Laura C. Seeff, Amy DeGroff, Djenaba A. Joseph, Janet Royalty, Florence K. L. Tangka, Marion R. Nadel and Marcus Plescia Moving forward: Using the experience of the CDCs' Colorectal Cancer Screening Demonstration Program to guide future colorectal cancer programming efforts Cancer 119
The Centers for Disease Control and Prevention (CDC) supported a 4-year Colorectal Cancer Screening Demonstration Program (CRCSDP) from 2005 to 2009 for low-income, under- or uninsured men and women aged 50-64 at 5 participating US sites. A multiple methods evaluation was conducted in conjunction with program implementation including 1) a longitudinal, multiple case study of program implementation; 2) analysis of client-level screening and diagnostic services outcome data; and 3) a cost study. Several themes emerged from the series of articles in this supplement including the benefit of building on an existing infrastructure, strengths and weaknesses the 2 most frequently used screening tests (colonoscopy and fecal occult blood tests), costs of the screening tests used in this program, and the continued importance of measuring the quality of screening tests. Critical lessons were learned through the implementation and evaluation of the CDC's CRCSDP, which informed the development of a larger follow-up population-based program.
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