Preventing Chronic Disease | Engaging Health Systems to Increase Colorectal Cancer Screening: Community–Clinical Outreach in Underserved Areas of Wisconsin - CDC

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Preventing Chronic Disease | Engaging Health Systems to Increase Colorectal Cancer Screening: Community–Clinical Outreach in Underserved Areas of Wisconsin - CDC

 

Engaging Health Systems to Increase Colorectal Cancer Screening: Community–Clinical Outreach in Underserved Areas of Wisconsin

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• Abstract
• Background
• Community Context
• Methods
• Outcomes
• Interpretation
• Acknowledgments
• Author Information
• References
• Tables

Noelle K. LoConte, MD; Lauren Weeth-Feinstein, MPH; Amy Conlon, MPH; Sheryl Scott, MPH

Suggested citation for this article: LoConte NK, Weeth-Feinstein L, Conlon A, Scott S. Engaging Health Systems to Increase Colorectal Cancer Screening: Community–Clinical Outreach in Underserved Areas of Wisconsin. Prev Chronic Dis 2013;10:130180. DOI: http://dx.doi.org/10.5888/pcd10.130180.

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Abstract

Background
Colorectal cancer is the fourth most commonly diagnosed cancer and the second leading cause of cancer-related death in Wisconsin. Incidence and mortality rates for colorectal cancer vary by age, race/ethnicity, geography, and socioeconomic status. From 2010 through 2012, the Wisconsin Comprehensive Cancer Control Program awarded grants to 5 regional health systems for the purpose of planning and implementing events to increase colorectal cancer screening rates in underserved communities.
Community Context
Grantees were chosen for their ability to engage community partners in reaching underserved groups including African American, Hispanic/Latino, Hmong, rural, and uninsured populations in their service areas.
Methods
Grantees identified target populations for proposed screening events, designated institutional planning teams, engaged appropriate local partner organizations, and created plans for follow-up. All grantees implemented 1 or more colorectal cancer screening events within 6 months of receiving their awards. Events were conducted in 2 phases.
Outcomes
Participating health systems organized 36 screening events and distributed 633 individual test kits; 506 kits were returned, of which 57 (9%) tested positive for colorectal abnormalities. Of attendees who received screening, 63% were uninsured or underinsured, 55% had no previous screening, 46% were of a racial/ethnic minority group, 22% had a family history of cancer, and 13% were rural residents. This project strengthened partnerships between health systems and local organizations.
Interpretation
An effective strategy for improving colorectal cancer screening rates, particularly among underserved populations, is to award health systems grants for implementing community-based screening events in conjunction with community partners.

Author Information

Corresponding Author: Noelle LoConte, MD, University of Wisconsin Carbone Cancer Center, 600 Highland Ave, CSC K4/548, Madison, WI 53792. Telephone: 608-265-5883. E-mail: ns3@medicine.wisc.edu.
Author Affiliations: Lauren Weeth-Feinstein, Amy Conlon, University of Wisconsin Carbone Cancer Center and Wisconsin Comprehensive Cancer Control Program, Madison, Wisconsin; Sheryl Scott, Scott Consulting Partners, Richland Center, Wisconsin.

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References

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