Addressing Disparities in Outcomes of Screening for Colorectal Cancer in Community-Based Settings

This study will evaluate the colorectal cancer screening continuum — tests, screening quality, follow-up care, and health outcomes — over a 20-year time period that covers before, during, and after implementation of an organized colorectal cancer screening at KPNC and KPSC. We will examine receipt and quality of screening by race and ethnicity as well as trends in colorectal cancer screening outcomes by race and ethnicity. We will also use microsimulation modeling to estimate the relative contribution of screening process care gaps on racial and ethnic disparities in colorectal cancer incidence and mortality in various populations.

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