1 / 16

Colorado Colorectal Screening Program

Colorado Colorectal Screening Program. Holly Wolf University of Colorado School of Medicine Holly.Wolf@uchsc.edu 303-724-1273. Colorful Colorado. Map of Colorado. Colorectal Cancer in Colorado. Second leading cause of cancer death - Each year, 1690 diagnosed and 620 die

nayda-hines
Télécharger la présentation

Colorado Colorectal Screening Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Colorado Colorectal Screening Program Holly Wolf University of Colorado School of Medicine Holly.Wolf@uchsc.edu 303-724-1273

  2. Colorful Colorado

  3. Map of Colorado

  4. Colorectal Cancer in Colorado • Second leading cause of cancer death - Each year, 1690 diagnosed and 620 die • Screening can reduce incidence (polyp removal) • Screening can also reduce mortality • FOBT by 30% • Sigmoidoscopy by up to 50% • Colonoscopy by up to 80% • Only 55% Coloradans ages 50+ are screened • 66% ages 65 + (Medicare) • 52% ages 50-64 with health insurance • 26% ages 50-64 without health insurance

  5. Colorectal cancer mortality, US and Colorado United States Cancer Statistics: 1999–2002 www.cdc.gov/cancer/npcr/uscs.

  6. 5-year colorectal cancer survival in Colorado by proportion of neighborhood in poverty 5-Year CRC survival CRC in Colorado

  7. CRC screening trends, US and Colorado Non-Hispanic Whites % Hispanics

  8. Colorado Colorectal Screening Program • Funded by revenues from a tobacco tax • Began in January 2006, expanded statewide in November 2006 • Partnership with community clinics

  9. Approach • Provide endoscopic colorectal screening to Coloradans without health insurance who are under 250% Federal Poverty Level and who need screening • Encourage all Coloradans ages 50 and older to get screened.

  10. Program Components • Endoscopic screening in clinics or by referral • Follow-up and Rx • Patient navigation support • Capacity development • Public outreach & marketing • Evaluation

  11. Program Eligibility • Coloradan ages 50 and older • Under 50 if family or personal history • Patient of a participating clinic • Income below 250% of Federal Poverty • No health insurance • Need colorectal screening • Lawfully present

  12. Need for screening • Assessed by primary care provider using consensus screening/surveillance guidelines • Average risk – 50 years and older • Increased risk - under 50 • Family history of colorectal cancer or adenomatous polyps • Personal history of adenomas or colorectal cancer • High risk – Under 50 • Family history of FAP or HNPCC • Personal history of IBD for 8 years or longer • Symptomatic - 45 years or older

  13. Findings from the first 925 CCSP colonoscopies • 65% female • 47% Hispanic • 8% African American • 99% had an adequate exam • 21% had adenomas • 1% had cancer

  14. Goals • Implement statewide screening asap • Seamless program management • Patient navigation and support • Flexibility for new screening methods • Screen approx 3000 per year • Year 2010 objectives of 75% screening compliance among uninsured

  15. Programinformation • www.uccc.info/colonscreen • CCSP coordinating center: 1-866-909-3481 • ACS help line: 1-866-227-7194

  16. The Colorado Colorectal Screening Program Tim Byers, MD, MPH Angela Sauaia, MD Susan Rein, RN Andrea Dwyer BS Jan Lowery, PhD Holly Wolf, PhD

More Related