Moving forward: Using the experience of the CDCs' Colorectal Cancer Screening Demonstration Program to guide future colorectal cancer programming efforts

Seeff, Laura C.; DeGroff, Amy; Joseph, Djenaba; Royalty, Janet; Tangka, Florence; Nadel, Marion R.; Plescia, Marcus

doi:10.1002/cncr.28155

Cited by 16 publications

(15 citation statements)

References 32 publications

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“…29,30 In addition, practices such as bundling HIV into existing prenatal laboratory panels and improved documentation of HIV tests in the IHS standardized electronic health record are believed to have contributed to improvements in both clinical practice and data management of prenatal HIV screening. 31,32 The prevalence estimates of cancer screening among AI/AN persons continue to improve, although they still lag behind the White estimates. Programs like the National Breast and Cervical Cancer Early Detection Program and the CDC Colorectal Cancer Control Program have focused significant resources on AI/AN communities, and cancer screening is becoming more widely available.…”

Section: Discussionmentioning

confidence: 99%

“…Programs like the National Breast and Cervical Cancer Early Detection Program and the CDC Colorectal Cancer Control Program have focused significant resources on AI/AN communities, and cancer screening is becoming more widely available. 32,33 The high prevalence of tobacco use among AI/AN persons everywhere, except the Southwest, was particularly troubling, because this is a powerful contributor to heart disease, lung cancer, and vascular complications of diabetes. Despite the fact that tobacco use is the largest preventable cause of death for AI/AN people, the IHS does not currently have a funded tobacco control program.…”

Section: Discussionmentioning

confidence: 99%

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Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Cobb

Espey²,

King³

2014

Am J Public Health

163

158

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Cobb

Espey²,

King³

2014

Am J Public Health

163

158

View full text Add to dashboard Cite

show abstract

“…[28] In an organized approach, various office systems would be in place, such as: 1) an office policy for specified age categories, method, and interval for screening, 2) a defined target population, 3) a management team responsible for the implementation, and 4) a health care team responsible for decisions and care. [28] Implementing this intervention was a change for the practice with a different FOBT being offered. Thus, office staff had to potentially learn about a new test and explain this to patients, as well as learn how to develop it.…”

Section: Discussionmentioning

confidence: 99%

Free Fecal Immunochemical Test Disbursement in Eight Family Physician Offices

Daly

Levy

2015

J Community Health

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Colorectal cancer (CRC) is the second leading cause of cancer death. CRC screening with a fecal immunochemical test (FIT) is important as occult blood may be detected. To offer Iowa Research Network members in family physician offices the opportunity to provide FITs at no charge to patients in need and determine how many of the tests would be handed out to patients and how many would be returned to the office. Eight family physician offices agreed to participate and 50 two-day FITs were provided, potentially providing 400 patients a CRC screening test. One hundred and eighty (45 %) of the 400 FITs were handed out to patients. Of the 92 (51 %) patients who returned at least one card, 77 (84 %) had negative results, 13 (14 %) were positive, and 2 (2 %) were indeterminate. Of 13 patients with a positive result, 11 (85 %) had a follow-up colonoscopy. Providing 400 FITs at no charge to the offices was an expensive endeavor. Implementing this forced a change in office routine and the type of fecal occult blood test used. Less than half of the FITs were given out to patients and of those given out, about half of the patients returned a FIT. For those who returned FITs and had positive findings, 85 % followed-up with a colonoscopy. Office nurses implementing the CRC screening need to be included in the planning of the type of fecal occult blood test used and receptive to the project

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“…This program exemplifies many of the key findings reported regarding the implementation of the CDC Colorectal Cancer Screening Demonstration Program, specifically the importance of tailored outreach and education that defers to the local culture and wisdom. 31,32 …”

Section: Discussionmentioning

confidence: 99%

Fecal-Based Colorectal Cancer Screening Among the Uninsured in Northern Manhattan

Hillyer

Schmitt

Freedberg

et al. 2014

American Journal of Preventive Medicine

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Background Colorectal cancer (CRC) screening reduces CRC mortality; however, for many reasons, uninsured individuals are less likely to utilize CRC screening tests. Purpose To compare CRC screening behaviors and outcomes with guaiac fecal occult blood testing (gFOBT) from 1998 to 2006 and fecal immunochemical testing (FIT) from 2006 to 2010 in a community-based program serving uninsured patients in northern Manhattan. Methods In 2013, we conducted a retrospective record review of individuals aged ≥50 years who received fecal-based CRC screening at the Northern Manhattan Cancer Screening Partnership between 1998 and 2010. Included were those with household income ≤250% of the federal poverty level, no medical insurance coverage, and who were not up to date with CRC screening. We assessed screening positivity rate, positive predictive value, differences in the use of diagnostic colonoscopy, colonoscopic findings, and adenoma detection rates for gFOBT versus FIT. Results In total, 7,710 patients completed CRC screenings (4,951 gFOBT and 2,759 FIT). The majority were female, Hispanic, foreign born, and young at age of first screening. Compared to gFOBT, FIT detected twice as many positive tests (3.2% vs 1.5%, p≤0.001) and had a higher adenoma detection rate (18.2 vs 11.8, p=0.002). Conclusions The improved positivity and adenoma detection rates with greater number of screening tests over time favor the use of FIT over gFOBT for colorectal screening among uninsured populations in northern Manhattan.

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Moving forward: Using the experience of the CDCs' Colorectal Cancer Screening Demonstration Program to guide future colorectal cancer programming efforts

Abstract: Critical lessons learned through the implementation and evaluation of the CDC's CRCSDP led to the development of a larger population-based program, the CDC's Colorectal Cancer Control Program (CRCCP).

Cited by 16 publications

References 32 publications

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Free Fecal Immunochemical Test Disbursement in Eight Family Physician Offices

Fecal-Based Colorectal Cancer Screening Among the Uninsured in Northern Manhattan

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