Characterizing Clinics With Differential Changes in the Screening Rate in the Colorectal Cancer Control Program of the Centers for Disease Control and Prevention
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Characterizing Clinics With Differential Changes in the Screening Rate in the Colorectal Cancer Control Program of the Centers for Disease Control and Prevention

Filetype[PDF-104.38 KB]


English
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Details:

  • Alternative Title:
    Cancer
  • Personal Author:
  • Description:
    BACKGROUND:

    The Centers for Disease Control and Prevention (CDC) funds the Colorectal Cancer Control Program (CRCCP) to increase colorectal cancer (CRC) screening rates in primary care clinics by implementing evidence-based interventions (EBIs). This study examined differences in clinic characteristics and implementation efforts among clinics with differential changes in screening rates over time.

    METHODS:

    CRCCP clinic data collected by the CDC were used. The outcome was the clinic status (highest quartile [Q4] vs lowest quartile [Q1]), which was based on the absolute screening rate change between the first and second program years. Five clinic characteristic variables and 12 clinic-level CRCCP variables (eg, EBIs) were assessed in bivariable analyses, and logistic regression was used to determine significant predictors of the outcome.

    RESULTS:

    Each group included 78 clinics (N = 156). Clinics with a Q4 status saw a 14.9 percentage point increase in the screening rate, whereas clinics with a Q1 status experienced a 9.1 percentage point decline. Q4s were more likely than Q1s to have a CRC champion, implement 4 EBIs versus fewer EBIs, implement at least 1 new EBI, and increase the number of implemented EBIs. The adjusted odds of Q4 status were 5.3 times greater (95% confidence interval [CI], 1.9–14.9) if a clinic implemented an additional EBI. The adjusted odds of Q4 status increased to 7.1 (95% CI, 2.2–23.1) if a clinic implemented 2 to 4 additional EBIs.

    CONCLUSIONS:

    Implementing new EBIs or enhancing existing ones improves CRC screening rates. Additionally, clinics with lower screening rates had greater rate increases and may have benefited more from the CRCCP.

  • Subjects:
  • Source:
    Cancer. 127(7):1049-1056
  • Pubmed ID:
    33301173
  • Pubmed Central ID:
    PMC9242539
  • Document Type:
    Journal Article
  • Funding:
    CC999999/ImCDC/Intramural CDC HHSUnited States/
  • Name as Subject:
    Centers for Disease Control and Prevention (U.S.)
  • Place as Subject:
    United States
  • Collection(s):
  • Main Document Checksum:
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  • File Type:

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