Shifa Umar, MD
Pittsburgh, Pennsylvania
Shifa Umar, MD, Jordan Gladys-Oryhon, DO, Rita Cole, MBA, BS, Payal Thakkar, PharmD, Aslam Syed, MD, Elie Aoun, MD, Heitham Abdul-Baki, MD, Michael Babich, MD, Bruce Bradley, DO, Abhijit Kulkarni, MD, Renee Flannagan, MD, Raktima Goswami, MD, Sandra El-Hachem, MD, Paul J. Lebovitz, MD, Manish Dhawan, MD, Jennifer Hadam, MD, Gustavo Gomez, MD, Hussam Kandil, MD, Marcia Mitre, MD, Cristina Strahotin, MD, Michael L. Mlecko, MD, Irving Gottfried, MD, MPH, Kenneth Glick, MD, Robin Midian, MD, Rachel Toney, MD, Suzanne Morrissey, MD, Akash Gadani, MD, Preethi Chintamaneni, MD, Ragunath Appasamy, MD, Jose Oliva, MD, Michelle Pfister, BSN, Dianna Deweese, GurSimran Kochhar, MD, Susan Manzi, MD, Brian M. Parker, MD, Shyam Thakkar, MD, Katie Farah, MD
Allegheny Health Network, Pittsburgh, PA
Introduction: Colorectal cancer screening remains underutilized with 66-67% of adults 50-75 years old being up to date with screening. The National CRC Roundtable and the ACG aimed to increase screening rates to 80% by 2018.To achieve this goal, screening colonoscopy was provided on Saturdays to improve access and provide for patients who could not take a day off of work. We evaluated the impact of improved access to colonoscopy through Saturday screenings.
Methods: In March 2018, Fall 2018, March 2019, colonoscopies were scheduled with 28 different providers on 12 Saturdays at 8 different sites. Patients were asked to complete a brief survey to capture demographics and reasons for choosing a Saturday for their colonoscopy. Pathology results and adenoma detection rates were collected and analyzed 1 week after procedure.
Results: 220 colonoscopies were scheduled and 214 procedures performed with 6 no-show/cancellations. 207 surveys were completed. Public awareness for Saturday colonoscopies was provided through our Network hospital and healthcare insurance provider websites as well as physician practices, and social media. The mean age of participants was 55 years with the majority being Caucasian and female. Post procedure results were analyzed for the number and size of polyps, polyp pathology, and resultant surveillance intervals. Of the 207 procedures, 37.7% (n=78) of patient has at least one adenoma. Figure 1 shows breakdown of adenoma type by number of patients. Surveillance intervals changed to 5, 3 and 1 year for 37% (n=76), 14% (n=30), and 3% (n=6) of patients, respectively (Figure 2). We also found that 86% of patients were more likely to complete their colonoscopy if scheduled on a Saturday. 42% indicated that the major reason for delay in scheduling was inability to take a day off of work (Table 1).
Discussion: The impact of Saturday colonoscopies within our large Network and surrounding community is evidenced by the overwhelming response that patients would be more likely to complete their screening colonoscopy on a Saturday, if offered. The convenience of non-traditional Saturday scheduling provides substantial positive impact in our mission to improve colorectal cancer screening rates in Western Pennsylvania and to provide high quality care as well as with improved patient experience.
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Citation: Shifa Umar, MD, Jordan Gladys-Oryhon, DO, Rita Cole, MBA, BS, Payal Thakkar, PharmD, Aslam Syed, MD, Elie Aoun, MD, Heitham Abdul-Baki, MD, Michael Babich, MD, Bruce Bradley, DO, Abhijit Kulkarni, MD, Renee Flannagan, MD, Raktima Goswami, MD, Sandra El-Hachem, MD, Paul J. Lebovitz, MD, Manish Dhawan, MD, Jennifer Hadam, MD, Gustavo Gomez, MD, Hussam Kandil, MD, Marcia Mitre, MD, Cristina Strahotin, MD, Michael L. Mlecko, MD, Irving Gottfried, MD, MPH, Kenneth Glick, MD, Robin Midian, MD, Rachel Toney, MD, Suzanne Morrissey, MD, Akash Gadani, MD, Preethi Chintamaneni, MD, Ragunath Appasamy, MD, Jose Oliva, MD, Michelle Pfister, BSN, Dianna Deweese, GurSimran Kochhar, MD, Susan Manzi, MD, Brian M. Parker, MD, Shyam Thakkar, MD, Katie Farah, MD. P0212 - IMPACT AND OUTCOMES OF A WEEKEND SCREENING COLONOSCOPY PROGRAM IN A LARGE HEALTH NETWORK IN WESTERN PENNSYLVANIA. Program No. P0212. ACG 2019 Annual Scientific Meeting Abstracts. San Antonio, Texas: American College of Gastroenterology.