Structured Abstract

Contents

• Preface
• Executive Summary
  • Introduction
  • Methods
  • Results
  • Discussion
  • Conclusions
• 1. Introduction
  • Development of Evidence and Recommendations for CRC Screening
  • Implementation of Guidelines: Use and Quality
  • Scope of this Report
  • Organization of this Report
• 2. Methods
  • Technical Expert Panel (TEP)
  • Key Questions and Analytic Framework
  • Literature Search
  • Study Selection Process
  • Literature Synthesis
  • Peer Review
• 3. Overview of Trends in Use and Quality of CRC Screening
  • KQ 1: What are the Recent Trends in the Use and Quality of CRC Screening?
  • Summary
• 4. Results
  • KQ 2: What Factors Influence the Use of Colorectal Cancer Screening?
  • Summary
  • KQ 3: Which Strategies Are Effective In Increasing The Appropriate Use Of Colorectal Cancer Screening And Followup?
  • KQ 4: Current and Projected Capacity to Deliver Colorectal Cancer Screening and Followup
  • KQ 5: Effective Approaches for Monitoring Use and Quality of Colorectal Cancer Screening
• 5. Discussion
  • Summary of Findings
  • Limitations of this Review
  • Future Research Directions
  • Conclusions
• References
• List of Abbreviations
• Glossary
• Appendixes
  • Appendix A Exact Search Strings
  • Appendix B Sample Data Abstraction Forms
  • Appendix C Evidence Tables
  • Appendix D Excluded Studies
  • Appendix E Technical Expert Panel Members and Peer Reviewers
  • Appendix F Characteristics of Studies with Poor Internal Validity
  • Appendix G Additional Material for KQ 4

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.¹ Contract No. 290-2007-10056-I. Prepared by: RTI International–University of North Carolina Evidence-based Practice Center.

Suggested citation:

Holden, DJ, Harris, R, Porterfield, DS, Jonas, DE, Morgan, LC, Reuland, D, Gilchrist, M, Viswanathan, M, Lohr, KN, Lyda-McDonald, B. Enhancing the Use and Quality of Colorectal Cancer Screening. Evidence Report/Technology Assessment No.190. (Prepared by the RTI International–University of North Carolina Evidence-based Practice Center under Contract No. 290-2007-10056-I.) AHRQ Publication No. 10-E-002. Rockville, MD: Agency for Healthcare Research and Quality. February 2010.

This report is based on research conducted by the RTI International – University of North Carolina at Chapel Hill, North Carolina (RTI-UNC) Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290‐2007-10056-I). The findings and conclusions in this document are those of the author(s) who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or of the U.S. Department of Health and Human Services.

The information in this report is intended to help health care decision-makers; patients and clinicians, health system leaders, and policymakers, make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

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