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
. 2021 Jul 25;3(3):86-96.
doi: 10.13023/jah.0303.07. eCollection 2021.

Case Study of a Comprehensive Team-Based Approach to Increase Colorectal Cancer Screening

Lauren E Wright  1 , Adam Baus  1 , Andrea Calkins  1 , Holly Hartman-Adams  2 , Mary E Conn  3 , Susan Eason  3 , Stephenie Kennedy-Rea  3
Affiliations

Case Study of a Comprehensive Team-Based Approach to Increase Colorectal Cancer Screening

Lauren E Wright et al. J Appalach Health. .

Abstract

Introduction: Colorectal cancer is the second leading cause of cancer deaths among men and women in West Virginia. In addition, 51% of all colorectal cancers diagnosed in West Virginia from 2012 to 2016 were detected at either regional (31%) or distant (20%) stages indicating a need for improved early detection.

Methods: West Virginia University Cheat Lake Physicians participated in the West Virginia Program to Increase Colorectal Cancer Screening, a program of Cancer Prevention and Control at the WVU Cancer Institute. As a result, Cheat Lake Physicians assembled a team of health care professionals to implement evidence-based interventions and system changes including provider assessment and feedback, patient reminders, accurate data capture, and tracking of CRC screening tests.

Results: These efforts resulted in a 15.8% increase in colorectal cancer screening rates within one year of implementation. Additionally, the clinic achieved a 66% return rate for Fecal Immunochemical Test kits, an inexpensive, stool-based colorectal cancer screening test.

Implications: The utilization of a team-based approach to patient care yields positive results that can be carried over to other cancer and disease prevention efforts in primary care clinics.

Keywords: Appalachia; cancer prevention; colorectal cancer; implementation; primary care; team-based care.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Cheat Lake Physicians Fecal Immunochemical Test (FIT) Call Reminder Program Workflow
Figure 2
Figure 2
Fecal Immunochemical Test Kit Call Reminder Return Rates for Cheat Lake Physicians as Compared to Other Cohort Year-3 WV PICCS Clinics Participating in the Call Reminder Process
Figure 3
Figure 3
Cheat Lake Physicians Provider-Level Colorectal Cancer Screening Rate Increases from Baseline 2017 to End of Year 2018
See this image and copyright information in PMC

References

    1. Kennedy S, Blankenship S, Wright L, et al. West Virginia cancer burden report. WV Office of Epidemiology and Prevention Services; 2019. https://oeps.wv.gov/cancer/documents/data/burdenreport2019.pdf .
    1. Fast Facts. WV Department of Health & Human Services Division of Health Promotion and Chronic Disease. https://dhhr.wv.gov/hpcd/data_reports/Pages/Fast-Facts.aspx .
    1. Hughes AG, Watanabe-Galloway S, Schnell P, Soliman AS. Rural-urban differences in colorectal cancer screening barriers in Nebraska. J Community Health. 2015;40:1065–74. doi: 10.1007/s10900-015-0032-2. - DOI - PMC - PubMed
    1. Zahnd WE, James AS, Jenkins WD, et al. Rural-urban difference in cancer incidence and trends in the United States. Cancer Epidemiol Biomarkers Prev. 2017;27(11):1265–74. doi: 10.1158/1055-9965.EPI-17-0430. - DOI - PMC - PubMed
    1. Katz ML, Young GS, Zimmermann BJ, Tatum CM, Paskett ED. Assessing colorectal cancer screening barriers by two methods. J Canc Educ. 2018;33:536–43. doi: 10.1007/s13187-016-1148-5. - DOI - PMC - PubMed

LinkOut - more resources