Masterclass: Colorectal Screening Plus (On-Demand) | September 2025-Busting Barriers and Role of Choice

Video Transcription

Video Summary

Dr. Douglas Robertson, a colorectal cancer screening expert, addressed the persistent conundrum: colorectal cancer screening effectively reduces mortality (up to 30%) yet uptake in the U.S. remains suboptimal (~60%). Screening barriers include access, affordability, awareness, acceptance, and activation, heavily influenced by socioeconomic factors and insurance status. Data from HEDIS and CDC surveys show varied screening adherence, with lower rates among underinsured and less educated populations. To overcome these barriers, multilevel interventions like outreach (organized screening programs, e.g., mailed FIT tests), patient navigation (personalized support and reminders), education, and financial incentives can help, though incentives show mixed results. Crucially, offering screening choice (FIT or colonoscopy) enhances patient adherence, which is key to screening success. Studies demonstrate choice increases participation rates more than colonoscopy alone. Dr. Robertson emphasized the need for population-based strategies and engaging primary care providers to improve screening rates and reduce colorectal cancer incidence and mortality.

Asset Subtitle

Douglas J Robertson

Keywords

colorectal cancer screening

screening barriers

socioeconomic factors

multilevel interventions

patient adherence

screening choice