S0328 Older Adult Preferences for FIT vs Colonoscopy for Colorectal Cancer Screening and Polyp Surveillance

Luft, S; Calderwood, Audrey H.; Robertson, Douglas J.

doi:10.14309/01.ajg.0000703360.68435.22

Cited by 2 publications

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“…61 A survey study of 100 older adults who had experience with FIT and colonoscopy found that most older adults would prefer FIT to colonoscopy if they had only small adenomas compared with large adenomas. 62 A US-based randomized trial of FIT versus colonoscopy for polyp surveillance among older adults, called COOP (Colonoscopy vs. stool-based testing for older adults with a history of colon polyps was recently funded by the Patient-Centered Outcomes Research Institute (ClinicalTrials.gov NCT05612347). 63 These investigative efforts will help move the field forward in terms of effectively risk-stratifying individuals undergoing post-polypectomy surveillance and may provide data to support the integration of noninvasive testing into polyp surveillance clinical practice.…”

Section: What Are the Options For Noninvasive Post-polypectomy Survei...mentioning

confidence: 99%

“…Currently, there are ongoing intervention studies in Europe exploring the utility of FIT and mtsDNA noninvasive testing for polyp surveillance among average 60 and increased-risk patients with Lynch Syndrome 61 . A survey study of 100 older adults who had experience with FIT and colonoscopy found that most older adults would prefer FIT to colonoscopy if they had only small adenomas compared with large adenomas 62 . A US-based randomized trial of FIT versus colonoscopy for polyp surveillance among older adults, called COOP ( Co lonoscopy vs. stool-based testing for o lder adults with a history of colon p olyps was recently funded by the Patient-Centered Outcomes Research Institute (ClinicalTrials.gov NCT05612347) 63 .…”

Section: What Are the Options For Noninvasive Post-polypectomy Survei...mentioning

confidence: 99%

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Noninvasive Colorectal Cancer Prevention Options in Older Adults

Chiu

Calderwood

2023

Journal of Clinical Gastroenterology

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Colorectal cancer (CRC) is a leading cause of morbidity and mortality worldwide and its incidence increases with age. The proportion of older adults in the United States continues to rise, making CRC prevention a key health priority for our aging population. CRC is a largely preventable disease through screening and polyp surveillance, and noninvasive modalities represent an important option for older adults in whom the burdens and risks of invasive testing are higher compared with younger adults. This review highlights the evidence, risks, and benefits of noninvasive CRC screening and surveillance options in older adults and discusses the challenges of CRC prevention in this cohort.

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Section: What Are the Options For Noninvasive Post-polypectomy Survei...mentioning

confidence: 99%

Section: What Are the Options For Noninvasive Post-polypectomy Survei...mentioning

confidence: 99%

Noninvasive Colorectal Cancer Prevention Options in Older Adults

Chiu

Calderwood

2023

Journal of Clinical Gastroenterology

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Trends in and factors associated with family physician‐performed screening colonoscopies in the United States: 2016‐2021

Edwardson,

van der Goes,

Pankratz

et al. 2024

The Journal of Rural Health

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PurposeFamily physician (FP)‐performed screening colonoscopies can serve as 1 strategy in the multifaceted strategy necessary to improve national colorectal cancer screening rates, particularly in rural areas where specialist models can fail. However, little research exists on the performance of this strategy in the real world. In this study, we evaluated trends in and factors associated with FP‐performed screening colonoscopies in the United States between 2016 and 2021.MethodsUsing national data from Merative's Marketscan insurance claims database, we estimate the proportion of screening colonoscopies performed by FPs. We use logistic regression models to evaluate factors independently associated with FP‐performed colonoscopies.ResultsThe percentage of screening colonoscopies performed by FPs exhibited a downward trend from 11.32% in 2016 to 6.73% in 2021, with the largest decrease occurring among patients from the most rural areas. FPs were more likely to perform colonoscopies on slightly older patients, male patients, and rural patients. Patients were less likely to receive FP‐performed colonoscopies in large metropolitan areas compared to lesser populated areas. Patients were more likely to receive FP‐performed colonoscopies in the Midwest, South, and West, even after accounting for urban‐rural classification.ConclusionDespite a downward trajectory, FPs perform a substantial proportion of screening colonoscopies in the United States. Changes to the business side of health care delivery may be contributing to the observed decreasing rate. Whether through spatial or relational proximity, FPs may be better positioned to provide colonoscopy to some rural, male, and older patients who otherwise may not have been screened. Policy changes to expand the FP workforce, particularly in rural areas, are likely necessary to slow or reverse the downward trend of FP‐performed screening colonoscopies.

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S0328 Older Adult Preferences for FIT vs Colonoscopy for Colorectal Cancer Screening and Polyp Surveillance

Cited by 2 publications

References 0 publications

Noninvasive Colorectal Cancer Prevention Options in Older Adults

Noninvasive Colorectal Cancer Prevention Options in Older Adults

Trends in and factors associated with family physician‐performed screening colonoscopies in the United States: 2016‐2021

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