Colorectal Cancer Screening Demonstration Program Evaluation

In August 2013, CDC’s Division of Cancer Prevention and Control sponsored a special issue of Cancer titled “Comprehensive Evaluation of the Centers for Disease Control and Prevention’s Colorectal Cancer Screening Demonstration Program.”

From 2005 through 2009, CDC administered a Colorectal Cancer Screening Demonstration Program (CRCSDP) for low-income, underinsured, or uninsured men and women between the ages of 50 and 64 years in five sites in the United States. The program’s goal was to assess the feasibility of establishing a federally funded, comprehensive colorectal cancer screening program for an underserved population, and to describe key outcomes that could guide future organized colorectal cancer screening.

Evaluation of the Startup Period

In April 2008, CDC published four articles in one issue of Preventing Chronic Disease describing the startup period (the time between initial program funding and starting to screen patients, which ranged from 9 to 11 months) for each of the five sites—

• Start-up of the Colorectal Cancer Screening Demonstration Program.
• Facilitators and challenges to start-up of the Colorectal Cancer Screening Demonstration Program.
• Cost of starting colorectal cancer screening programs: results from five federally funded demonstration programs.
• Development of a federally funded demonstration colorectal cancer screening program.

Evaluation of the Full Program

The collection of 13 articles in this supplement to Cancer complement the earlier articles on program startup, and document the full experience and evaluation of the CRCSDP. Three articles describe clinical and quality outcomes; two describe programmatic and clinical costs; three are based on a multiple-case study that describes the overall implementation experience; and four are written by and about individual sites.

• Seeff LC, Rohan EA. Lessons learned from CDC’s Colorectal Cancer Screening Demonstration Program. Cancer 2013;119 Suppl 15:2817–2819.
• Seeff LC, Royalty J, Helsel WE, Kammerer WG, Boehm JE, Dwyer DM, Howe WR Jr, Joseph D, Lane DS, Laughlin M, Leypoldt M, Marroulis SC, Mattingly CA, Nadel MR, Phillips-Angeles E, Rockwell TJ, Ryerson AB, Tangka FK. Clinical outcomes from CDC’s Colorectal Cancer Screening Demonstration Program. Cancer 2013;119 Suppl 15:2820–2833.
• Nadel MR, Royalty J, Shapiro JA, Joseph D, Seeff LC, Lane DS, Dwyer DM. Assessing screening quality in CDC’s Colorectal Cancer Screening Demonstration Program. Cancer 2013;119 Suppl 15:2834–2841.
• Lane DS, Messina CR, Cavanagh MF, Anderson JC. Delivering colonoscopy screening for low-income populations in Suffolk County: strategies, outcomes, and benchmarks. Cancer 2013;119 Suppl 15:2842–2848.
• Castro G, Azrak MF, Seeff LC, Royalty J. Outpatient colonoscopy complications in CDC’s Colorectal Cancer Screening Demonstration Program: a prospective analysis. Cancer 2013;119 Suppl 15:2849–2854.
• Subramanian S, Tangka FK, Hoover S, Beebe MC, Degroff A, Royalty J, Seeff LC. Costs of planning and implementing CDC’s Colorectal Cancer Screening Demonstration Program. Cancer 2013;119 Suppl 15:2855–2862.
• Tangka FK, Subramanian S, Beebe MC, Hoover S, Royalty J, Seeff LC. Clinical costs of colorectal cancer screening in 5 federally funded demonstration programs. Cancer 2013;119 Suppl 15:2863–2869.
• Rohan EA, Boehm JE, Degroff A, Glover-Kudon R, Preissle J. Implementing CDC’s Colorectal Cancer Screening Demonstration Program: wisdom from the field. Cancer 2013;119 Suppl 15:2870–2883.
• Phillips-Angeles E, Song L, Hannon PA, Celedonia M, Stearns S, Edwards K, Feest S, Shumann A. Fostering partnerships and program success. Cancer 2013;119 Suppl 15:2884–2893.
• Cavanagh MF, Lane DS, Messina CR, Anderson JC. Clinical case management and navigation for colonoscopy screening in an academic medical center. Cancer 2013;119 Suppl 15:2894–2904.
• Villanueva R, Gugel D, Dwyer DM. Collaborating across multiple health care institutions in an urban colorectal cancer screening program. Cancer 2013;119 Suppl 15:2905–2913.
• Boehm JE, Rohan EA, Preissle J, Degroff A, Glover-Kudon R. Recruiting patients into CDC’s Colorectal Cancer Screening Demonstration Program: Strategies and challenges across 5 sites. Cancer 2013;119 Suppl 15:2914–2925.
• Glover-Kudon R, Degroff A, Rohan EA, Preissle J, Boehm JE. Developmental milestones across the programmatic life cycle: implementing CDC’s Colorectal Cancer Screening Demonstration Program. Cancer 2013;119 Suppl 15:2926–2939.
• Seeff LC, Degroff A, Joseph DA, Royalty J, Tangka FK, Nadel MR, Plescia M. Moving forward: Using the experience of CDC’s Colorectal Cancer Screening Demonstration Program to guide future colorectal cancer programming efforts. Cancer 2013;119 Suppl 15:2940–2946.