Publications by authors named "Jeff Pier"

Introduction: Human papillomavirus (HPV) infection poses significant public health concerns due to its prevalence and association with various cancers. This study assesses a 2014 quality improvement initiative in Wisconsin's largest health care system. The intervention aimed to improve HPV vaccine initiation and completion among eligible patients and to reduce the gap in vaccination rates between males and females.

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Introduction: In 2016, the US Preventive Services Task Force (USPSTF) added multitarget stool DNA and computed tomography colonography (CTC) as accepted colorectal cancer screening modalities to the already recommended tests: fecal immunochemical test (FIT), sigmoidoscopy, and colonoscopy. The aim of our study was to determine trends in screening after the USPSTF update, with the effect of additional tests on the use of existing colorectal cancer screening modalities and overall screening rates.

Methods: We prospectively compared monthly colorectal cancer overall screening rates and the mean total numbers of patients screened by multitarget stool DNA, colonoscopy, sigmoidoscopy, CTC, and FIT 6 months prior to the new USPSTF guidelines until 30 months after.

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Background And Aims: The effect of CT colonography (CTC) screening on colonoscopy is unknown. The objective of this study is to determine the effect of a CTC screening program on the number of screening, therapeutic and total colonoscopies performed.

Methods: We compared the quarterly mean numbers of colonoscopic examinations performed for 50-79 year olds undergoing colorectal cancer screening in 2003, before initiation of a CTC program, to 2011, seven years after the CTC program began at our academic tertiary care facility.

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