2021 USPSTF Colorectal Cancer Screening Recommendation Lowers Screening Age from 50 to 45: Implications for NCCRT Partners – June 7, 2021

On May 18, 2021, the United States Preventive Services Task Force (USPSTF) released a final Recommendation, Evidence Summary, and Modeling Study on screening for colorectal cancer. The primary difference from the previous 2016 recommendation is that average risk adults are now recommended to start screening at age 45, in alignment with the American Cancer Society’s 2018 recommendation.

During this NCCRT webinar, a panel of expert speakers discussed:

  • What changed in the new recommendation? And what data informed the decision to lower the screening age to 45?
  • How does the new recommendation impact insurance coverage and what is the timeline?
  • When will the new guideline be reflected in colorectal cancer screening quality measures and national screening rate indicators?
  • What data do we have on screening in 45-49 year olds and what do we know about them?
  • The experiences of one state (Indiana) that began implementing screening at age 45 statewide following legislation to lower the screening age in 2019.

Speakers:

  • Heather Dacus, DO, MPH; Director, Bureau of Cancer Prevention and Control, NYS Department of Health; NCCRT Policy Action Strategic Priority Team Co-chair (Moderator)
  • Robert Smith, PHD; Senior Vice President, Cancer Screening; American Cancer Society; NCCRT Co-chair
  • Anna Schwamlein Howard; Principal, Policy Development, Access to and Quality of Care; American Cancer Society Cancer Action Network
  • Sepheen Byron; Assistant Vice President of Performance Measurement, the National Committee for Quality Assurance 
  • Stacey Fedewa, PhD; Scientific Director, Screening and Risk Factors Surveillance; American Cancer Society
  • Bryan Hannon; Regional Government Relations Director; American Cancer Society Cancer Action Network

Continuing Education Courses for Healthcare Providers on Colorectal Cancer Screening

To provide up-to-date information on recommended best practices for colorectal cancer screening, the Centers for Disease Control and Prevention (CDC) partnered with Medscape Education to create two continuing education courses for healthcare providers.

In one of these courses, Screening for Colorectal Cancer: Recommended Best Practices (0.5 CME/CNE credits), David Lieberman, MD, of Oregon Health and Science University, leads a video lecture that explains why colorectal cancer screening is important, how to determine the timing and frequency of colorectal cancer screening, recommended stool-based and direct visualization screening strategies, and how to improve screening quality with a programmatic approach and quality metrics.

The second course, CRC Screening and Surveillance: Optimizing Quality (1.0 CME/CNE credits), is a three-part clinical anthology that includes more detail on these topics and explains the role of primary care providers in stool testing and colonoscopy programs.

These free courses are available for continuing education credit. You can create a free Medscape account and view the courses at: https://www.medscape.org/viewarticle/946291  and https://www.medscape.org/viewarticle/945988.

Evaluation: The courses were developed by nationally recognized experts in colorectal cancer screening, including primary care clinicians, gastroenterologists, and epidemiologists.

Permissions: Made publicly available online through Medscape Education.

Publication date: March 15 and 24, 2021.

Post date: March 31, 2021.

Contact: Submit comments, questions, and suggestions via the links on the Medscape Education website. 

March 2021 Colorectal Cancer Awareness Month Webcast

On March 16th, 2021, NCCRT hosted a webcast featuring Richard Wender, MD, and Robert Smith, PhD, NCCRT co-chairs; Lisa Richardson, MD, MPH, Director of CDC’s Division of Cancer Prevention and Control; Rebecca Siegel, MPH, Senior Scientific Director, Surveillance Research, American Cancer Society; Folasade May, MD, PhD, MPhil, UCLA Health, our 2021 80% in Every Community National Achievement Awards grand prize honoree; and other special guests. The webcast also featured our 2021 80% in Every Community National Achievement Awards winners.

State-by-State Colorectal Cancer Screening Landscape

This resource, developed by Exact Sciences, provides a snapshot of the colorectal cancer screening landscape in each state while also putting into context how the different states compare with each other in a range of areas. While the majority of the information included is publicly available, it is difficult to find all this information in one place. This resource is intended to help people better understand what the CRC screening landscape – from coverage to screening rates to legislation – looks like in each state.

Evaluation: The last slide includes reference links for the included information. This involved considerable time and research across multiple websites and through research from Exact Sciences’ legal team.

Permissions: Made publicly available online by Exact Sciences.

Publication date: November 2019; updated August 2020

Post date: November 3, 2020

Contact: Submit comments, questions, and suggestions to Bryan Goettel: bgoettel@exactsciences.com.

Summary Report on Links of Care Pilot to Increase Colorectal Cancer Screening for Underserved Patients

The newly released report, Report on a Pilot Project to Increase Colorectal Cancer Screening Rates and Ensure Access to Specialty Care for Underserved Patients, provides an overview of the Links of Care pilot project (2015-2017), which implemented evidence-based strategies to increase screening rates and timely access to specialists after abnormal screenings in three Federally Qualified Health Centers (FQHCs). Participating FQHCs successfully increased CRC screening rates by 8-28 percentage points, secured low- or no-cost colonoscopies from specialty care providers, and implemented patient navigation to ensure timely follow-up to diagnostic services. The report outlines key facilitators to success.

Congratulations to the evaluators and authors that contributed to this publication, Lesley Watson, Kara Riehman, Mary Doroshenk, Rentonia Williams, Vonda Evans, Lynn Basilio, Maryanne Goss, and Roshan Paudel, as well as the numerous individuals that contributed to the pilot projects’ success.

The NCCRT Resources Center also includes two webinars that feature findings from the Links of Care pilot projects, including a 2017 webinar and a 2015 webinar

Colorectal Cancer Burden Shifting To Younger Individuals: A Close Look At What The Most Recent Data Tells Us About Colorectal Cancer Incidence, Mortality, And Screening Rates – May 18, 2020

This webinar provided a close look at the findings from Colorectal Cancer Statistics 2020, a recent American Cancer Society publication released on March 5, 2020. According to the report, the burden of colorectal cancer is swiftly shifting to younger individuals as incidence increases in young adults and declines in older age groups. Additional report findings include the median age of diagnosis has dropped from age 72 in 2001-2002 to age 66 during 2015-2016 and half of all new diagnoses in people 66 or younger. The publication is accompanied by a consumer version, Colorectal Cancer Facts & Figures and a press release is also available. Learn about these findings and more in this webinar featuring report lead author Rebecca Siegel, MPH.

Speakers:

  • Rebecca Siegel, MPH, Scientific  Director, Surveillance Research, American Cancer Society, Inc.
  • Robert Smith, PhD, Senior Vice President, Cancer Screening, American Cancer Society, Inc. (Moderator)

My CT Colonography Center Locator Tool

The American College of Radiology (ACR) is now offering the My CT Colonography Center online locator, a patient-friendly online tool to find a computed tomography (CT) colonography screening center near you.

Bracco Diagnostics, Inc. originally developed the tool, which includes 120 centers – only a portion of the more than 700 estimated centers that perform CT Colonography (CTC). The ACR will now work with stakeholders to explore ways to achieve the goal of having all facilities that perform CTC registered on a center locator. To date, there are 220 centers registered for the locator tool.

The webpage also includes patient brochures on CTC, a video of a patient receiving a CTC, and more.

Evaluation: This tool was developed as a collaborative effort with Bracco Diagnostic and ACR CTC registry participants discussing a need to increase awareness of CTC screening option for patients.


Permissions:
 Made publicly available online by the American College of Radiology.


Publication date: 
September 2019


Post date: 
April 20, 2020


Contact:
Submit comments, questions, and suggestions info@acr.org.

Nuestras Voces Network Colorectal Cancer Awareness Month Infographic

This bilingual infographic on colorectal cancer was developed by the National Alliance for Hispanic Health’s Nuestras Voces Network Program to raise awareness about the importance of screening, and to promote the information from Centers for Disease Control and Prevention’s (CDC’s) Screen for Life National Colorectal Cancer Action Campaign during National Colorectal Cancer Awareness Month.

This infographic can be shared, posted on social media, printed for community distribution, and customized to include a local organization logo. For more information on how to use this resource in your own community see contact information below.

Evaluation: The content of the infographic was based on evidence-based resources including NCCRT’s 2019 Colorectal Cancer Screening Messaging Guidebook and CDC’s Screen for Life National Colorectal Cancer Action Campaign.

Permissions: Made publicly available online by the National Alliance for Hispanic Health’s Nuestras Voces Network Program. See Contact section below for more information.

Publication date: 2020

Post date: March 30, 2020

Contact: For more information about this infographic and the Nuestras Voces Network Program please contact Marcela Gaitán at mgaitan@healthyamericas.org.

March 2020 Colorectal Cancer Awareness Month Broadcast

On March 5th, 2020, NCCRT hosted a live broadcast from Atlanta, Georgia featuring Dr. Richard Wender, NCCRT Chair and other special guests to mark National Colorectal Cancer Awareness Month. This recorded broadcast features interviews with experts, survivors, 2020 80% in Every Community National Achievement Awards winners, and others.

Note: We are not able to share the webinar recording at this time since some of the presentations contain unpublished data, but we will post the recording to this webpage as soon as we have permission to do so. 

Webinar – What Do The Data Tell Us: What Can We Learn From The Latest Colorectal Cancer Screening Rate Trends Over Time? –  January 30, 2020

This webinar provided a look at the latest data that informs how we are doing as a nation with our efforts to reach an 80% colorectal cancer screening rate. The webinar included a review of the key colorectal cancer screening data sets: BRFSS, NHIS, HEDIS, and UDS. Participants heard from experts as they gave an update on where we are progressing and where we still need to focus, to help inform your work ahead. (Note: this webinar was a repeat of a panel that was hosted at the 2019 NCCRT Annual Meeting.)

Speakers:

  • Djenaba A. Joseph, MD, MPH, Medical Director, Colorectal Cancer Control Program, Centers for Disease Control and Prevention
  • Stacey Fedewa, Senior Principal Scientist, Surveillance Research, American Cancer Society, Inc.
  • Mary Barton, MD, MPP, Vice President, Performance Measurement, National Committee for Quality Assurance
  • Minh Nguyen, Pharm D, MPH, Public Health Analyst, Health Resources and Services Administration