The 2019 Prevention & Early Detection of Colorectal Cancer: a CRICO Decision Support Tool, contains changes or enhancements in the following areas:
Risk Management
- Increased emphasis or clearer guidance regarding:
- patients age 45-50 with known indicators of advanced risk
- patients age 85 or older
- inadequate bowel prep (and communication among providers)
- Simplified screening guidelines for patients at normal risk
CRICO MALPRACTICE CLAIMS DATA AND EXAMPLES
- Updated data on the prevalence of colorectal cancer cases, most frequently named physician specialties, and where in the process of care systems breakdowns occur
- Updated MPL case examples
Patient Risk Assessment
- Streamlined the risk assessment process
- Highlighted shifting risk for patients under age 50
- Emphasized the increased CRC risk for patients who have a history of non-gastrointestinal malignancies treated with abdominal chemotherapy or radiation
- Added clarity regard advanced adenomas
MORE FOCUS ON KEY PROBLEM AREAS
- Added/consolidated content specific to areas of common concern:
- Patients under age 50 with rectal bleeding
- Collecting a meaningful history
- Bowel preparation
- Screening intervals
- Coordination of care
ADVANTAGES/DISADVANTAGES FOR COLORECTAL CANCER SCREENING OPTIONS
- Simplified and reorganized into three tiers per U.S. Multi-Society Task Force
- Added Cologuard-specific content
PATIENT DISCUSSION POINTS
- Enhance section regarding bowel prep
References
- Updated supporting evidence
- Added recognition of the U.S. Multi-Society Task Force as key reference
- Added listing of hereditary syndromes
For questions about the CRICO Colorectal Care Management Decision Support Tool, contact CRICO Senior Editor, Jock Hoffman.