Improving Colorectal Cancer Screening via Mailed Fecal Immunochemical Testing in a Veterans Affairs Health System.

Federal practitioner : for the health care professionals of the VA, DoD, and PHS Pub Date : 2024-08-01 Epub Date: 2024-08-15 DOI:10.12788/fp.0496

Jin Xu, Jeffrey Kravetz, Juliette Spelman, Kimberley Roy, Vincent Lilly, Danielle Cosentino, Christopher Ruser

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Abstract

Background: Colorectal cancer screening rates at the Veterans Affairs Connecticut Healthcare System (VACHS) decreased during the COVID-19 pandemic. Fecal immunochemical testing is recognized as a tier 1 preferred screening method by the US Multi-Society Task Force on Colorectal Cancer. The VACHS implemented a program that mailed fecal immunochemical testing kits to patients to improve colorectal cancer screening rates.

Observations: This article describes the components of the VACHS patient aligned care team-based mailed fecal immunochemical testing program. Fecal immunochemical testing utilization, completion, and colorectal cancer screening rates at VACHS substantially increased after the implementation of this project.

Conclusions: Through a proactive, population-based colorectal cancer screening program centered on mailed fecal immunochemical testing kits outside of a traditional patient visit, VACHS substantially increased the utilization of fecal immunochemical testing kits as well as colorectal cancer screening rates.

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在退伍军人事务医疗系统中通过邮寄粪便免疫化学检验改进大肠癌筛查。

背景：康涅狄格退伍军人事务医疗保健系统（VACHS）的结直肠癌筛查率在 COVID-19 大流行期间有所下降。粪便免疫化学检测被美国结直肠癌多协会工作组认定为一级首选筛查方法。VACHS 实施了一项向患者邮寄粪便免疫化学检测试剂盒的计划，以提高结直肠癌筛查率：本文介绍了 VACHS 基于患者与护理团队的邮寄粪便免疫化学检验计划的组成部分。实施该项目后，VACHS 的粪便免疫化学检测使用率、完成率和大肠癌筛查率均大幅提高：通过在传统的患者就诊之外开展以邮寄粪便免疫化学检验包为中心的积极主动、基于人群的结直肠癌筛查项目，瓦克夏赫斯大大提高了粪便免疫化学检验包的使用率和结直肠癌筛查率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Federal practitioner : for the health care professionals of the VA, DoD, and PHS

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