P1135 - Fast Track Screening Colonoscopy Program in Colorectal Cancer Prevention

Presenting Author(s)

• 

  Sita Chokhavatia

  Robert Wood Johnson Medical School

Ephraim S. Casper, MD¹, Sita Chokhavatia, MD, MACG², Haleh Pazwash, MD², Sobeida Santana-Joseph, MSN, RN¹, Leslie Ringelstein, MS, RN, APN, FNP², Kathleen McKenna, MSN, RN², Mitchell Rubinoff, MD³

¹The Valley Hospital, Paramus, NJ; ²The Valley Hospital, Ridgewood, NJ; ³The Valley Health System, Ridgewood, NJ

Introduction: Purpose/Specific Aims: The purpose of this study is to assess the progress of the Fast Track Screening Colonoscopy program at The Valley Hospital in Ridgewood, NJ since its launch in June 2018.

Objectives: - To assess if this program can be effective in a suburban hospital.
- To assess if this program can streamline the process of getting a screening colonoscopy.
- To assess if this program can be safely administered.

Hypotheses / Research Question(s): In 2015, The Valley Hospital (TVH) made a commitment to the American Cancer Society and National Colorectal Roundtable to serve as a partner in achieving its 80% Screened for Colorectal Cancer (CRC) by 2018 initiative. The 2015 Community Health Needs Assessment revealed that 40% of healthy residents in the TVH service area do not undergo CRC screening. The need for healthy patients to consult with a gastroenterologist or colorectal surgeon prior to colonoscopy was identified as one barrier. The Fast Track Screening Colonoscopy program was developed to eliminate consultation before the procedure. In this program, a Nurse Practitioner/Navigator screens patients for eligibility, schedules colonoscopy, and performs a physical assessment in the endoscopy unit immediately prior to colonoscopy.

Methods: This is a retrospective review of prospectively collected data from 524 patients who contacted TVH about participation in Fast Track Screening Colonoscopy, focusing on the 124 patients who actually completed the program.

Results: The program launched on June 18, 2018. As of April 29, 2019, 124 patients have undergone screening colonoscopies in the Fast Track Screening Colonoscopy program. No serious adverse events were reported.

Table 1. Characteristics of our patient population.
Table 2. Inclusion/Exclusion criteria.
Table 3. Pathology results in 57 patients.

Discussion: What have we learned/accomplished?

- This program attracted a large number of individuals interested in screening colonoscopy.
- This program has successfully performed 124 screening colonoscopies in our suburban hospital from June 2018 to April 2019.
- Adenometous and hyperplastic polyps were identified in 46 patients.
- This program has streamlined the process of getting a screening colonoscopy.
- There were no serious adverse events.

This program with a dedicated Nurse Practitioner/Navigator can be adopted to increase CRC screening. Patients with adenoma will follow-up for surveillance with the provider to whom they were assigned. Further efforts will be directed toward expanding this program.

Disclosures:

Citation: Ephraim S. Casper, MD; Sita Chokhavatia, MD, MACG; Haleh Pazwash, MD; Sobeida Santana-Joseph, MSN, RN; Leslie Ringelstein, MS, RN, APN, FNP; Kathleen McKenna, MSN, RN; Mitchell Rubinoff, MD. P1135 - FAST TRACK SCREENING COLONOSCOPY PROGRAM IN COLORECTAL CANCER PREVENTION. Program No. P1135. ACG 2019 Annual Scientific Meeting Abstracts. San Antonio, Texas: American College of Gastroenterology.