Format

Send to

Choose Destination
See comment in PubMed Commons below
Med Care. 2010 Oct;48(10):900-6. doi: 10.1097/MLR.0b013e3181ec5591.

Colorectal cancer screening in primary care: translating research into practice.

Author information

  • 1Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. ornstesm@musc.edu

Abstract

BACKGROUND:

Colorectal cancer (CRC) screening is recommended for all adults 50 to 75 years old, yet only slightly more than one-half of eligible people are current with screening. Because CRC screening is usually initiated upon recommendations of primary care physicians, interventions in these settings are needed to improve screening.

OBJECTIVES:

To assess the impact of a quality improvement intervention combining electronic medical record based audit and feedback, practice site visits for academic detailing and participatory planning, and "best-practice" dissemination on CRC screening in primary care practice.

RESEARCH DESIGN:

Two-year group randomized trial.

SUBJECTS:

Physicians, midlevel providers, and clinical staff members in 32 primary care practices in 19 States caring for 68,150 patients 50 years of age or older.

MEASURES:

Proportion of active patients up-to-date (UTD) with CRC screening (colonoscopy within 10 years, sigmoidoscopy within 5 years, or at home fecal occult blood testing within 1 year) and having screening recommended within past year among those not UTD.

RESULTS:

Patients 50 to 75 years in intervention practices exhibited significantly greater improvement (from 60.7% to 71.2%) in being UTD with CRC screening than patients in control practices (from 57.7% to 62.8%), the adjusted difference being 4.9% (95% confidence interval, 3.8%-6.1%). Recommendations for screening also increased more in intervention practices with the adjusted difference being 7.9% (95% confidence interval, 6.3%-9.5%). There was wide interpractice variation in CRC screening throughout the intervention.

CONCLUSIONS:

A multicomponent quality improvement intervention in practices that use electronic medical record can improve CRC screening.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins Icon for PubMed Central
    Loading ...
    Write to the Help Desk