Impact of Multi-Component Outreach on Colorectal Cancer Screening and Genetic Testing Preferences
Sanjay Kumar Mire 1*, Varri Srinivasa Rao 1
Journal of Angiotherapy 8(9) 1-7 https://doi.org/10.25163/angiotherapy.899885
Submitted: 18 June 2024 Revised: 05 September 2024 Published: 10 September 2024
Abstract
Background: Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide, with early detection through screening significantly reducing mortality rates. However, disparities in access to screening persist, particularly in disadvantaged communities. Fecal Immunochemical Testing (FIT) offers a cost-effective, non-invasive method that increases screening participation by eliminating the need for in-person visits. Multicomponent outreach strategies are crucial to improving participation rates, particularly in populations with limited healthcare access. Methods: This study employed a mixed-method, sequential explanatory design to assess the impact of a population-based, centralized outreach program on CRC screening rates. Quantitative data from Kaiser Permanente Northern California's (KPNC) screening program were analyzed alongside qualitative ethnographic data to explore the implementation of the FIT-based outreach system. A cohort of individuals aged 51 to 75 years was included, with screening completion rates and follow-up processes examined. Results: Among the community initially screened, 40% participated in CRC screening before intervention. The implementation of a centralized, computerized outreach system led to a significant increase in participation, with screening rates rising by 30 percentage points within eight weeks. A combination of automated phone calls, text messages, and reminders during clinic visits further increased coverage by 12 percentage points, resulting in a total screening participation rate of 80%. The study also found that mailed FIT kits significantly improved participation rates, with FIT mailers leading to a 28-percentage point increase in screening compared to opportunistic testing. Various forms of patient guidance resulted in a 17-percentage point rise in screening, while recall interventions led to a modest 3-percentage point increase. Conclusion: The study demonstrates the effectiveness of a multicomponent, centralized outreach approach in increasing CRC screening participation in a large and diverse population.
Keywords: Colorectal cancer screening, Fecal Immunochemical Test (FIT), Genetic testing, Health disparities, Public health outreach
References
Alamer, L., Alqahtani, I. M., & Shadadi, E. (2023). Intelligent Health Risk and Disease Prediction Using Optimized Naive Bayes Classifier. Journal of Internet Services and Information Security, 13(1), 01-10.
Chatterjee, P., Siddiqui, S., Granata, G., Dey, P., & Abdul Kareem, R. S. (2024). Performance Analysis of Five U-Nets on Cervical Cancer Datasets. Indian Journal of Information Sources and Services, 14(1), 17–28.
Draper, B. L., Yee, W. L., Shilton, S., Bowring, A., Htay, H., Nwe, N., ... & Hellard, M. (2022). Feasibility of decentralized, task-shifted hepatitis C testing and treatment services in urban Myanmar: implications for scale-up. BMJ open, 12(5), e059639.
Ferrari, D., Ghi, M. G., Franzese, C., Codecà, C., Gau, M., & Fayette, J. (2020). The slippery role of induction chemotherapy in head and neck cancer: myth and reality. Frontiers in oncology, 10, 7.
Funes, S. A., Flores, C., Davidow, A. L., Friedman, S., Korenblit, P., & Thomas, P. (2021). Adaptation of the Flu-FIT program for patient-aligned care teams: a quality improvement project. Journal of Public Health Management and Practice, 27(Supplement 3), S159-S163.
Levin, T. R., Jensen, C. D., Chawla, N. M., Sakoda, L. C., Lee, J. K., Zhao, W. K., ... & Corley, D. A. (2020). Early screening of African Americans (45–50 years old) in a fecal immunochemical test-based colorectal cancer screening program. Gastroenterology, 159(5), 1695-1704.
Markus, A. F., Kors, J. A., & Rijnbeek, P. R. (2021). The role of explainability in creating trustworthy artificial intelligence for health care: a comprehensive survey of the terminology, design choices, and evaluation strategies. Journal of Biomedical Informatics, 113, 103655.
Martinez, V. A., Betts, R. K., Scruth, E. A., Buckley, J. D., Cadiz, V. R., Bertrand, L. D., ... & Liu, V. X. (2022). The Kaiser Permanente Northern California Advance Alert Monitor Program: an automated early warning system for adults at risk for in-hospital clinical deterioration. The Joint Commission Journal on Quality and Patient Safety, 48(8), 370-375.
Nieuwenburg, S. A. V., Mommersteeg, M. C., Wolters, L. M. M., van Vuuren, A. J., Erler, N., Peppelenbosch, M. P., ... & Spaander, M. C. W. (2022). Accuracy of H. pylori fecal antigen test using fecal immunochemical test (FIT). Gastric Cancer, 25(2), 375-381.
Olsson, L., & Sjöberg, D. (2023). Accuracy of a faecal immunochemical test in patients under colonoscopy surveillance of colorectal adenoma and cancer. Upsala Journal of Medical Sciences, 128.
Ramana, R.H.V., & Ravisankar, V. (2024). Precision in Prostate Cancer Diagnosis: A Comprehensive Study on Neural Networks. Journal of Wireless Mobile Networks, Ubiquitous Computing, and Dependable Applications (JoWUA), 15(2), 109-122. https://doi.org/10.58346/JOWUA.2024.I2.008
Surendar, A., Veerappan, S., Sadulla, S., & Arvinth, N. (2024). Lung cancer segmentation and detection using KMP algorithm. Onkologia i Radioterapia, 18(4).
Tsai, H. Y., Chang, Y. L., Shen, C. T., Chung, W. S., Tsai, H. J., & Chen, F. M. (2020). Effects of the COVID-19 pandemic on breast cancer screening in Taiwan. The Breast, 54, 52-55.
Wang, H., Tian, T., & Zhang, J. (2021). Tumor-associated macrophages (TAMs) in colorectal cancer (CRC): from mechanism to therapy and prognosis. International journal of molecular sciences, 22(16), 8470.
View Dimensions
View Altmetric
Save
Citation
View
Share