Katelyn K. Jetelina|Joshua S. Yudkin|Stacie Miller|Emily Berry|Alicea Lieberman|Samir Gupta|Bijal A. Balasubramanian
Patient-Reported Barriers to Completing a Diagnostic Colonoscopy Following Abnormal Fecal Immunochemical Test Among Uninsured Patients
The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|University of California, San Diego|University of California, San Diego
colorectal cancer crc screening improve survival patients abnormal fecal immunochemical test fit must followup diagnostic colonoscopy adherence followup low patientlevel barriers suboptimal adherence yet exploredto characterize barriers noncompletion diagnostic colonoscopy abnormal fit reported uninsured patients receiving care safetynet health systema longitudinal cohort study crc screening outreach 8565 patients using mailed fit kits patients abnormal fit results received telephonic navigation arrange nocost diagnostic colonoscopyadults aged 5064 years receiving care north texas safetynet health systemdescriptive analyses characterized patient sample reasons lack followup abnormal fit 3year outreach program thematic qualitative analyses characterized reasons lack followup colonoscopy abnormal fitof 689 patients abnormal fit 45 n 314 complete followup colonoscopy among 314 noncompleters 184 patients reported reasons completing followup colonoscopy included health insurancerelated challenges 38 comorbid conditions 37 social barriers transportation difficulties lack social support 29 concerns fitcolonoscopy process 12 competing life priorities 12 adverse effects bowel preparation 3 poor health literacy 3 among 314 noncompleters 131 patients report barrier 51 reported completed previous colonoscopy past 10 years 10 refused reason 10 never reached phonefuture studies aimed improving fit screening subsequent colonoscopy rates need address unique needs patients effective sustainable screening programsnct01946282