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Colorectal Cancer
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Introduction

Colon cancer is the second leading cause of cancer death.

Consider the following:

  • Colorectal cancer is the third most common cancer found in men and women.
  • The risk of colorectal cancer begins to increase after the age of 40 years and rises sharply at the ages of 50 to 55 years; the risk doubles with each succeeding decade, and continues to rise exponentially.   
  • Despite advances in surgical techniques and adjuvant therapy, there has been only a modest improvement in survival for patients who present with advanced neoplasms.
  • One out of every three adults over the age of 65 has colon polyps – these polyps can sometimes progress to colon cancer.

Colorectal screening procedures have an important role in preventing colorectal cancer. Screening can detect precancerous polyps and removal can be done before the polyps become cancerous. Screening also identifies cancer early in the course of the disease when treatment is more effective and the chance of recovery is higher. When screening identifies a colorectal tumor in its early stages, the cost of treatment is often much less expensive than if the tumor is detected later in the course of disease.  Screening also has a potentially significant impact on preventing mortality and morbidity with estimates of up to 60 percent of deaths from colorectal cancer prevented if everyone age 50 and older were screened regularly and treated appropriately.(8) Eighty percent of colorectal cancer may be preventable through removal of colon polyps during endoscopic colorectal screening.

Although colorectal cancer screening continues to yield some improvement, significant challenges remain. Screening rates for colorectal cancer lag behind other cancer screening rates, even though research shows that screening with fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy effectively detects early-state cancer and polyps.  Unfortunately, screening rates for colorectal cancer indicate fewer than half of men and women over age 50 are screened at the recommended intervals.  Screening rates are higher in adults who are insured, better educated, non-Hispanic, or have a usual source of medical care.

 

The OACHC Initiative

We will improve colorectal cancer screening

By the decision of the Quality Committee of the Board of Directors, OACHC has made the colorectal cancer screening measure an improvement focus for the coming years.  We will be providing you with information, actionalble steps and support as we work together on improving screenings and saving lives.


Colorectal Cancer basics Webinar

Speaker | Dr. Church, Cleveland Clinic
  • Colorectal Cancer in the United States & Ohio
  • Risk Factors
  • Prevention and Screening
  • Why Screening Fails

Webinar Recording

Colorectal Cancer Screening in Ohio Community Health Centers Webinar

Speakers | Dr. Ted Wymyslo, Ashley Ballard RN & Randy Runyon of OACHC
  • Recommended Screening Procedures
  • Barriers to Screening in CHCs
  • Solutions and Ideas

Slides 

Webinar Recording

 

Tools & Resources – 80% by 2018 Communications Guidebook: Effective messaging to reach the unscreened:

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