Offering colorectal cancer screening to patients when they come to the clinic for wellness visits may be the standard of care, but relying on that strategy alone will miss many patients who do not access healthcare regularly.American Cancer Society and other groups in 2012 called for reaching 80%
Nearly twice as many patients completed the stool-based test than those offered endoscopy alone. Six months after the initial mailing, 5.6% of the patients in the colonoscopy-only arm had obtained screening compared with 11.3% in the group offered FIT only and 12.8% of patients given a choice of modalities.
"Texting has been very effective for us," Mehta said."Even in community health center settings — where they may not have insurance — most of them have a cell phone with texting capabilities." "We know that in the absence of any organized approach to screening, we allow people to fall through the cracks," Somsouk said.
Another critical aspect of reducing rates of CRC is the coordination of care between primary care and gastroenterology to ensure appropriate follow-up for patients with positive FIT results. Somsouk said clinics should prioritize tracking and monitoring efforts for these patients. Clinics also are encouraged to embed reminders in electronic health records indicating a patient is due for screening or feedback to providers on their performance. According to Richardson, the responsibility of increasing screenings should not fall on the shoulders of individual clinicians.showed implementing a single EBI did not increase rates of screening. The greatest increase, 7.
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