Percent-screen-eligible-patients-colorectal-screening

INDICATOR NAME

Name

Percentage of screen-eligible patients up-to-date with colorectal screening

Alternate Name

Percentage of screen-eligible patients up-to-date with colorectal screening

INDICATOR DESCRIPTION

Description

Percentage of screen eligible patients aged 52 to 74 years who had a FOBT/FIT within the past two years, other investigations (i.e., flexible sigmoidoscopy) or colonoscopy within the past 10 years.

Indicator Status

Active

HQO Reporting tool/product

Ontario Health Teams: Quality

Dimension

Effective

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

(Number of screen eligible patients aged 52 to 74 years who had a FOBT/FIT within past two years, other investigations (e.g. flexible sigmoidoscopy) or a colonoscopy within the past 10 years) / (Number of screen-eligible patients aged 52 to 74 years at index date) X100%

Numerator including inclusion/exclusion

Inclusions:
• Patients who received one of the following:
• A fecal occult blood testing (FOBT) or FIT (L181 or G004, L179, Q152, Q043, Q133) in the past 2 years
• A colonoscopy in the previous 10 years, codes Z491 through Z499, or Z555
• A flexible sigmoidoscopy in the previous 10 years, code Z580

Denominator including inclusion/exclusion

Exclusions:
• Patients with a missing or invalid HCN, date of birth or postal code
• Patients who have ever had colon cancer, inflammatory bowel disease or colectomy
• Palliative care patients identified from hospital and physician billing claims data. Please see Appendix for classification and billing codes

Data Source

CIHI (Canadian Institute of Health Information), Ontario Cancer Registry (OCR), Ontario Health Insurance Plan (OHIP) Claims History Database, Registered Persons Database (RPDB), Same-day Surgery Database (SDS)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Other

OTHER RELEVANT INFORMATION

Caveats and Limitations

Limitations / Caveats • A small proportion of FOBTs performed as diagnostic tests could not be excluded from the analysis. • FOBTs analyzed in hospital labs could not be captured.