2835 The Impact of Patient Educational Poster in Colorectal Cancer Screening at a Resident Primary Care Clinic

Abstract

INTRODUCTION: Colorectal cancer (CRC) is the third leading cause of death in the US in women and the second leading cause of death in men. CRC mortality has been progressively declining since 1990, thanks in part to an increased rate of CRC screening. One of the biggest deterrents to CRC screening is lack of information about the various screening modalities and preparation process. Additional information for patients would be beneficial for increased adherence to guideline-directed CRC screening. METHODS: In this study, aggregate data was collected via EHR for the WPMA Medicine Resident Clinic cohort to establish baseline patient adherence to CRC screening (defined by referral and follow through with CRC screening e.g. via colonoscopy, ColoGuard, or FIT screening). A poster was developed with information on CRC screening that included information on procedures, specimen collections, and insurance coverage for each modality and placed in resident examination rooms. Adherence data was collected in aggregate every 5 weeks (equivalent to a 5-week cycle of resident cohort rotations). Another resident clinic in which no posters were placed was used as a control group. RESULTS: Baseline adherence to CRC screening for the selected cohort was 28.5%. Since the placement of educational posters screening adherence collected in 5-week intervals showing an increase in adherence with rates of 36.0%, 37.6%, 36.2%, 37.3%, a total increase of approximately 8.8%. The control group with similar screening adherence revealed an increase of adherence of 2%. CONCLUSION: Data collection is ongoing, and we hypothesize that the implementation of patient education through posters in resident examination rooms will increase adherence to appropriate screening.