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July 26, 2026Digestive Diseases and SciencesOpen Access

The COMPLETE-CRC Screening Initiative: Increasing Colonoscopy Completion After Positive Stool-Based Colorectal Cancer Screening

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Authors

AAAkram AbushammaSWSusannah WolfeGLGabriella Lakatos

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Overview

Quality improvement study reveals outreach increases colonoscopy completion rates in Ohio patients with positive SBTs.

Key Points

  • To improve colonoscopy completion rates to ≥ 80% within 6 months after positive stool-based tests.
  • Included adults aged 45-75 years with positive stool-based tests from August 2023 to August 2024.
  • Patients were contacted either directly or indirectly by a patient navigator to address barriers to colonoscopy.
  • Used multivariable logistic regression to identify factors associated with colonoscopy completion.
  • Out of 2,548 patients, 803 (31.5%) had not completed colonoscopy; completion rates improved from 68.5% to 70.2%.
  • Direct contact increased colonoscopy completion significantly compared to indirect outreach (16.7% vs 2.1%; p < 0.001).
  • Older age was associated with lower odds of colonoscopy completion (aOR 0.94; 95% CI 0.90-0.98; p = 0.007).

Cite This Study

Abushamma et al. (2026) studied this question.

synapsesocial.com/papers/6a65a551d3aea3239cd77660https://doi.org/10.1007/s10620-026-10137-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The COMPLETE-CRC screening initiative: Increasing colonoscopy completion after positive stool-based colorectal cancer screening.2026
  2. 2Rates and Timing of Follow-up Colonoscopy After a Positive Stool-Based Test in an Integrated Health System2026
  3. 3Patient-centred approach to improve colorectal cancer screening (CRC) in resource-limited communities2026
  4. 4Patient Navigation to Improve Colonoscopy Completion After an Abnormal Stool Test Result2025 · 13 citations
  5. 5Development of a Follow-Up Measure to Ensure Complete Screening for Colorectal Cancer2024 · 9 citations