Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice

Kimura, Amanda; Bell-Brown, Ari; Akinsoto, Nkem; Wood, Jerry; Peck, Amy; Fang, Victoria; Issaka, Rachel B.

doi:10.1016/j.focus.2024.100188

AJPM Focus

2024

DOI: 10.1016/j.focus.2024.100188

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Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice

Amanda Kimura,

Ari Bell-Brown,

Nkem Akinsoto

et al.

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Cited by 1 publication

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Factors Associated With Mailed Fecal Immunochemical Test Completion in an Integrated Academic-Community Healthcare System

Simpson,

Yu,

Bell-Brown

et al. 2024

Clin Transl Gastroenterol

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Introduction: Mailed fecal immunochemical test (FIT) outreach is an effective strategy to increase colorectal cancer (CRC) screening. This study aimed to determine the patient-, clinic-, and geographical-level factors associated with CRC screening completion in a mailed FIT outreach program. Methods: This retrospective cohort study was conducted in UW Medicine’s integrated healthcare system, and included patients 50-75 years old, who were due for CRC screening, and had a primary care encounter in the past 3 years. Eligible patients received mailed outreach that included a letter with information about CRC screening, FIT kit, and a pre-paid return envelope. CRC screening and factors associated with completion were obtained from electronic health records and the CRC screening program database. Results: Of the 9,719 patients who received mailed outreach, 29.6% completed FIT mailed outreach. The median FIT return time was 27 days (IQR 14 – 54). On multivariate analysis, individuals with a higher area deprivation index, insured through Medicaid, living without a partner, and whose last primary care visit was >12 months ago were less likely to complete a FIT compared to their counterparts. Over a 12-month period, overall CRC screening across the health system increased by 2 percentage points (68% to 70%). Discussion: Mailed FIT outreach in an integrated academic-community practice was feasible, with 32% of invited patients completing CRC screening by FIT or colonoscopy, on par with published literature. Patient and geographic-level factors were associated with CRC screening completion. These data will inform additional interventions aimed to increase CRC screening participation in this population.

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Factors Associated With Mailed Fecal Immunochemical Test Completion in an Integrated Academic-Community Healthcare System

Simpson,

Yu,

Bell-Brown

et al. 2024

Clin Transl Gastroenterol

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show abstract

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Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice

Cited by 1 publication

References 39 publications

Factors Associated With Mailed Fecal Immunochemical Test Completion in an Integrated Academic-Community Healthcare System

Factors Associated With Mailed Fecal Immunochemical Test Completion in an Integrated Academic-Community Healthcare System

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