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Capacticy for Colorectal Cancer Screening in a Rural State
A modified SECAP2 measured CRC capacity and quality in a rural state. A list of healthcare facilities was compiled and eligible facilities were contacted to determine willingness to participate. Facilities were telephoned, e-mailed, and surveys were mailed to participating facilities. Telephone calls were completed by trained research assistants. Of 179 surveys, 87 were returned indicating willingness to participate (48.6%). Data was analyzed with IBM Statistical Package for the Social Sciences Version 21.0 (2013) and stored on a secure password-proteced server. The dataset was not linked to healthcare facilities.
Most participants were family practice clinics (n=47). The digital rectal exam [DRE] specimen and/or the guaiac-based 3-card fecal occult blood test was offered by almost two-thirds of the facilities. Fifty-one percent of the facilities offered fecal immunochemical testing.
Colonoscopies were the most frequently performed screening method (56%) followed by the guaiac of a DRE sample (25%). Five percent of facilities had written CRC screening guidelines. Adenoma detection rates (ADRs) were calculated by 33% of colonoscopy performing facilities. Most facilities (71%) did not report to a quality registry.
Education is needed about the recommended clinical practice guidelines for CRC. Development and dissemination of screening protocol is also needed. Innovative approaches to educate the SD populace about CRC screening would be beneficial. Further education about quality measures and quality registries is recommended.
Learning Areas:
Public health or related nursingLearning Objectives:
Describe Colorectal Cancer Screening Methods
Identify Process to Assess Capacity for Colorectal Cancer Screening in a Rural State
Keyword(s): Cancer Prevention and Screening, Nurses/Nursing
Qualified on the content I am responsible for because: I have worked with rural and underserved for over 35 years. I have experience in both quantitative and qualitative research. I was the lead researcher on this project and the primary author on the report.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.