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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

Colorado Colorectal Screening Program

Holly Wolf

University of Colorado School of Medicine

[email protected]

303-724-1273

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
slide5

Colorectal cancer mortality, US and Colorado

United States Cancer Statistics: 1999–2002

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

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
slide16

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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