Brittany Strelow, Hanna Dorff, Cole Gunneson, Wade Katula, Jeffrey Pokuta, Kao Vang, Rachel Olson, Danielle O'Laughlin
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Reducing barriers to colorectal cancer screening via at-home multitarget stool DNA tests.
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.
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
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