With a foundation in colorectal cancer screening, CCSP has navigated more than 30,000 people into preventive screening since its inception in 2006. During this grant cycle to-date (2 years), the Program has navigated (and screened) over 4,140 individuals to-date for colorectal cancer screening. Cancer has been detected in over 350 patients, including 29 in the current grant cycle, that if not caught would have gone on later to more advanced disease, poorer prognosis and diminished quality of life. CCSP estimates that we have also prevented over 550 cancers (detection of advanced adenomas) and saved the health care system conservatively $12-15M based on the conservative amount to treat these cancers (first course of therapy) minus the program costs.
- Although 12% of Coloradan’s live in rural communities, 17% of individuals screened and navigated on behalf of the Program lived in rural areas. CCSP has partnered with 24 clinic systems (over 100 clinic sites) this grant cycle and over 200 medical partners through the course of the program including hospitals, screening providers, pathology teams and treatment centers statewide. The program has served patients from every county in Colorado.
- CCSP continues to reach the adult and older adult population with evaluation data suggesting 69% of the patients screened are aged 50-65 (the target population for the first ten years). The Program is now growing to reach younger people, as 13% of those screened are under age 50 and at increased risk of CRC (data suggests CRC incidence rates are on the rise for those under 50). There is also a shift to navigate older adults over age 65 and with Medicare, making up 18% of the population navigated and screened. CCSP is driving screening to public and private insurance programs to build capacity.
- CCSP has made a dedicated effort to work with the racial and ethnic groups most at risk. In the current grant cycle, 40% of those navigated self-report as Hispanic and 7% self-report as Black. Asian American and Native American populations comprise 3% of those navigated and 48% report as Non-Hispanic White.
The Colorado Cancer Screening Program (CCSP) is a highly efficient and cost-effective program to decrease incidence and mortality from lung, colorectal and genetic/familial cancer conditions. As a preventive cancer screening program with patient navigation as a key active ingredient, when combined with other clinic-based initiatives, CCSP is a cost-effective means to lessen the burden of the top two cancer killers and one of the only initiatives to address familial and genetic testing on a population-based level within the safety net settings.