Table 2. Program Factors Associated With Reaching Target Monthly Screening Test Volumes After Participation in the National Return-to-Screening Quality Improvement Studya.
Characteristic | Programs, No. (%) | Adjusted OR (95% CI) | P value | |
---|---|---|---|---|
Reached target | ||||
No (n = 181 [21%]) | Yes (n = 676 [79%]) | |||
Disease site | ||||
Breast | 112 (25) | 340 (75) | 1 [Reference] | NA |
Colon | 27 (20) | 107 (80) | 1.8 (1.0-3.2) | .04 |
Lung | 31 (13) | 213 (87) | 2.8 (1.7-4.7) | <.001 |
Cervix | 12 (41) | 17 (59) | 0.6 (0.3-1.3) | .18 |
Facility location | ||||
Northeast | 36 (20) | 141 (80) | 1 [Reference] | NA |
Midwest | 51 (23) | 173 (77) | 1.0 (0.6-1.6) | .88 |
South | 60 (19) | 257 (81) | 1.2 (0.8-2.0) | .38 |
West | 34 (25) | 105 (76) | 0.9 (0.5-1.6) | .80 |
Type of institution | ||||
Community cancer program | 27 (20) | 107 (80) | 1 [Reference] | NA |
Comprehensive community cancer program | 44 (19) | 193 (81) | 1.0 (0.6-1.8) | .98 |
Academic or research program | 15 (21) | 58 (80) | 0.9 (0.4-1.9) | .78 |
Integrated network cancer program | 30 (23) | 101 (77) | 0.7 (0.4-1.3) | .23 |
Other program | 6 (23) | 20 (77) | 0.8 (0.3-2.3) | .70 |
National Accreditation Program of Breast Centers–accredited breast center | 60 (23) | 198 (77) | 1.2 (0.7-2.0) | .62 |
Baseline screening deficit | ||||
None | 73 (19) | 304 (81) | 1 [Reference] | NA |
0%-10% | 45 (22) | 161 (78) | 1.1 (0.7-1.6) | .82 |
>10% | 64 (23) | 212 (77) | 0.8 (0.5-1.2) | .21 |
Intervention strategy | ||||
Single component | 12 (17) | 58 (83) | 1 [Reference] | NA |
Multicomponent | 170 (22) | 619 (79) | 0.8 (0.4-1.6) | .51 |
Abbreviations: NA, not applicable; OR, odds ratio.
Target monthly screening test volume for each quality improvement project was calculated before the intervention according to differences in mean monthly screening test volume between representative prepandemic and pandemic time period. Reaching target during the 6-month intervention period indicated that programs achieved a minimum of 10% increase in monthly screening test volume as well as close any residual gaps in screening.