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Moving forward: Using the experience of the CDCs' Colorectal Cancer Screening Demonstration Program to guide future colorectal cancer programming efforts
Author(s) -
Seeff Laura C.,
DeGroff Amy,
Joseph Djenaba A.,
Royalty Janet,
Tangka Florence K. L.,
Nadel Marion R.,
Plescia Marcus
Publication year - 2013
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.28155
Subject(s) - medicine , fecal occult blood , colorectal cancer , population , colonoscopy , colorectal cancer screening , cancer prevention , family medicine , cancer screening , program evaluation , cancer , gerontology , environmental health , public administration , political science
BACKGROUND The Centers for Disease Control and Prevention (CDC) established and supported a 4‐year Colorectal Cancer Screening Demonstration Program (CRCSDP) from 2005 to 2009 for low‐income, under‐ or uninsured men and women aged 50‐64 at 5 sites in the United States. METHODS A multiple methods evaluation was conducted including 1) a longitudinal, comparative case study of program implementation, 2) the collection and analysis of client‐level screening and diagnostic services outcome data, and 3) the collection and analysis of program‐ and patient‐level cost data. RESULTS Several themes emerged from the results reported in the series of articles in this Supplement. These included the benefit of building on an existing infrastructure, strengths and weakness of both the 2 most frequently used screening tests (colonoscopy and fecal occult blood tests), variability in costs of maintaining this screening program, and the importance of measuring the quality of screening tests. Population‐level evaluation questions could not be answered because of the small size of the participating population and the limited time frame of the evaluation. The comprehensive evaluation of the program determined overall feasibility of this effort. CONCLUSIONS Critical lessons learned through the implementation and evaluation of the CDC's CRCSDP led to the development of a larger population‐based program, the CDC's Colorectal Cancer Control Program (CRCCP). Cancer 2013;119(15 suppl):2940–6. © 2013 American Cancer Society .