Colorectal Cancer Screening Project | 2023-9_CDC’s Colorectal Control Program: The Challenges of Follow-Up Colonoscopy

Pdf Summary

In this presentation by Dr. Djenaba A Joseph from the CDC's Division of Cancer Prevention and Control, the focus is on the Colorectal Cancer Control Program (CRCCP) and the challenges of follow-up colonoscopy. The CRCCP has been implemented for 15 years, with different phases and goals. The program aims to increase CRC screening in clinics through sustainable health system changes and the use of evidence-based strategies. During the DP15-1502 phase, colorectal cancer screening rates in the 836 CRCCP clinics increased on average, but declined in the fifth year due to the COVID-19 pandemic. There is also information about the reach of the program in terms of clinics, providers, and patients aged 50-75.<br /><br />The presentation highlights the importance of implementing evidence-based interventions and the challenges associated with follow-up colonoscopy, including wait times, reimbursement, and addressing the needs of certain populations like the unhoused. The impact of the COVID-19 pandemic on cancer screening rates is also discussed, with decreases observed in breast, cervical, and colorectal cancer screenings.<br /><br />The presentation emphasizes that cancer screening is not just a one-time test, but a process that includes navigation, screening prompts, follow-up, referral, diagnosis, treatment, and quality assurance. The challenges and implications of follow-up colonoscopy are further explored, with variations in screening quality observed in federal programs.<br /><br />Overall, the presentation provides insight into the CRCCP and the challenges faced in ensuring effective follow-up colonoscopy for CRC screening. It underscores the importance of sustainable health system changes and evidence-based strategies to maximize the impact of public health efforts in increasing CRC screening rates.

Asset Subtitle

Djenaba Joseph, MD, MPH

Keywords

Colorectal Cancer Control Program

follow-up colonoscopy

CRCCP

CRC screening

evidence-based strategies

COVID-19 pandemic

cancer screening rates

evidence-based interventions

sustainable health system changes

public health efforts