Colorado colorectal screening program
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Colorado Colorectal Screening Program. Holly Wolf University of Colorado School of Medicine [email protected] 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

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Colorado Colorectal Screening Program

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Colorado colorectal screening program

Colorado Colorectal Screening Program

Holly Wolf

University of Colorado School of Medicine

[email protected]

303-724-1273


Colorado colorectal screening program

Colorful Colorado


Colorado colorectal screening program

Map of Colorado


Colorectal cancer in colorado

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


  • Colorado colorectal screening program

    Colorectal cancer mortality, US and Colorado

    United States Cancer Statistics: 1999–2002

    www.cdc.gov/cancer/npcr/uscs.


    5 year crc survival crc in colorado

    5-year colorectal cancer survival in Colorado

    by proportion of neighborhood in poverty

    5-Year CRC survival CRC in Colorado


    Crc screening trends us and colorado

    CRC screening trends, US and Colorado

    Non-Hispanic Whites

    %

    Hispanics


    Colorado colorectal screening program1

    Colorado Colorectal Screening Program

    • Funded by revenues from a tobacco tax

    • Began in January 2006, expanded statewide in November 2006

    • Partnership with community clinics


    Approach

    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.


    Program components

    Program Components

    • Endoscopic screening in clinics or by referral

    • Follow-up and Rx

    • Patient navigation support

    • Capacity development

    • Public outreach & marketing

    • Evaluation


    Program eligibility

    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


    Need for screening

    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


    Findings from the first 925 ccsp colonoscopies

    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


    Goals

    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


    Program information

    Programinformation

    • www.uccc.info/colonscreen

    • CCSP coordinating center: 1-866-909-3481

    • ACS help line: 1-866-227-7194


    Colorado colorectal screening program

    The Colorado Colorectal Screening Program

    Tim Byers, MD, MPH

    Angela Sauaia, MD

    Susan Rein, RN

    Andrea Dwyer BS

    Jan Lowery, PhD

    Holly Wolf, PhD


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