Timeliness of Colonoscopy After Abnormal Fecal Test Results in a Safety Net Practice

Ann Oluloro, Amanda F. Petrik, Ann Turner, Tanya Kapka, Jennifer Rivelli, Patricia (Patty) Carney, Somnath (Som) Saha, Gloria D. Coronado

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Fecal testing can only reduce colorectal cancer mortality if patients with an abnormal test result receive a follow-up colonoscopy. As part of the Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC) project, we examined factors associated with adherence to follow-up colonoscopy among patients with abnormal fecal test results. As part of STOP CRC outreach, Virginia Garcia Memorial Health Center staff distributed 1753 fecal immunochemical tests (FIT), of which 677 (39 %) were completed, and 56 had an abnormal result (8 %). Project staff used logistic regression analyses to examine factors associated with colonoscopy referral and completion. Of the 56 patients with abnormal FIT results; 45 (80 %) had evidence of a referral for colonoscopy, 32 (57 %) had evidence of a completed colonoscopy within 18 months, and 14 (25 %) within 60 days of an abnormal fecal test result. In adjusted analysis, Hispanics had lower odds of completing follow-up colonoscopy within 60 days than non-Hispanic whites (adjusted OR 0.20; 95 % CI 0.04, 0.92). Colonoscopy within 60 days trended lower for women than for men (adjusted OR 0.25; 95 % CI 0.06–1.04). Among the 24 patients lacking medical record evidence of a colonoscopy, 19 (79 %) had a documented reason, including clinician did not pursue, patient refused, and colonoscopy not indicated. No reason was found for 21 %. Improvements are needed to increase rates of follow-up colonoscopy completion, especially among female and Hispanic patients.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalJournal of Community Health
DOIs
StateAccepted/In press - Feb 13 2016

Fingerprint

Colonoscopy
Safety
cancer
staff
evidence
memorial
Hispanic Americans
Referral and Consultation
mortality
logistics
regression
health
Colonic Neoplasms
Medical Records
Colorectal Neoplasms
Logistic Models
Regression Analysis
Mortality
Health

Keywords

  • Colonoscopy
  • Colorectal cancer
  • Federally qualified health center
  • Gastroenterology referral
  • Hispanic/Latino

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Oluloro, A., Petrik, A. F., Turner, A., Kapka, T., Rivelli, J., Carney, P. P., ... Coronado, G. D. (Accepted/In press). Timeliness of Colonoscopy After Abnormal Fecal Test Results in a Safety Net Practice. Journal of Community Health, 1-7. https://doi.org/10.1007/s10900-016-0165-y

Timeliness of Colonoscopy After Abnormal Fecal Test Results in a Safety Net Practice. / Oluloro, Ann; Petrik, Amanda F.; Turner, Ann; Kapka, Tanya; Rivelli, Jennifer; Carney, Patricia (Patty); Saha, Somnath (Som); Coronado, Gloria D.

In: Journal of Community Health, 13.02.2016, p. 1-7.

Research output: Contribution to journalArticle

Oluloro, Ann ; Petrik, Amanda F. ; Turner, Ann ; Kapka, Tanya ; Rivelli, Jennifer ; Carney, Patricia (Patty) ; Saha, Somnath (Som) ; Coronado, Gloria D. / Timeliness of Colonoscopy After Abnormal Fecal Test Results in a Safety Net Practice. In: Journal of Community Health. 2016 ; pp. 1-7.
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