Background and Rationale for Gipson bill AB The imperative for colonoscopy after a positive FOBT (Fecal Occult Blood Test)
|
|
- Nigel Merritt
- 5 years ago
- Views:
Transcription
1 Background and Rationale for Gipson bill AB 1763 The imperative for colonoscopy after a positive FOBT (Fecal Occult Blood Test) The Affordable Care Act (ACA) requires all private insurers (except grandfathered plans) to cover preventive services that receive an A or B rating from the United States Preventive Services Task Force (USPSTF) without any patient cost sharing (e.g. copayments, coinsurance, and deductibles). (1) The USPSTSF is an independent, volunteer panel of national prevention and evidence based medicine experts who provide evidence based recommendations about clinical preventive services (e.g. screenings, preventive medications, and counseling services). (2) In 2008 (the most recent recommendation), the USPSTF gave an A rating to several colorectal cancer screening tests, including colonoscopy, flexible sigmoidoscopy, and fecal occult blood testing (FOBT). The Task Force did not recommend any one of these tests as the best. Screening for colorectal cancer by a high sensitivity FOBT is inexpensive and effective, but it requires a two step screening process if the test is positive. The USPSTF clearly states in its screening guidelines follow up of positive screening test results requires colonoscopy regardless of the screening test used. (2) Screening is not complete until patients with positive results receive follow up by colonoscopy to rule out the presence of cancer or precancerous polyps (abnormal growths in the lining of the colon). The percent of screened patients with a positive stool test ranges from 4 8% depending on positivity thresholds and the tests used. (3) (4) Health plans must waive cost sharing for colonoscopies in patients with a positive test to eliminate a financial disincentive for patients to choose stool testing
2 as a first line screening option just as they are required to do for an initial screening colonoscopy. Problems Solved by AB Missed cancers and precancerous polyps Patients with a positive fecal occult blood test (FOBT) are at high risk to have colon cancer or a polyp with an increased chance of becoming cancer over time. In a large California study, a patient with a + FOBT had a 3.4% chance of already having a colon cancer and a 51.5% chance of having a polyp. (11) The ACA as it is presently written, provides a free colonoscopy to individuals at low risk for colon cancer 0.7%, (17) but denies it to individuals with a positive FIT at higher risk of having a colon cancer 3.4%. 2. Missed screening opportunities in patients who prefer other less invasive tests Research has shown that limiting colorectal cancer screening choices to only colonoscopy can result in a lower colorectal cancer screening completion rates compared to providing a choice between colonoscopy and a stool based test, particularly among racial and ethnic minorities. (12)(16). The co pay for the necessary colonoscopy after a positive FOBT effectively limits the low income patient and their provider to only recommending a colonoscopy since it is the only colon cancer screening test that does not have a co pay under the ACA. 3. Cost Considerations Colon cancer screening is cost effective. The mathematical modeling used by the USPSTF has shown that screening with a sensitive FOBT saves $191 for every individual who undergoes the recommended FOBT screening from 50 to 75 years old. This is the only cancer screening testing program that results in cost savings to the health system. The colonoscopy colon cancer screening program is cost effective but not cost saving as FOBT has been shown to be. Colonoscopy screening costs $296 for each 50 to 75 year old screened compared to $191 saved for every person screened with
3 FOBT.(13) Presently California uses the FOBT to screen 20% of its screening eligible population (50 to 75 year old individuals). (14) Removing the costsharing barrier to FOBT colon cancer screening will result in a saving of $487 for California s health care system for every person who chooses the FIT screening program over a colonoscopy screening program. (13) 4. Screening colonoscopy cost sharing when a polyp is found and removed Despite the changes made by the Affordable Care Act, California health plans continue to require beneficiaries to pay co insurance (patient cost could be more than $300) when a polyp or abnormal growth is removed during the screening colonoscopy. This co pay charge is generally received unexpectedly after having a screening colonoscopy in which a polyp is discovered. This co pay can act as a serious disincentive for future screening for colon cancer. Finding an adenomatous polyp during a screening colonoscopy is not a rare event. During a good quality colonoscopy exam, an adenomatous polyp will be found in at least 25% of the screening colonoscopies. (15) Passing the Gipson Bill AB 1763 would eliminate this unexpected cost, and remove the financial disincentives, which prevent people from getting their colon cancer screening. By removing this financial barrier, California s legislature would help increase screening rates among individuals age 50 to 75 and reduce death and suffering from colorectal cancer.
4 1. Patient Protection and the Affordable Care Act, P.L , 1800 (codified at U.S.C (1)(1)(2010). 2. Screening for colorectal cancer: U.S, Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;149: Grazzini G, Visioli CB, Zorzi M, Ciatto S, Banovich F, Bonanomi AG, et al. Immunochemical faecal occult blood test: number of samples and positivity cutoff. What is the best strategy for colorectal cancer screening? Br J Cancer. 2009;100(2): Lee JK, Liles EG, Bent S, Levin TR, Corley DA. Accuracy of fecal immunochemical tests for colorectal cancer: systematic review and meta analysis. Ann Intern Med. 2014;160(3): The Kaiser Family Foundation, the American Cancer Society, and the National Colorectal Cancer Roundtable. Coverage of colonoscopies under the Affordable Care Act s prevention benefit. Published September costs/report/coverage ofcolonoscopies under the affordable care/. 6. National Colorectal Cancer Roundtable. The importance of waiving cost sharing for follow up colonoscopies: Action steps for health plans. Published November 10, Accessed January 15, content/uploads/crc Screemomg Continuum Coverage Issues Brief Private Health Plans Nov2015.pdf. 7. Levin B. Lieberman DA, McFarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008:a joint guideline from the American Cancer Society,the US Multi Society Task Force on Colorectal Cancer,and the American College of Radiology, CA J Clin.2008;58: Solanki G, Schauffler HH, Miller LS. The direct and indirect effects of cost sharing on the use of preventive services. Health Services Research. 2000;34: Wharam JF,Graves AJ, Landon BE, Zhang F,Soumerai SB, Ross Degnan D. Two year trends in colorectal cancer screening after switch to a high deductible health plan. Med Care. 2011;49: Trivedi AN, Rakowsi W,Ayanian JA. Effect of cost sharing on screening mammography in Medicare health plans. N Eng J Med. 2008;358:
5 11. Jensen CD, Corley DA, Quinn, VP. Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening. AnnInternMed. doi: /m Inadomi JM, Vigan S, Janz NK, Fagerlin A, Thomas JP, Lin YV,et al. Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med. 2012; 172(7): doi: /archinternmed Iris Lansdorp-Vogelaar, Marjolein van Ballegooijen, Ann G. Zauber, Effect of Rising Chemotherapy Costs on the Cost savings of Colorectal Cancer Screening. J Natl Cancer Inst 2009;101: MMWR / November 8, 2013 / Vol. 62 / No Douglas A. Corley, M.D., Ph.D., Christopher D. Jensen, Ph.D., Amy R. Marks, MD, et al. Adenoma detection rate and the risk of colon cancer and death. N Engl J Med 2014;370: Samir Gupta MD, Ethan Halm MD et al Comparative Effectiveness of Fecal Immunochemical Test Outreach, Colonoscopy Outreach, and Usual Care for Boosting Colorectal Cancer screening Among the Underserved. JAMA Intern Med doi: /jamainternmed Thomas Imperiale MD, David Ransohoff, et al. Multitarget Stool DNA Testing for Colorectal Cancer Screening, N Engl J Med 2014;370:
In its October 5, 2015, draft recommendation (draft
USPSTF Colorectal Cancer Screening Guidelines: An Extended Look at Multi-Year Interval Testing Barry M. Berger, MD, FCAP; Marcus A. Parton, SB; and Bernard Levin, MD, FACP Managed Care & Healthcare Communications,
More informationThe New Grade A: USPSTF Updated Colorectal Cancer Screening Guidelines, What does it all mean?
The New Grade A: USPSTF Updated Colorectal Cancer Screening Guidelines, What does it all mean? Robert A. Smith, PhD Cancer Control, Department of Prevention and Early Detection American Cancer Society
More informationReferences Cleveland Clinic. Diseases and Conditions. Colorectal Cancer Overview. 29 October 2013
Colo-Alert Only available DNA based rapid test for early colorectal cancer detection. The earlier colon cancer is found, the easier it is to treat. This is why regular screening is worthwhile it has the
More informationColorectal Cancer Screening
Colorectal Cancer Screening Colorectal cancer is preventable. Routine screening can reduce deaths through the early diagnosis and removal of pre-cancerous polyps. Screening saves lives, but only if people
More informationCOLORECTAL CANCER. Colorectal Cancer (CRC) 3 rd most common cancer in U.S. 3 rd deadliest cancer in U.S. 12/4/2014
The heart and science of medicine. UVMHealth.org/CancerCenter COLORECTAL CANCER Claire Verschraegen, MD Co-Director University of Vermont Cancer Center 1 Colorectal Cancer (CRC) 3 rd most common cancer
More informationColon Screening in 2014 Offering Patients a Choice. Clark A Harrison MD The Nevada Colon Cancer Partnership
Colon Screening in 2014 Offering Patients a Choice Clark A Harrison MD The Nevada Colon Cancer Partnership Objectives 1. Understand the incidence and mortality rates for CRC in the US. 2. Understand risk
More informationColorectal Cancer Screening Guideline Issue Brief Updated May 30 th, 2018
Colorectal Cancer Screening Guideline Issue Brief Updated May 30 th, 2018 Issue Summary The American Cancer Society has updated its colorectal screening guideline, which have been published in CA: A Journal
More informationCologuard Screening for Colorectal Cancer
Pending Policies - Medicine Cologuard Screening for Colorectal Cancer Print Number: MED208.056 Effective Date: 08-15-2016 Coverage: I.Cologuard stool DNA testing may be considered medically necessary for
More informationImproving Outcomes in Colorectal Cancer: The Science of Screening. Colorectal Cancer (CRC)
Improving Outcomes in Colorectal Cancer: The Science of Screening Tennessee Primary Care Association October 23, 2014 Durado Brooks, MD, MPH Director, Prostate and Colorectal Cancers Colorectal Cancer
More informationPolicy Specific Section: March 1, 2005 January 30, 2015
Medical Policy Fecal DNA Analysis for Colorectal Cancer Screening Type: Investigational / Experimental Policy Specific Section: Laboratory/Pathology Original Policy Date: Effective Date: March 1, 2005
More informationTime to Colonoscopy After a Positive Fecal Test and Risk of Colorectal Cancer Outcomes
Time to Colonoscopy After a Positive Fecal Test and Risk of Colorectal Cancer Outcomes Douglas Corley MD, PhD Kaiser Permanente, Northern California For Corley DA, Jensen CD, Quinn VP, Doubeni CA, Zauber
More informationColorectal Cancer Screening. Paul Berg MD
Colorectal Cancer Screening Paul Berg MD What is clinical integration? AMA Definition The means to facilitate the coordination of patient care across conditions, providers, settings, and time in order
More informationColorectal Cancer Screening in Ohio CHCs. Ohio Association of Community Health Centers
Colorectal Cancer Screening in Ohio CHCs Ohio Association of Community Health Centers 2 1/29/2015 Your Speakers Dr. Ted Wymyslo Ashley Ballard Randy Runyon 3 1/29/2015 Facts 3 rd most common cancer in
More informationColorectal Cancer Screening: A Clinical Update
11:05 11:45am Colorectal Cancer Screening: A Clinical Update SPEAKER Kevin A. Ghassemi, MD Presenter Disclosure Information The following relationships exist related to this presentation: Kevin A. Ghassemi,
More informationEarly detection and screening for colorectal neoplasia
Early detection and screening for colorectal neoplasia Robert S. Bresalier Department of Gastroenterology, Hepatology and Nutrition. The University of Texas. MD Anderson Cancer Center. Houston, Texas U.S.A.
More informationCRC screening at age 45 What does the modeling suggest?
CRC screening at age 45 What does the modeling suggest? Elisabeth Peterse Erasmus University Medical Center, Rotterdam, The Netherlands Possible conflicts of interest No disclosures. Elisabeth Peterse
More informationScreening for Colon Cancer
Screening for Colon Cancer What is colon cancer? The colon is the last few feet of your digestive system. Colon cancer happens when cells that are not normal grow in your colon. These cancers usually begin
More informationObjectives. Definitions. Colorectal Cancer Screening 5/8/2018. Payam Afshar, MS, MD Kaiser Permanente, San Diego. Colorectal cancer background
Colorectal Cancer Screening Payam Afshar, MS, MD Kaiser Permanente, San Diego Objectives Colorectal cancer background Colorectal cancer screening populations Colorectal cancer screening modalities Colonoscopy
More informationThank You to Our Sponsors: Evaluations & CE Credits. Featured Speakers. Conflict of Interest & Disclosure Statements
Thank You to Our Sponsors: University at Albany School of Public Health NYS Department of Health Evaluations & CE Credits Nursing Contact Hours, CME and CHES credits are available. Please visit www.phlive.org
More informationScreening & Surveillance Guidelines
Chapter 2 Screening & Surveillance Guidelines I. Eligibility Coloradans ages 50 and older (average risk) or under 50 at elevated risk for colon cancer (personal or family history) that meet the following
More informationDiagnostics for the early detection and prevention of colorectal cancer.
Diagnostics for the early detection and prevention of colorectal cancer. Company Presentation May 2013 Safe Harbor Statement Certain statements made in this presentation contain forward-looking statements
More informationColorectal Cancer Screening
Tool 2.1 Cancer Screening Basic Fact Sheet Are You at High Risk? Your risk for colorectal cancer may be higher than average if: stomach You or a close relative have had colorectal polyps or colorectal
More informationIEHP UM Subcommittee Approved Authorization Guidelines Colorectal Cancer Screening with Cologuard TM for Medicare Beneficiaries
for Medicare Beneficiaries Policy: Based on our review of the available evidence, the IEHP UM Subcommittee adopts the use of Cologuard TM - a multi-target stool DNA test as a colorectal cancer screening
More informationIncreasing Colorectal Cancer Screening in Wyoming. Allie Bain, MPH Outreach & Education Supervisor Wyoming Integrated Cancer Services Program
Increasing Colorectal Cancer Screening in Wyoming Allie Bain, MPH Outreach & Education Supervisor Wyoming Integrated Cancer Services Program Overview What is colorectal cancer? What are risk factors for
More informationA PROVIDER S GUIDE TO PREVENTIVE HEALTH SERVICES FOR YOUR PATIENTS
ConnectiCare, together with the Centers for Medicare & Medicaid Services, encourages the use of preventive health services. For certain basic preventive health services, ConnectiCare Medicare Plan beneficiaries
More informationACS FluFOBT Program A Proven Approach to Increase Colorectal Cancer Screening
ACS FluFOBT Program A Proven Approach to Increase Colorectal Cancer Screening Massachusetts Annual Adult Immunization Conference April 27,2016 Terry E Shlimbaum, MD New York State Chief Medical Officer
More informationAnalysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening. Summary
Page: 1 of 11 Last Review Status/Date: March 2015 Technique for Colorectal Cancer Screening Summary Detection of genetic abnormalities associated with colorectal cancer in stool samples has been proposed
More informationColorectal Cancer Screening in Washington State
Colorectal Cancer Screening in Washington State Susie Dade, Deputy Director, Washington Health Alliance March 25, 2016 Colorectal Cancer Roundtable Outline About the Alliance How we re doing in Washington
More informationColorectal Cancer Screening and Surveillance
1 Colorectal Cancer Screening and Surveillance Jeffrey Lee MD, MAS Assistant Clinical Professor of Medicine University of California, San Francisco jeff.lee@ucsf.edu Objectives Review the various colorectal
More informationStaging and survival of colorectal cancer (CRC) in octogenarians: Nationwide Study of US Veterans
Original Article Staging and survival of colorectal cancer (CRC) in octogenarians: Nationwide Study of US Veterans Gurjiwan Sing Virk 1, Mikram Jafri 2, Syed Mehdi 3, Christopher Ashley 4 1 Department
More informationFREQUENTLY ASKED QUESTIONS
FREQUENTLY ASKED QUESTIONS What is CRC? CRC (CRC) is cancer of the large intestine (colon), the lower part of the digestive system. Rectal cancer is cancer of the last several inches of the colon. Together,
More informationA PROVIDER S GUIDE TO PREVENTIVE HEALTH SERVICES FOR YOUR PATIENTS
ConnectiCare, together with the Centers for Medicare & Medicaid Services, encourages the use of preventive health services. For certain basic preventive health services, ConnectiCare Medicare Plan beneficiaries
More informationSummary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals
Summary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals Talk with patients about ü Cancer Prevention & Early Detection ü Benefits, harms
More informationSummary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals
Summary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky for health professionals Talk with patients about ü Cancer Prevention & Early Detection ü Benefits, harms
More informationCT Colonography. A Radiologist s View of the Colon from Outside-In. Donny Baek, MD
CT Colonography A Radiologist s View of the Colon from Outside-In Donny Baek, MD Computed Tomography (CT) CT Image Reconstruction CT Image Reconstruction CT Image Reconstruction Colorectal Cancer Annual
More informationFinancial Disclosers
Slide 1 Colorectal Cancer Screening Jason Hemming, MD NESGNA November 15, 2014 Slide 2 Bio Slide 3 Financial Disclosers I have no actual or potential conflict of interest relation to this presentation
More informationFECAL OCCULT BLOOD TEST
MEDICAL POLICY For use with the UnitedHealthcare Laboratory Benefit Management Program, administered by BeaconLBS FECAL OCCULT BLOOD TEST Policy Number: CMP - 023 Effective Date: January 1, 2018 Table
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Analysis of Human DNA in Stool Samples as a Page 1 of 11 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Analysis of Human DNA in Stool Samples as a Technique for
More informationImprove Colorectal Cancer Screening Rates and Save Lives! Wednesday, May 18, 2016
Improve Colorectal Cancer Screening Rates and Save Lives! Wednesday, May 18, 2016 We Want To Hear From You! Type questions into the Questions Pane at any time during this presentation Patient-Centered
More informationColorectal Cancer Screening: State of the Science
Colorectal Cancer Screening: State of the Science LA Academy of Family Practice Convention July 9, 2016 Sandestin, FL Durado Brooks, MD, MPH Director, Prostate and Colorectal Cancers Colorectal Cancer
More informationTesting for Colorectal Cancer Has Been Anything but Routine Until Now.
TM Testing for Colorectal Cancer Has Been Anything but Routine Until Now. Compliance rates for recommended colorectal cancer testing are dismal. The SimpliPro Colon test is a laboratory service designed
More informationJoint Session with ACOFP and Cancer Treatment Centers of America (CTCA): Cancer Screening: Consensus & Controversies. Ashish Sangal, M.D.
Joint Session with ACOFP and Cancer Treatment Centers of America (CTCA): Cancer Screening: Consensus & Controversies Ashish Sangal, M.D. Cancer Screening: Consensus & Controversies Ashish Sangal, MD Director,
More informationA TEST FOR COLORECTAL CANCER THAT IS 92% SENSITIVE AND NON-INVASIVE. Stool DNA test
A TEST FOR COLORECTAL CANCER THAT IS 92% SENSITIVE AND NON-INVASIVE Stool DNA test THE NEW NON-INVASIVE SCREENING TEST FOR COLORECTAL CANCER Sensitive Clinically proven 1 Easy to use FDA approved COLOGUARD
More informationIncreasing Colorectal Cancer Screening in a Safety-net Health System with a Focus on the Uninsured: Benefits and Costs
Increasing Colorectal Cancer Screening in a Safety-net Health System with a Focus on the Uninsured: Benefits and Costs Samir Gupta, MD Assistant Professor Department of Internal Medicine Division of Digestive
More informationCitation for published version (APA): Wijkerslooth de Weerdesteyn, T. R. (2013). Population screening for colorectal cancer by colonoscopy
UvA-DARE (Digital Academic Repository) Population screening for colorectal cancer by colonoscopy de Wijkerslooth, T.R. Link to publication Citation for published version (APA): Wijkerslooth de Weerdesteyn,
More informationTransition to Fecal Immunochemical Testing (FIT)
Transition to Fecal Immunochemical Testing (FIT) Frequently Asked Questions for Primary Care Providers October 2017 Version 1.1 Overview Ontario will be transitioning from the guaiac fecal occult blood
More informationThere is No One Best CRC Screening Test: The Proof and the Benefits of Getting FIT
There is No One Best CRC Screening Test: The Proof and the Benefits of Getting FIT James E. Allison, MD, FACP, AGAF Clinical Professor of Medicine Emeritus University of California San Francisco Emeritus
More informationStool DNA-based versus colonoscopy-based colorectal cancer screening: Patient perceptions and preferences
Family Medicine and Community Health Stool DNA-based versus colonoscopy-based colorectal cancer screening: Patient perceptions and preferences Matthew V. Abola 1, Todd F. Fennimore 1, Marcia M. Chen 1,
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Analysis of Human DNA in Stool Samples as a Page 1 of 12 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Analysis of Human DNA in Stool Samples as a Technique for
More informationPage 1. Cancer Screening for Women I have no conflicts of interest. Overview. Breast, Colon, and Lung Cancer. Jeffrey A.
Cancer Screening for Women 2017 Breast, Colon, and Lung Cancer Jeffrey A. Tice, MD Professor of Medicine Division of General Internal Medicine University of California, San Francisco I have no conflicts
More informationWellness Along the Cancer Journey: Healthy Habits and Cancer Screening Revised October 2015 Chapter 7: Cancer Screening and Early Detection of Cancer
Wellness Along the Cancer Journey: Healthy Habits and Cancer Screening Revised October 2015 Chapter 7: Cancer Screening and Early Detection of Cancer Healthy Habits and Cancer Screening Rev 10.20.15 Page
More informationColorectal Cancer Screening What are my options?
069-Colorectal cancer (Rosen) 1/23/04 12:59 PM Page 69 What are my options? Wayne Rosen, MD, FRCSC As presented at the 37th Annual Mackid Symposium: Cancer Care in the Community (May 22, 2003) There are
More informationHow to Increase Preventive Screening Rates in Practice: An Action Plan for Implementing A Primary Care Clinician s Evidence-Based Toolbox and Guide
How to Increase Preventive Screening Rates in Practice: An Action Plan for Implementing A Primary Care Clinician s Evidence-Based Toolbox and Guide CRC Toolkit and Guide Available at http://www.cancer.org/aspx/pcmanual/pcm.swf
More informationSummary of Cancer Prevention and Screening Benefits of the Affordable Care Act (ACA) in Kentucky (includes kynect)
Summary of Cancer Prevention and Screening Benefits of the Talk with patients about ü Potential benefits, harms, and uncertainties of cancer screening ü Identify family history ü Cancer prevention, early
More informationColorectal Cancer Screening in Later Life: Blum Center Rounds
Colorectal Cancer Screening in Later Life: Blum Center Rounds OCTOBER 10, 2018 Agenda CRC Screening and Surveillance Recommendation Screening for Colon Cancer later in life Discussion and listening Families
More informationColorectal Cancer Screening and Risk Assessment Workflow. Documentation Guide for Health Center NextGen Users
Colorectal Cancer Screening and Risk Assessment Workflow Documentation Guide for Health Center NextGen Users Colorectal Cancer Screening and Risk Assessment Workflow and Documentation Guide for Health
More informationCost-effectiveness of colonoscopy in screening for colorectal cancer Sonnenberg A, Delco F, Inadomi J M
Cost-effectiveness of colonoscopy in screening for colorectal cancer Sonnenberg A, Delco F, Inadomi J M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion
More informationColorectal Cancer Screening
Colorectal Cancer Screening December 5, 2017 Connecticut Cancer Partnership 14th Annual Meeting Xavier Llor, M.D., PhD. Associate Professor of Medicine Co-Director, Cancer Genetics and Prevention Program
More informationAnalysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary,
More informationCENTERS FOR DISEASE CONTROL AND PREVENTION CENTERS FOR DISEASE CONTROL AND PREVENTION. Incidence Male. Incidence Female.
A Call to Action: Prevention and Early Detection of Colorectal Cancer (CRC) 5 Key Messages Screening reduces mortality from CRC All persons aged 50 years and older should begin regular screening High-risk
More informationColorectal cancer (CRC) is the second leading cause ORIGINAL RESEARCH
ORIGINAL RESEARCH Annals of Internal Medicine Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening A Retrospective Cohort Study Christopher D. Jensen, PhD, MPH; Douglas A. Corley,
More informationCLINICAL PRACTICE GUIDELINE FOR COLORECTAL CANCER SCREENING
CLINICAL PRACTICE GUIDELINE FOR COLORECTAL CANCER SCREENING This guideline is designed to assist practitioners by providing the framework for colorectal cancer (CRC) screening, and is not intended to replace
More informationReferences. Valorization
Valorization 179 Valorization 180 Valorization Colorectal cancer (CRC) is a major burden on the health care system with over 1,4millionnewlydiagnosedpatientsandalmost700,000deathsannually. 1 Becauseof
More informationGenomic/Genetic Services: Barriers to Access. Sue Friedman, DVM National Academies of Science Roundtable 06/26/18
Genomic/Genetic Services: Barriers to Access Sue Friedman, DVM National Academies of Science Roundtable 06/26/18 No conflicts to disclose Disclosure Overview Awareness and knowledge Insurance coverage
More informationEstimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies Modeling Study for the US Preventive Services Task Force
Clinical Review & Education US Preventive Services Task Force MODELING STUDY Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies Modeling Study for the US Preventive Services
More informationDescription. Section: Radiology Effective Date: October 15, 2014 Subsection: Radiology Original Policy Date: December 7, 2011 Subject:
Last Review Status/Date: September 2014 Page: 1 of 13 Description Computed tomography (CT) colonography, also known as virtual colonoscopy, is an imaging technique of the colon. CT colonography has been
More informationColorectal cancer is the third most commonly diagnosed cancer
The new england journal of medicine Clinical Practice Caren G. Solomon, M.D., M.P.H., Editor Screening for Colorectal Neoplasia John M. Inadomi, M.D. This Journal feature begins with a case vignette highlighting
More information2017 CANCER ANNUAL REPORT
2017 CANCER ANNUAL REPORT A WORD FROM OUR LEADERSHIP We are pleased to present our 2017 Annual Report highlighting advances in state of the art cancer care at the Roper St. Francis Cancer Program. Our
More informationACTIVITY DISCLAIMER DISCLOSURE. Alvin B. Lin, MD, FAAFP. Audience Engagement System Step 1 Step 2 Step 3. Learning Objectives.
ACTIVITY DISCLAIMER Colorectal Cancer Alvin B. Lin, MD, FAAFP The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note
More informationIncreasing the number of older persons in the United
Current Capacity for Endoscopic Colorectal Cancer Screening in the United States: Data from the National Cancer Institute Survey of Colorectal Cancer Screening Practices Martin L. Brown, PhD, Carrie N.
More informationGuidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer
Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer David A. Lieberman, 1 Douglas K. Rex, 2 Sidney J. Winawer,
More informationCost-effectiveness analysis of a screening programme. Iris Lansdorp-Vogelaar, PhD Department of Public Health Erasmus MC, Rotterdam
Cost-effectiveness analysis of a screening programme Iris Lansdorp-Vogelaar, PhD Department of Public Health Erasmus MC, Rotterdam Criteria of Wilson and Jungner (Bull World Health Organ. 1968) Why cost-effectiveness
More informationPage 1. Selected Controversies. Cancer Screening! Selected Controversies. Breast Cancer Screening. ! Using Best Evidence to Guide Practice!
Cancer Screening!! Using Best Evidence to Guide Practice! Judith M.E. Walsh, MD, MPH! Division of General Internal Medicine! Womenʼs Health Center of Excellence University of California, San Francisco!
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Virtual Colonoscopy / CT Colonography Page 1 of 19 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Virtual Colonoscopy / CT Colonography Professional Institutional
More informationLearning and Earning with Gateway Professional Education CME/CEU Webinar Series
Learning and Earning with Gateway Professional Education CME/CEU Webinar Series Best Practices for Colorectal Cancer Screening March 14, 2018 12:00pm 1:00pm Robert A. Smith, PhD Vice President, Cancer
More informationScreening for Colorectal Cancer in the Elderly. The Broad Perspective
Screening for Colorectal Cancer in the Elderly Charles J. Kahi, MD, MSCR Indiana University School of Medicine Richard L. Roudebush VA Medical Center Indianapolis, Indiana ACG Regional Midwest Course Symposium
More informationRE: United States Preventive Services Task Force Draft Research Plan for Colorectal Cancer Screening
February 5, 2014 Virginia A. Moyer, MD, MPH Chair United States Preventive Services Task Force 540 Gaither Road Rockville, MD 20850 RE: United States Preventive Services Task Force Draft Research Plan
More informationColorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society
Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed/Revised May 2018 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes
More informationColorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer
Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer Douglas K. Rex, MD, MACG 1, C. Richard Boland, MD 2, Jason A. Dominitz,
More informationColorectal cancer screening
26 Colorectal cancer screening BETHAN GRAF AND JOHN MARTIN Colorectal cancer is theoretically a preventable disease and is ideally suited to a population screening programme, as there is a long premalignant
More informationCorporate Presentation Fourth Quarter 2017
Corporate Presentation Fourth Quarter 2017 November 2017 1 Safe harbor statement This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as
More informationOvercoming Barriers to Cancer Screening. Durado Brooks, MD, MPH Director, Prostate and Colorectal Cancer American Cancer Society
Overcoming Barriers to Cancer Screening Durado Brooks, MD, MPH Director, Prostate and Colorectal Cancer American Cancer Society Cancer Disparities Cancer Disparities: A Definition Cancer health disparities
More informationThe U.S. Preventive Services Task Force (USPSTF) makes
Annals of Internal Medicine Clinical Guidelines Screening for Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement U.S. Preventive Services Task Force* Description: Update of
More information1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757)
1101 First Colonial Road, Suite 300, Virginia Beach, VA 23454 www.vbgastro.com Phone (757) 481-4817 Fax (757) 481-7138 1150 Glen Mitchell Drive, Suite 208 Virginia Beach, VA 23456 www.vbgastro.com Phone
More information2. Describe pros/cons of screening interventions (including colonoscopy, CT colography, fecal tests)
Learning Objectives 1. Review principles of colon adenoma/cancer biology that permit successful prevention regimes 2. Describe pros/cons of screening interventions (including colonoscopy, CT colography,
More informationCancer Screening Coverage Toolkit Colorectal and Breast Cancer
Cancer Screening Coverage Toolkit Colorectal and Breast Cancer 1. Introduction 2. Colorectal Cancer Screening a. Background b. Talking Points c. Sample Legislation d. Sample Letter of Support e. Sample
More informationColorectal cancer screening A puzzle of tests and strategies
Colorectal cancer screening A puzzle of tests and strategies A. Van Gossum, MD, PhD Head of the Clinic of Intestinal Diseases and Nutritional Support Department of Gastroenterology Hôpital Erasme ULB -
More informationCancer Facts for Men FOR REVIEW ONLY
Cancer Facts for Men Prostate cancer The chance of getting prostate cancer goes up as a man gets older. Most prostate cancers are found in men over the age of 65. For reasons that are still unknown, African
More informationRx Only. Detecting Cancer In Blood.
Epi procolon is an FDA-approved blood test for colorectal cancer screening for patients who are unwilling or unable to be screened by recommended methods. Rx Only Intended Use, Contraindications, Warnings,
More informationColorectal Cancer Screening: Cost-Effectiveness and Adverse events October, 2005
Colorectal Cancer Screening: Cost-Effectiveness and Adverse events October, 2005 David Lieberman MD Chief, Division of Gastroenterology Oregon Health and Science University Portland VAMC Portland, Oregon
More informationThe effectiveness of telephone reminders and SMS messages on compliance with colorectal cancer screening: an open-label, randomized controlled trial
Page1 of 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 The effectiveness of telephone reminders and SMS messages on compliance with colorectal cancer screening: an
More informationNational Colonoscopy Study (NCS) Screening Colonoscopy versus Annual Fecal Occult Blood Test NCT
National Colonoscopy Study (NCS) Screening Colonoscopy versus Annual Fecal Occult Blood Test NCT 00102011 Ann Zauber Sidney Winawer, Michael O Brien, John Allen, Andrew Feld, Glenn Mills, Robin Mendelsohn,
More informationPharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines
Pharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana,
More informationCombination of Sigmoidoscopy and a Fecal Immunochemical Test to Detect Proximal Colon Neoplasia
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2009;7:1341 1346 Combination of Sigmoidoscopy and a Fecal Immunochemical Test to Detect Proximal Colon Neoplasia JUN KATO,* TAMIYA MORIKAWA,* MOTOAKI KURIYAMA,*
More informationColorectal Cancer Screening. Daniel C. Chung, MD GI Unit and GI Cancer Genetics Service Massachusetts General Hospital
Colorectal Cancer Screening Daniel C. Chung, MD GI Unit and GI Cancer Genetics Service Massachusetts General Hospital March, 2018 CRC Epidemiology 4th most common malignancy in US (136,000 cases/yr) 2nd
More informationCorporate Presentation. August 2016
v Corporate Presentation August 2016 Safe harbor statement Certain statements made in this presentation contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933,
More informationWelcome to Medicare: Exam Overview
Welcome to Medicare: Exam Overview June 8, 2016 Agenda Opening Remarks Housekeeping Polling Questions Presentations Polling Questions Q&A Closing Remarks 2 Introduction to the atom Alliance Multi-state
More informationHOW TO EVALUATE ACTIVITIES INTENDED TO INCREASE AWARENESS AND USE OF COLORECTAL CANCER SCREENING. Using your toolkit to conduct an evaluation
EVALUATION TOOLKIT HOW TO EVALUATE ACTIVITIES INTENDED TO INCREASE AWARENESS AND USE OF COLORECTAL CANCER SCREENING Using your toolkit to conduct an evaluation Welcome Mary Doroshenk, MA Director National
More informationThe Canadian Cancer Society estimates that in
How Do I Screen For Colorectal Cancer? By Ted M. Ross, MD, FRCS(C); and Naomi Ross, RD, BSc To be presented at the University of Toronto s Primary Care Today sessions (October 3, 2003) The Canadian Cancer
More informationMedicare Shared Savings Program Accountable Care Organization (ACO) Measures Deep Dive Series
Medicare Shared Savings Program Accountable Care Organization (ACO) Measures Deep Dive Series Preventive Care and Screening (PREV-6): Measure 19 Colorectal Cancer Screening ACO_QRM19PPTv9_0518_IA Approved
More information