Abstract
Background: Colorectal cancer (CRC) screening with stool-based tests, including fecal immunochemical test (FIT), can reduce CRC mortality if patients with normal test results repeat testing annually and those with abnormal results receive timely follow-up with colonoscopy. However, most studies focus on one discrete step rather than longitudinal adherence to screening (ie, undergoing repeat screening and timely follow-up). We examined patterns of repeat CRC screening and follow-up of abnormal results over a 4-year period at Parkland Health & Hospital System, a large, integrated safety-net health care system in Dallas County, Texas.
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