Completion of colon cancer screening Cancer
Conditions
Interventions
Patients who are average risk, asymptomatic, and due for colon cancer screening will be identified via a national VA cohort identification tool. Primary care providers will be split into two arms. Eli
Sponsors
Minneapolis VA Health Care System
Eligibility
Sex/Gender
All
Age
45 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Is not deceased 2. Is a Veteran 3. Must have deliverable address 4. Active or pending primary care provider assignment
Exclusion criteria
Exclusion criteria: 1. Exclude patients from Northern Mariana Islands, Armed Forces Pacific, Palau, Virgin Islands, American Somoa, Armed Forces AF, EU, ME, CA, Puerto Rico, or any foreign country 2. CAN score with 1 year mortality rate of >50% 3. Have received hospice care in the last two years 4. Have received palliative care in the last year 5. Have had ulcerative colitis diagnosis in the last year 6. Have had crohn disease diagnosis in the last year 7. History of adeoma in the last year 8. Have had metastatic cancer diagnosis in the last year 9. Any total colectomy procedures in the last year 10. Frailty and advanced illness diagnosis in the last year 11. Clopidogrel (or other thienopyridine) prescription in the last four months of prescription and no prescription for 121-365 days prior 12. Have had FOBT in the last 10 months 13. Have had colonoscopy in the last 112 months 14. Have had a CT colonography in the last 54 months 15. Have had a DNA FIT in the last 33 months 16. Have had a Flex Sigmoid in the last 4.5 years 17. Active/pending/scheduled colonoscopy consults in the last 90 days 18. Have existing mailed FIT orders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome as of 01/05/2026: Completion of colon cancer screening within 1 year after being mailed a FIT kit, measured using patient records Previous primary outcome: Completion of colon cancer screening completion 4 weeks after being mailed a FIT kit, measured using patient records | — |
Secondary
| Measure | Time frame |
|---|---|
| Reach of the intervention - proportion of patients that schedule a colonoscopy following a positive test measured using patient records at the end of the study | — |
Countries
United States of America
Contacts
Public ContactSusan Lou
Outcome results
None listed