Reducing barriers to colorectal cancer screening via at-home multitarget stool DNA tests.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI:10.1097/01.JAA.0000000000000108

Brittany Strelow, Hanna Dorff, Cole Gunneson, Wade Katula, Jeffrey Pokuta, Kao Vang, Rachel Olson, Danielle O'Laughlin

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引用次数: 0

Abstract

Background: Colorectal cancer (CRC) is the second leading cause of cancer deaths in the US, with screening rates at 65% to 70%. This quality improvement project in a Southeast Minnesota health system (SMHS) aimed to enhance CRC screening using multitarget stool DNA (mt-sDNA) test kit delivery.

Methods: Of 13,561 eligible patients ages 45 to 75 years in the SMHS, 12,032 were offered home delivery of mt-sDNA kits through the electronic patient portal.

Results: Within 90 days, 1,953 kits (16.2%) were returned, with 158 (8.1%) showing abnormal results, leading to colonoscopy referrals. Communication channels included the electronic portal, postal mail messages, and phone calls.

Conclusion: Implementing mt-sDNA screening resulted in a 4.13% adherence increase, compared with a 0.04% adherence increase without intervention. However, disparities in return rates revealed unexpected challenges in addressing racial and ethnic disparities, as White patients and native English speakers showed higher return rates.

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通过家庭多靶点粪便DNA检测减少结直肠癌筛查的障碍。

背景：结直肠癌（CRC）是美国癌症死亡的第二大原因，筛查率为65%至70%。本质量改进项目在明尼苏达州东南部卫生系统（SMHS）旨在加强使用多靶点粪便DNA （mt-sDNA）检测试剂盒的CRC筛查。方法：在SMHS的13561名年龄在45 - 75岁的合格患者中，通过电子患者门户向12032名患者提供mt-sDNA试剂盒。结果：90天内，共送回1953份（16.2%）试剂盒，其中158份（8.1%）结果异常，导致结肠镜检查转诊。通信渠道包括电子门户、邮政邮件信息和电话。结论：实施mt-sDNA筛查导致依从性增加4.13%，而未进行干预的依从性增加0.04%。然而，回报率的差异揭示了解决种族和民族差异的意想不到的挑战，白人患者和母语为英语的人的回报率更高。

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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来源期刊

Jaapa-Journal of the American Academy of Physician Assistants MEDICINE, GENERAL & INTERNAL-

CiteScore

1.20

自引率

9.10%

发文量

310

期刊介绍： JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues. Published monthly, JAAPA''s award-winning editorial includes: -Clinical review articles (with AAPA-approved Category I CME in each issue)- Case reports- Clinical departments- Original health services research- Articles on issues of professional interest to PAs