Colorectal cancer (CRC) is a leading cause of cancer-related deaths.
eBook Title: Increasing Annual Colorectal Cancer Screening Rates at a Federally Qualified Health Center
Author:Cheryl Hunter-Marston
Published on 2017 by
Colorectal cancer (CRC) is a leading cause of cancer-related deaths. CRC screening (CRCS) rates are persistently low and CRCS is underutilized. The purpose of this quality improvement project was to determine whether a well-organized CRCS program improves screening rates in an urban community health clinic over the baseline CRCS rates. The project was conducted at a Federally Qualified Health Center (FQHC) clinic Sacramento, California. The National Colorectal Cancer Roundtable's Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers was used as the basis for developing screening strategies and interventions adapted for the clinic's current infrastructure and capacity. The clinic served a total population of 650 patients. The sample population consisted of 159 patients between 45 to 75 years of age without a personal history of CRC who completed annual CRCS with the fecal immunochemical test during the three-month intervention period. Following implementation of the CRCS program, screening rates in the targeted eligible population were calculated over a three-month period and compared to the three-month period prior to CRCS program implementation. The primary outcome was the increase in CRCS rates in the intervention group as compared to CRCS rates prior to implementation of the well-organized CRCS program. Results of the project showed a CRCS rate of 45.55% over the implementation period, as compared to a 42.11% prior to screening interventions, a statistically non-significant difference (p = 0.05). The project was not sufficiently powered nor the CRCS program optimally conducted throughout the entire project; therefore, it was not possible to distinguish between a null effect and a very small effect.
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Cheryl Hunter-Marston
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