CS-02
5/22/2016 3:45:00 PM - 5/22/2016 4:45:00 PM

Breaking the Mold: Strategies to Achieve 80% by 2018

Screening prevents colorectal cancer and reduces mortality. However, disparities remain for the uninsured, racial, ethnic minorities, and others who face barriers to care. A recent study tagged a swath of southeastern Virginia, including Chesapeake as the No. 3 colon cancer death “hot spot” in the country. American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data further demonstrated that Chesapeake has a higher incidence of stage III and IV colorectal cancer.

This session presents a business and clinical case for implementation of a program that provided FIT (Fecal Immunochemical tests) to the Chesapeake Care clinic-working poor as a cost effective means to screen then appropriately refer this population for colonoscopy. If only colonoscopy is recommended, and does not confidently offer a stool-based strategy, very high screening rates and a achieving the national goal of 80% screened by 2018 will not be achieved.

Objective / Content / Time Frame / Presenter / GI / Not GI
Review the U.S Preventive Services Task Force recommendations and considerations for colorectal cancer screening. / Annual FIT or high=sensitivity gFOBT: Requires the fewest lifetime colonoscopies (a proxy for harms); does not require bowel prep, anesthesia or necessarily transportation
Flexible sigmoidoscopy every 10 years plus FIT every year: Potentially attractive option for persons who want endoscopic screening but wish to limit exposure to colonoscopy. May also be useful when access to colonoscopy is geographically limited.
Colonoscopy every 10 years: Requires less frequent screening. Screening and diagnostic follow up of positive results can be performed during the same examination. / 15 minutes / Nancy Schlossberg
Identify costs associated with colorectal cancer. / Annual increases estimated expenditure related to CRC through 2050.
CRMC analysis showing lower than the average cost to treat colon cancer screening resulting from appropriately screened patients. / 20 minutes
Discuss tips associated with implementation of a FIT based strategy. / Data collection, training, follow up, procuring FIT. / 15 minutes
Total