ArticleBMJ open quality2025
Improving colorectal cancer screening through Cologuard education: a quality improvement initiative in an urban primary care clinic.
Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Patient-centred approach to improve colorectal cancer screening (CRC) in resource-limited communities.BMJ open quality · 2026Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveColorectal cancer (CRC) screening is critical for early detection and prevention. A prior analysis at our urban primary care clinic revealed a CRC screening completion rate of 62% in patients who had visited our clinic in the first half of 2023. Identified barriers for lower-than-national-average CRC screening rate included limited awareness and understanding among both providers and patients regarding CRC screening options and processes, particularly Cologuard. To address these gaps effectively, we implemented a series of targeted interventions aimed at increasing Cologuard utilisation.
methodsUsing an iterative plan-do-study-act model, interventions were implemented from January to September 2024 among average-risk patients aged 45-75 years who presented to primary care visits. Interventions focused on (1) biweekly, small-group provider education sessions with daily reminders, (2) bilingual patient-facing educational materials, posters and instructional videos and (3) electronic medical record portal outreach. The primary outcome was Cologuard completion rate among CRC-screening eligible patients. Process measures were Cologuard order rates and kit return rates, and the secondary outcome was the overall CRC screening completion rates.
resultsA total of 2171 CRC-screening eligible patients visited during the intervention period, and a total of 399 Cologuard orders were placed, with 235 completed kits returned. Cologuard completion rates improved from a preintervention median of 7.38%-10.00%. Median order rates rose from 14.59% to 18.71%, and overall CRC screening rates increased from 68.6% to 72.2%. Direct patient messaging had the most immediate impact, with 7.2% responses by recipients, resulting in 16 screenings and a transient peak of 20.71% in monthly Cologuard completion. DISCUSSION: This project demonstrates that practical, multifaceted, low-cost strategies of provider-focused education and patient-directed digital outreach can significantly improve Cologuard usage, ultimately leading to an increase in CRC screening completion rates. Sustained reinforcement and improvement in kit return will be a key to future improvements.
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