Colorectal Cancer Screening Project | 2023-6_Increasing CRC Screening & Improving Follow-Up

Pdf Summary

In a study on improving adherence to stool tests, it was found that patients were more likely to adhere to colonoscopy than to the guaiac-based fecal occult blood test (gFOBT). Other studies also showed low adherence rates to fecal immunochemical test (FIT) and colonoscopy. The National Health Interview Survey revealed that in 2021, 24% of individuals had undergone any colorectal cancer (CRC) screening test in the past year, with FIT being used in 10.1% of cases. A CRC screening outreach algorithm was implemented in Kaiser Permanente Northern California (KPNC) to improve screening rates, involving various outreach attempts and targeted efforts for minority populations. Organized screening programs have been shown to increase screening rates, reduce CRC incidence, and lower mortality rates. Consistent, high-quality care was highlighted as a means to eliminate disparities in CRC outcomes. Strategies to improve follow-up of FIT included designating a champion for the work, navigating patients to colonoscopy, communicating with colonoscopy practices, creating a log, identifying patients who are not suitable for colonoscopy, and sending letters to those who are difficult to schedule. It is important to continue efforts to improve adherence to stool tests and increase CRC screening rates to reduce the burden of colorectal cancer.

Asset Subtitle

T.R. Levin, MD

Keywords

adherence

stool tests

colonoscopy

guaiac-based fecal occult blood test

FIT

colorectal cancer

screening test

Kaiser Permanente Northern California

organized screening programs

disparities