Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Mar;23(2):402-6.
doi: 10.1093/jamia/ocv081. Epub 2015 Aug 8.

Development of the Parkland-UT Southwestern Colonoscopy Reporting System (CoRS) for evidence-based colon cancer surveillance recommendations

Celette Sugg Skinner  1 , Samir Gupta  2 , Ethan A Halm  3 , Shaun Wright  4 , Katharine McCallister  5 , Wendy Bishop  5 , Noel Santini  6 , Christian Mayorga  6 , Deepak Agrawal  6 , Brett Moran  6 , Joanne M Sanders  5 , Amit G Singal  3
Affiliations

Development of the Parkland-UT Southwestern Colonoscopy Reporting System (CoRS) for evidence-based colon cancer surveillance recommendations

Celette Sugg Skinner et al. J Am Med Inform Assoc. 2016 Mar.

Abstract

Objective: Through colonoscopy, polyps can be identified and removed to reduce colorectal cancer incidence and mortality. Appropriate use of surveillance colonoscopy, post polypectomy, is a focus of healthcare reform.

Materials and methods: The authors developed and implemented the first electronic medical record-based colonoscopy reporting system (CoRS) that matches endoscopic findings with guideline-consistent surveillance recommendations and generates tailored results and recommendation letters for patients and providers.

Results: In its first year, CoRS was used in 98.6% of indicated cases. Via a survey, colonoscopists agreed/strongly agreed it is easy to use (83%), provides guideline-based recommendations (89%), improves quality of Spanish letters (94%), they would recommend it for other institutions (78%), and it made their work easier (61%), and led to improved practice (56%).

Discussion: CoRS' widespread adoption and acceptance likely resulted from stakeholder engagement throughout the development and implementation process.

Conclusion: CoRS is well-accepted by clinicians and provides guideline-based recommendations and results communications to patients and providers.

Keywords: colonoscopy; decision support; surveillance; tailored intervention.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
Parkland-UT Southwestern CoRS screen shot.
Figure 2:
Figure 2:
Tailored results reporting and recommendation letter.
Figure 3:
Figure 3:
CoRS algorithm.
See this image and copyright information in PMC

References

    1. American Cancer Society. Cancer Facts & Figures 2013. Atlanta, GA: American Cancer Society; 2013.
    1. Tiro JA, Kamineni A, Levin TR, et al. The colorectal cancer screening process in community settings: a conceptual model for the population-based research optimizing screening through personalized regimens consortium. Cancer Epidemiol Biomarkers Prev. 2014;23(7):1147–1158. - PMC - PubMed
    1. Shapiro JA, Klabunde CN, Thompson TD, Nadel MR, Seeff LC, White A. Patterns of colorectal cancer test use, including CT colonography, in the 2010 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 2012;21(6):895–904. - PMC - PubMed
    1. Klabunde CN, Cronin KA, Breen N, Waldron WR, Ambs AH, Nadel MR. Trends in colorectal cancer test use among vulnerable populations in the United States. Cancer Epidemiol Biomarkers Prev. 2011;20(8):1611–1621. - PMC - PubMed
    1. Schoen RE, Pinsky PF, Weissfeld JL, et al. Utilization of surveillance colonoscopy in community practice. Gastroenterology. 2010;138(1):73–81. - PMC - PubMed

Publication types