Table 3 Documentation of completed CRC screening in the medical record
From: Patient- and system-related barriers for the earlier diagnosis of colorectal cancer
Total cases with no documentation of CRC screening completed prior to diagnosis | 45 |
|---|---|
No Screen: Age < 50 y/o | 2 |
No Screen: Age > 80 y/o | 3 |
No Screen: Age ≥50 and ≤80 y/o | 40 |
Documented offer to screen + patient declination of screening | 3 |
Documented offer to screen but lost to follow up | 1 |
Patient factors identified (N = 19 cases) | 19 |
   Frequent no-shows/cancellations | 7 |
   Declined therapy/evaluation | 11 |
   Comorbidity | 7 |
   Psychiatric diagnosis | 6 |
   Homelessness | 3 |
System factors identified (N = 24 cases) | 24 |
   Scheduling delays | 3 |
   Abnormal findings lost to follow up | 21 |
   Wt loss | 3 |
   Anemia | 13 |
   FBOT request | 1 |
   Judgment error by clinician | 3 |
No screening despite appropriate age, no patient factors identified, and ongoing antecedent care with the VA | 21 |