Table 2:
Simulated time between screening events for different steps in the screening process. Bolded and shaded screening times reflect delays relative to guideline concordant screening.
Scenario | 1. Screening Initiation | 2. Next FIT after a Normal FIT | 3. Follow-Up Colonoscopy After an Abnormal FIT | 4. Time to Surveillance Colonoscopy | 5. Return to FIT Screening After a Normal Colonoscopy |
---|---|---|---|---|---|
Guideline concordant screening | Age 50 | 1 year | 0 months | 1 to 10 years* | 10 years |
1 year delay in screening initiation | Age 51 | 1 year | 0 months | 1 to 10 years* | 10 years |
5 year delayed in screening initiation | Age 55 | 1 year | 0 months | 1 to 10 years* | 10 years |
3-month delay in repeated FIT screening after a negative FIT | Age 50 | 15 months | 0 months | 1 to 10 years* | 10 years |
6-month delay in repeated FIT screening after a negative FIT | Age 50 | 18 months | 0 months | 1 to 10 years* | 10 years |
3-month delay in follow-up colonoscopy after an abnormal FIT | Age 50 | 1 year | 3 months | 1 to 10 years* | 10 years |
6-month delay in follow-up colonoscopy after an abnormal FIT | Age 50 | 1 year | 6 months | 1 to 10 years* | 10 years |
3-month delay in receipt of surveillance colonoscopy | Age 50 | 1 year | 0 months | +3 months ** | 10 years |
6-month delay in receipt of surveillance colonoscopy | Age 50 | 1 year | 0 months | +6 months ** | 10 years |
1-year delay in return to screening after normal surveillance or follow-up colonoscopy | Age 50 | 1 year | 0 months | 1 to 10 years* | 11 years |
5-year delay in return to screening after normal surveillance or follow-up colonoscopy | Age 50 | 1 year | 0 months | 1 to 10 years* | 15 years |
Consistent modest delays | Age 51 | 15 months | 3 months | +3 months ** | 11 years |
Consistent large delays | Age 55 | 18 months | 6 months | +6 months *** | 15 years |
Next surveillance exam after prior exam finding at least one adenoma, based on guidelines shown in Table 1
Next surveillance exam after prior exam finding at least one adenoma, based on guidelines shown in Table 1 plus 6 months
Next surveillance exam after prior exam finding at least one adenoma, based on guidelines shown in Table 1 plus 1 year