TABLE 1.
Target endpoints for Lynch Syndrome screening in the colorectal cancer specialty clinic.
| Outcome measures | Conventional care 2/28/13-6/30/13 | Universal tumor screening 7/1/13-12/31/13 |
|---|---|---|
| New colorectal cancer cases seen | 30 | 44 |
| Received screening | 9/30 (30%) | 32/44 (73%) |
| MSI + IHC | 6 (67%) | 23 (74%) |
| MSI only | 1 (11%) | 5 (16%) |
| IHC only | 2 (22%) | 3 (10%) |
| Did not have screening | 21/30 (70%) | 13/44 (30%) |
| Prior screening or Lynch syndrome diagnosis | 0 | 5 (39%) |
| Patient declined | 0 | 3 (23%) |
| Insurance non-coverage | 0 | 3 (23%) |
| Reason unknown | 21 (100%) | 2 (15%) |
| Genetics evaluation | 4 | 10 |
| Same day appointment offered | 0 | 3 |
MSI = microsatellite instability; IHC = immunohistochemistry