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Colorectal Cancer Screening Resource Library

The resources on this page include presentations, resource documents (such as reports, fact sheets, and websites), and tools. To supplement these resources, the League has amassed additional tools, articles, and materials developed by health centers on an internal folder to support screening efforts. Those materials can be accessed by reaching out to Leslie Pelton-Cairns.

Colorectal Cancer Trends

  • US Colorectal Cancer Statistics - The CDC publishes a data visualization tool that offers federal statistics on cancer incidence and deaths, which viewers can filter by "colon and rectum" cancer. Filtered information includes demographics, state/country statistics, survival, and prevalence.
  • Colorectal Cancer Risk Factors - The American Cancer Society's website contains a list of colorectal cancer risk factors that may increase the chance of developing colorectal polyps or colorectal cancer.
  • Colorectal Cancer Facts and Figures 2017-2019 - This guide from the American Cancer Society provides an overview of colorectal cancer, risk factors, and incidence data.

Provider Resources & Patient Education Tools

  • Options for Increasing Colorectal Cancer Screening Rates in CHCs - Researchers from the University of North Carolina Lineberger Comprehensive Cancer Center have adapted the CRC Clinician's Guide for use in the Community Health Center setting.
  • Online CME Course - The Massachusetts Medical Society in conjunction with the Massachusetts Department of Public Health produced this one hour-long, web-based free 1 credit CME video course. The Course focuses on options for colorectal cancer screening and increasing provider confidence in the use of FOBT/FIT as an effective screening modality.
  • CDC Continuing Education on Colorectal Cancer - The CDC produced this free three part-two credit CME/CEU course that provides guidance and tools for primary care clinicians on the optimal ways to implement screening for colorectal cancer to help ensure that patients receive maximum benefit. Part 1 includes information on screening and surveillance guidelines. Part 2 includes information on offering stool blood tests to patients. Part 3 describes the role of the primary care provider in delivering high-quality colonoscopy.
  • Patient Education Materials - The Massachusetts Health Promotion Clearinghouse offers free patient education posters and brochures about screening for colorectal cancer. Materials are available in English, Spanish and Portuguese.
  • Conversation Cards - The American Cancer Society published a series of conversation cards for providers to use to help patients select an option for colorectal cancer screening.

Screening Algorithms, Methods & Interventions

  • Screening Algorithm - The CDC published a colorectal cancer screening algorithm for adults aged 50 years and older.
  • US Preventive Services Task Force Recommendation - This statement and free one credit CME course from the USPSTF updates the recommendation on screening for colorectal cancer. The USPSTF reviewed the evidence on the effectiveness of different types of screening methods in reducing the incidence of and mortality from colorectal cancer or all-cause mortality.
  • Interventions to Improve Screening Rates - The Community Preventive Services Task Force suggests several multicomponent interventions to increase screening for colorectal cancer. Interventions are effective in increasing screening with colonoscopy or fecal occult blood test.

Fecal Testing

  • Clinician's Reference for Stool-Based Tests - The American Cancer Society published a state of-the-science information guide about recommended stool-based tests.
  • Accuracy of Fecal Immunochemical Tests for Colorectal Cancer - The Annals of Internal Medicine published this systematic review and meta analysis on the accuracy of fecal testing to screen for colorectal cancer
  • Fecal Immunochemical Test Program Performance - This Annals of Internal Medicine article describes a retrospective cohort study on FIT performance characteristics over 4 rounds of annual screening. The findings indicate that annual programmatic FIT screening is feasible and effective for population-level CRC screening.
  • Clinician's Reference: Fecal Occult Blood Testing - This one page reference guide is designed to educate clinicians about important elements of colorectal cancer screening using fecal occult blood tests (FOBT).

Disparities in Colorectal Cancer

  • Adherence to Colorectal Cancer Screening - This article from the Archives of Internal Medicine describes a randomized clinical trial of different colorectal cancer screenings to determine whether the screening approach influences adherence. The common practice of universally recommending colonoscopy may reduce adherence to CRC screening, especially among racial/ethnic minorities.
  • Colorectal Cancer Disparity in African Americans - This article from the February 2018 volume of The American Journal of Pathology focuses on African American populations as having the highest incidence and mortality rates of colorectal cancer of any ethnic group in the United States.
  • Reducing Structural Barriers - This New York State Department of Health fact sheet provides information on how to implement policy and environmental approaches to increase the number of community members with access to recommended colorectal cancer screening services.



Spotlight

Patricia Edraos: Celebrating 36 years of outstanding service to health centers & the League