2023
DOI: 10.1001/jamanetworkopen.2022.51384
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Rates of Follow-up Colonoscopy After a Positive Stool-Based Screening Test Result for Colorectal Cancer Among Health Care Organizations in the US, 2017-2020

Abstract: ImportanceNoninvasive stool-based screening tests (SBTs) are effective alternatives to colonoscopy. However, a positive SBT result requires timely follow-up colonoscopy (FU-CY) to complete the colorectal cancer screening paradigm.ObjectivesTo evaluate FU-CY rates after a positive SBT result and to assess the association of the early COVID-19 pandemic with FU-CY rates.Design, Setting, and ParticipantsThis mixed-methods cohort study included retrospective analysis of deidentified administrative claims and electr… Show more

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Cited by 43 publications
(21 citation statements)
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References 37 publications
(71 reference statements)
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“…This is in direct contrast to previously conducted clinical trials in which participant recruitment occurred at endoscopy centers for individuals who already had a colonoscopy scheduled . Although remuneration might have played a role in adherence (see eMethods in Supplement 3), high participation was observed relative to other noninvasive testing platforms . Given that noninvasive colorectal cancer screening depends on the completion of colonoscopy for individuals with a positive screening test result, employing colonoscopy navigation methods described in this study could be used to improve colonoscopy compliance after a positive mt-sRNA test result …”
Section: Discussionmentioning
confidence: 78%
See 1 more Smart Citation
“…This is in direct contrast to previously conducted clinical trials in which participant recruitment occurred at endoscopy centers for individuals who already had a colonoscopy scheduled . Although remuneration might have played a role in adherence (see eMethods in Supplement 3), high participation was observed relative to other noninvasive testing platforms . Given that noninvasive colorectal cancer screening depends on the completion of colonoscopy for individuals with a positive screening test result, employing colonoscopy navigation methods described in this study could be used to improve colonoscopy compliance after a positive mt-sRNA test result …”
Section: Discussionmentioning
confidence: 78%
“…7 Although remuneration might have played a role in adherence (see eMethods in Supplement 3), high participation was observed relative to other noninvasive testing platforms. 20,21 Given that noninvasive colorectal cancer screening depends on the completion of colonoscopy for individuals with a positive screening test result, employing colonoscopy navigation methods described in this study could be used to improve colonoscopy compliance after a positive mt-sRNA test result. 22 Colorectal cancer rates are increasing in younger populations, 23 resulting in the recent recommendation to reduce the screening age from 50 to 45 years.…”
Section: Discussionmentioning
confidence: 99%
“…Differences in stage at diagnosis comprise a major contributing factor to disparities in cancer survival and mortality. 58 screening tests [60][61][62] and receipt of surveillance testing or screening for other cancers among cancer survivors. [63][64][65] Disparities in access to care for following suspicious symptoms can also result in disparities in stage at diagnosis of cancers for which routine screening is not recommended.…”
Section: Disparities In Early Detection (Including Cancer Screening)mentioning
confidence: 99%
“…In 2021, for example, the prevalence of being up to date with colorectal cancer screening ranged from 58.2% among individuals without a high school diploma to 77.5% among individuals with a college degree; by race/ethnicity, the prevalence was 73.8% among White people but ranged from 60.2% to 71.7% in other racial/ethnic groups 18 . There are also disparities by race/ethnicity, SES, and provider type in follow‐up of abnormal cancer screening tests 60–62 and receipt of surveillance testing or screening for other cancers among cancer survivors 63–65 . Disparities in access to care for following suspicious symptoms can also result in disparities in stage at diagnosis of cancers for which routine screening is not recommended 66 …”
Section: Factors Contributing To Cancer Disparitiesmentioning
confidence: 99%
“…[16][17][18][19] In a study using the Optum Labs Data Warehouse (OLDW), follow-up rates at 3 and 6 months were low, at 43% and 51%, respectively. 20 Some health systems have been able to achieve effective follow-up of 85% of patients within 6 months, 21 but substantial variation exists. 20 Quality measures can lead to improved performance, [22][23][24][25][26][27] but the current CRC screening Healthcare Effectiveness Data and Information Set (HEDIS) measure 28 is incomplete for individuals receiving SBTs for screening.…”
Section: Introductionmentioning
confidence: 99%