control and Prevention. (2018). National Program for Cancer Registries. https://www.cdc.gov/cancer/npcr/about.htmInternational Cancer Control Partnership. (nd). Cancer Registries. https://www.iccp-portal.org/cancer-registries#:~:text=Worldwide%2C%20there%20are%20more%20than,and%20in%20Africa%20(11%25).ombardo, J. S. and Buckeridge, D. L. (2007). Disease Surveillance: A Public Health Informatics Approach. World Cancer Research Fund. (nd). Global cancer data by country: Exploring which countries have the highest cancer rates. https://www.wcrf.org/dietandcancer/cancer-trends/d…Srikanta Banerjee WALDEN INSTRUCTOR MANAGER RE: Discussion – Week 1COLLAPSEIfeoma,Thank you for your post. You mentioned about multiple ways to measure for obesity. What are some of the ways to measure obesity? Next think how do you think altering the way the condition is diagnosed affects the ability to undertake accurate surveillance? Why or why not?2 days agoDominique Morgan Dominique Morgan’s RE: Discussion – Week 1COLLAPSEPost a brief explanation of the use of informatics, the applications, and the methodologies used to monitor the event/trend you selectedThe 2020 March of Dimes Report Card: Georgia is a report that reviews maternal and infant health outcomes trends. This report discusses the key indicators of maternal and infant health in the United States (U.S) and breaks down state-by-state to assess if there have been any improvements in them (March of Dimes, 2020). Data on preterm birth, infant mortality, race/ethnicity, and social determinants of health were all measured and analyzed for this report. Findings show that in 2020, Georgia received an F grade (on an A through F scale) for preterm birth rates totaling 11.7% and infant mortality rate totaling 7.1% (March of Dimes, 2020). In Atlanta, Georgia, where I reside, the preterm birth rate is 11.4%, a D- on the scale (March of Dimes, 2020).One method and informatics approach used by the March of Dimes to track this information are their March of Dimes disparity ratio. This ratio monitors the progress made in eliminating racial/ethnic disparities in preterm birth (March of Dimes, 2020). March of Dimes (2020) bases this and other measures on the Healthy People 2020 methodology to assess groups with the lowest preterm birth rates up against the average for all other groups. Another method used is their grading methodology, which was expanded in 2019 where an A grade means the preterm birth rate is less than or equal to 7.7% compared to an F grade where the rate is greater than or equal to 11.5% (March of Dimes, 2020). This methodology allows them to use data received from all 50 states and compile it into their scoring formula to assign each state a grade and scoring criteria for each letter: A, A-, B+, B, B-, C+, C, C-, D+, D, D-, and F.Explain your position on whether the methods used to monitor the event/trend (i.e., systems, procedures) were and are adequate and effective As we know, methods include how something is designed, how the data is collected and analyzed, among other things (Burkholder et al., 2020). The systems and procedures established to monitor, track, and analyze maternal and infant health outcomes by March of Dimes appear to be effective for the data they do collect. March of Dimes (2020) included in this report that although they do not have enough statistics and information on all of the health and social indicators associated with maternal and infant health outcomes, but highlighted the measures that had the best available data to them. There are many more indicators that can be brought to light, but it is adequate for their purpose in getting this information out to the public and providers. The methods they used to monitor and track these trends also appear to be effective as they use several methodologies, including the Healthy People 2020 methodology.Provide recommendations to improve the use of informatics to monitor this event/trend As we have seen, public health informatics supports programming needs, improves the quality of population information, and expands the assessment capabilities of a host of public health issues (Lombardo & Buckeridge, 2007). To improve informatics use to monitor this trend, there needs to be a more standardized way to collect and report maternal and infant health information nationwide (March of Dimes, 2020). Having a standard model that guides research and reporting data will help to have more concrete figures. Having a standard data collection and reporting model will be a way to hold researchers, data specialists, providers who report data and more accountable for having accurate information. Maternal, infant, and child health outcomes are extremely important to our public health and healthcare systems as they are indicators of the next generation’s susceptibilities (Office of Disease Prevention and Health Promotion, 2020). ReferencesBurkholder, G.J., Cox, K.A., Crawford, L.M., & Hitchcock, J.H. (2020). Research design and methods: An applied guide for the scholar-practitioner. Sage Publications.Lombardo, J.S. & Buckeridge, D.L. (2007). Disease surveillance: A public health informatics approach. John Wiley & Sons, Inc Publications.March of Dimes. (2020). 2020 March of Dimes report card: Georgia. https://www.marchofdimes.org/peristats/tools/reportcard.aspx?frmodrc=1®=13Office of Disease Prevention and Health Promotion. (2020). Healthy people: Maternal, infant, and child health. https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health2 days agoNyoka Rogers RE: Discussion – Week 1COLLAPSEPost a brief explanation of the use of informatics, the applications, and the methodologies used to monitor the event/trend you selected.According to the article titled What is Informatics, informatics is the science of how to use data, information and knowledge to improve human health and the delivery of health care services. In the United States, breast cancer is the most commonly diagnosed cancer in women (Crew et. al., 2017). According to the American Cancer Society, in 2020 there have been 8,340 new female cases and 1,380 female deaths in 2020. The methodology used to detect breast cancer is routine check-ups during doctor visits for women starting at the age of 40. Mammography is the most effective screening tool used today to find breast cancer in most women. A mammogram is an X-ray picture of the breast. The Center for Disease Control and Prevention states that regular mammograms are the best tests doctors have to find breast cancer early, sometimes up to three years before it can be felt. Women who have breast cancer in their families or other types of cancer that affect their family members may ask for routine breast exams before the age of 40 to ensure that they stay aware of their health and decrease the risk of having breast cancer and not knowing. According to the America Cancer Society, women ages 40 to 44 should have the choice to start annual breast cancer screening with mammograms, women age 45 to 54 should get mammograms every year and women 55 and older should switch to mammograms every two years, or can continue yearly screening. Explain your position on whether the methods used to monitor the event/trend (i.e., systems, procedures) were and are adequate and effective.The methods used in the detection of breast cancer; I think are effective and adequate. However, breast cancer affects women of all ages. I think mammograms should be offered to women before the age of 40. Early detection is key in stopping the spread of breast cancer and helping to decrease the number of deaths associated with breast cancer. I also think that the cost of mammograms is too expensive and can cause women to become discouraged from getting a mammogram. The results from a mammogram usually takes around three weeks for someone to get their results. I think that finding a way to get the results back sooner may also contribute to helping with the prevention breast cancer.Provide recommendations to improve the use of informatics to monitor this event/trend.The recommendations to improve the use of informatics to monitor breast cancer would be to start earlier detection. Another recommendation would be to offer mammograms at a lower cost, in order to help early prevention of breast cancer in women in the United States. In the United States, the collection of breast cancer data should be shared more commonly and women should be made more aware of the what breast cancer is and how it is detected. As a recommendation it is also important for women to be aware that they should perform self-exams daily in during or after their showers, which will also help with the prevention and early detection of breast cancer.ReferencesAmerican Cancer Society: Cancer Facts & Statistics. (n.d.). Retrieved December 03, 2020, from https://cancerstatisticscenter.cancer.org/Cancer Screening Guidelines: Detecting Cancer Early. (n.d.). Retrieved December 03, 2020, from https://www.cancer.org/healthy/find-cancer-early/c…Finkelstein, J., Wood, J., Crew, K. D., & Kukafka, R. (2017). Introducing a Comprehensive Informatics Framework to Promote Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2017, 58–67.What is Informatics? (n.d.). Retrieved December 03, 2020, from https://www.amia.org/fact-sheets/what-informatics?…What Is a Mammogram? (2020, September 14). Retrieved December 04, 2020, from https://www.cdc.gov/cancer/breast/basic_info/mammo…2 days agoOralus Paul RE: Discussion – Week 1COLLAPSEPost a brief explanation of the use of informatics, the applications, and the methodologies used to monitor the event/trend you selected.Breast cancer is the most common cancer in women worldwide. continues to rank second, after lung cancer, as a cause of cancer death in women in the United States, and it is a leading cause of premature mortality for women (Oeffinger et al., 2015). According to the latest American Cancer Society (ACS) guidelines women with an average risk of breast cancer should undergo regular screening mammography starting at age 45 years, women aged 45 to 54 years should be screened annually and women 55 years and older should transition to biennial screening or have the opportunity to continue screening annually. Also, women should have the opportunity to begin annual screening between the ages of 40 and 44 years (American Cancer Society, 2015). The field of health informatics has evolved in recent years to focus on how information is acquired, stored, and used in health care, with a particular emphasis on technology. Fortunately, thanks to advancements in treatments, breast cancer survivorship is on a steady rise, and this cancer is no longer thought of as an acute illness but rather a chronic condition (Giunti et al., 2018). Furthermore, Health applications (apps) are increasingly being used for patient care in oncology. With the growing popularity of mobile devices, healthcare consumers have instant access to information about cancer prevention, detection, and treatment options on their handheld portable devices. More specifically, health apps provide health-related services, interactive tools, and support via smartphones or tablet devices to cancer patients, their family members, and caregivers to manage life-altering cancer experiences. For instance, patients can play a more active role in managing their cancer care by using smartphone health apps to log medications, track treatments, monitor side effects, and schedule follow-up appointments (Charbonneau et al., 2020).Explain your position on whether the methods used to monitor the event/trend (i.e., systems, procedures) were and are adequate and effective. Provide recommendations to improve the use of informatics to monitor this event/trend.Despite the widespread availability of mobile applications about breast cancer, there is still a lack of high-quality cancer apps with reliable content sources. There is also concern and mistrust because there is a lack of oversight by health providers.There are a number of additional recommendations that could help enhance cancer smartphone apps. Some researchers have suggested that categorizing apps under the legislation for medical products may be one way to regulate and control app quality. Without any regulations in place at the present time for health apps that provide education or monitor health, one important step would be to improve app store descriptions by providing better documentation about how app content is compiled and evaluated. A final recommendation for app improvement includes more fully utilizing social networking and self-monitoring capabilities. Smartphone apps that leverage social media to provide real-time social support and facilitate the sharing of health-related data with health providers or peers have been reported as key benefits of health apps by mobile users (Charbonneau et al., 2020).Future research could examine the usability of the apps and accuracy of medical content. Focus groups could provide insight into navigation and other usability features of the cancer apps. Likewise, a panel of health experts could assess the quality of medical content for apps based on the best available clinical evidence (Charbonneau et al., 2020).ReferencesAmerican Cancer Society. (2015). Breast cancer screening guidelines. American Cancer Society | Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin. https://www.cancer.org/health-care-professionals/american-cancer-society-prevention-early-detection-guidelines/breast-cancer-screening-guidelines.htmlCharbonneau, D. H., Hightower, S., Katz, A., Zhang, K., Abrams, J., Senft, N., Beebe-Dimmer, J. L., Heath, E., Eaton, T., & Thompson, H. S. (2020). Smartphone apps for cancer: A content analysis of the digital health marketplace. DIGITAL HEALTH, 6, 205520762090541. https://doi.org/10.1177/2055207620905413Giunti, G., Giunta, D., Guisado-Fernandez, E., Bender, J., & Fernandez-Luque, L. (2018). A biopsy of breast cancer mobile applications: State of the practice review. International Journal of Medical Informatics, 110, 1-9. https://doi.org/10.1016/j.ijmedinf.2017.10.022Oeffinger, K. C., Fontham, E. T., Etzioni, R., Herzig, A., Michaelson, J. S., Shih, Y. T., Walter, L. C., Church, T. R., Flowers, C. R., LaMonte, S. J., Wolf, A. M., DeSantis, C., Lortet-Tieulent, J., Andrews, K., Manassaram-Baptiste, D., Saslow, D., Smith, R. A., Brawley, O. W., & Wender, R. (2015). Breast cancer screening for women at average risk. JAMA, 314(15), 1599. https://doi.org/10.1001/jama.2015.12783
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