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

Details

• Alternative Title:
  Cancer
• Personal Author:
  Sharma, Krishna P. ; Leadbetter, Steven ; DeGroff, Amy
• 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:
  Aged Colorectal Neoplasms Evidence-Based Medicine Humans Logistic Models Mass Screening Middle Aged Primary Health Care
• 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
• Volume:
  127
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:34c85ea9da9209d0a6102a19381a8e45bf139f08fbac15f4c548dcfc473e3007
• Download URL:
  https://stacks.cdc.gov/view/cdc/119333/cdc_119333_DS1.pdf
• File Type:
  [PDF - 104.38 KB ]