Increasing Patient Participation in Colorectal Cancer Screening in Primary Care: An Evidence-Based Improvement Initiative

Irene Amoako-Attah; Jayne Jennings Dunlap; Rosalie O. Mainous

doi:10.1016/j.nurpra.2023.104729

Increasing Patient Participation in Colorectal Cancer Screening in Primary Care: An Evidence-Based Improvement Initiative

Irene Amoako-Attah, Jayne Jennings Dunlap, Rosalie O. Mainous

College of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Colorectal cancer (CRC), although preventable, can be lethal. An evidence-based interprofessional improvement initiative established CRC risk categorization in patients aged 45 to 75 years using national screening guidelines. A system-wide policy was created, and the guidelines were used across 3 primary care settings during every health encounter for 12 weeks to improve compliance, screening, and referrals for CRC. The numbers of Cologuard and fecal immunochemical tests returned by patients increased statistically after implementation (P = 0.001). A clinically significant 12-fold increase in positive screens with increased referrals for colonoscopy was seen. Patient navigators are recommended as best practice in comprehensive screening programs and contribute to increased compliance.

Original language	English
Article number	104729
Journal	Journal for Nurse Practitioners
Volume	19
Issue number	8
DOIs	https://doi.org/10.1016/j.nurpra.2023.104729
State	Published - Sep 2023

Bibliographical note

Publisher Copyright:
© 2023 Elsevier Inc.

Funding

Chambers Health Cancer Screening Navigation program is supported by Be Well Baytown. Be Well Baytown is an initiative of The University of Texas MD Anderson Cancer Center sponsored by ExxonMobil. The FIT distribution was supported in part by MD Anderson Cancer Center. Chambers Health Cancer Screening Navigation program is supported by Be Well Baytown. Be Well Baytown is an initiative of The University of Texas MD Anderson Cancer Center sponsored by ExxonMobil. The FIT distribution was supported in part by MD Anderson Cancer Center.

Funders	Funder number
Be Well Baytown
University of Texas Anderson Cancer Center
ExxonMobil Foundation

Keywords

colon cancer
colorectal cancer screening
early detection of cancer
practice guidelines and colonoscopy/standards
reminder systems
screening modalities

ASJC Scopus subject areas

Advanced and Specialized Nursing

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.nurpra.2023.104729

Cite this

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abstract = "Colorectal cancer (CRC), although preventable, can be lethal. An evidence-based interprofessional improvement initiative established CRC risk categorization in patients aged 45 to 75 years using national screening guidelines. A system-wide policy was created, and the guidelines were used across 3 primary care settings during every health encounter for 12 weeks to improve compliance, screening, and referrals for CRC. The numbers of Cologuard and fecal immunochemical tests returned by patients increased statistically after implementation (P = 0.001). A clinically significant 12-fold increase in positive screens with increased referrals for colonoscopy was seen. Patient navigators are recommended as best practice in comprehensive screening programs and contribute to increased compliance.",

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AB - Colorectal cancer (CRC), although preventable, can be lethal. An evidence-based interprofessional improvement initiative established CRC risk categorization in patients aged 45 to 75 years using national screening guidelines. A system-wide policy was created, and the guidelines were used across 3 primary care settings during every health encounter for 12 weeks to improve compliance, screening, and referrals for CRC. The numbers of Cologuard and fecal immunochemical tests returned by patients increased statistically after implementation (P = 0.001). A clinically significant 12-fold increase in positive screens with increased referrals for colonoscopy was seen. Patient navigators are recommended as best practice in comprehensive screening programs and contribute to increased compliance.

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Increasing Patient Participation in Colorectal Cancer Screening in Primary Care: An Evidence-Based Improvement Initiative

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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