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Using quality improvement techniques to increase colon cancer screening.

Michael P Pignone¹, Carmen L Lewis

¹Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA. pignone@med.unc.edu

The American Journal of Medicine

|April 21, 2009

Summary

Patient decision aids improve colorectal cancer screening rates. Mailing these aids to patients before appointments is a cost-effective strategy to increase screening utilization and reduce cancer incidence and mortality.

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Evaluation of Colorectal Cancer Risk and Prevalence by Stool DNA Integrity Detection

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Published on: June 8, 2020

Area of Science:

Public Health
Preventive Medicine
Health Services Research

Background:

Colorectal cancer screening is effective but underutilized, with less than 60% of eligible adults up-to-date.
Low screening rates are attributed to patient, provider, and system-level barriers.

Purpose of the Study:

To evaluate the effectiveness of patient decision aids in increasing colorectal cancer screening rates.
To assess the cost-effectiveness of implementing patient decision aids through mailings.

Main Methods:

Interventions utilizing patient decision aids were reviewed.
The impact of decision aids on screening rates was analyzed.
Cost-effectiveness of mailing decision aids was examined.

Main Results:

Patient decision aids can increase colorectal cancer screening rates by up to 14 percentage points.
Mailing decision aids to patients prior to office visits is a cost-effective implementation method.

Conclusions:

Patient decision aids are effective in overcoming barriers to colorectal cancer screening.
Mailed decision aids represent a cost-effective strategy to boost screening utilization and reduce cancer burden.