Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
September 14, 2026The American Surgeon

Maintaining Equitable Follow-Up After Positive Stool-Based Colorectal Cancer Screening in Rural Populations

View Full Paper
Ask AI
Bookmark
Share

Authors

ADAnthony J. DuncanSBSamuel J. BloomsburgJHJoclyn Seiler Hall

Discussion

Loading...

Member takes

Overview

Observational study reveals equitable colonoscopy follow-up after positive stool screening in rural patients, suggesting stool tests do not exacerbate rural healthcare barriers.

Key Points

  • To evaluate whether implementing stool-based colorectal cancer screening affects follow-up diagnostic colonoscopy rates and wait times among rural patients compared to non-rural patients.
  • Retrospective single-institution observational study of 688 adults (494 non-rural, 194 rural) with a positive stool-based test between January and December 2024.
  • Classified rural versus non-rural status using Rural-Urban Commuting Area (RUCA) codes derived from ZIP codes.
  • Evaluated follow-up colonoscopy rates, median time to diagnostic colonoscopy, and procedural findings including polyp types.
  • Follow-up colonoscopy completion rates were 92% in non-rural patients versus 88% in rural patients (P = 0.1002).
  • Median time to colonoscopy was 53 days for non-rural versus 44 days for rural patients (P = 0.10), though rural patients used outside facilities more frequently (12% vs 5%, P = 0.008).
  • Overall polyp detection rates were 91% non-rural versus 92% rural (P = 0.87), showing comparable detection of tubular and tubulovillous adenomas.

Cite This Study

Duncan et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2530926e14a848b0bffhttps://doi.org/10.1177/00031348261486924
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Rates and Timing of Follow-up Colonoscopy After a Positive Stool-Based Test in an Integrated Health System2026
  2. 2Barriers to Diagnostic Colonoscopy After a Positive Stool-Based Screening Test: A Scoping Review2026
  3. 3Colorectal Cancer Risk With Negative Colonoscopy or Nonadherence After Positive FOBT Screening2026 · 2 citations
  4. 4Patient-centred approach to improve colorectal cancer screening (CRC) in resource-limited communities2026
  5. 5Evaluation of intervention strategies to improve follow-up after FIT/FOBT tests: A systematic review and meta-analysis.2026