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.

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 (short description i.e. not inclusions/exclusions)

Number 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

Denominator (short description i.e. not inclusions/exclusions)

Number of screen-eligible patients aged 52 to 74 years at index date

Adjustment (risk, age/sex standardization)- generalized

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.

Comments Summary

Comments Definition updated in November 2016 to exclude barium enema and rigid sigmoidoscopy to align with CCO’s definition. On June 24, 2019, Ontario transitioned from the guaiac fecal occult blood test (gFOBT) to the fecal immunochemical test (FIT) in the ColonCancerCheck Program as the recommended screening test for people at average risk of developing colorectal cancer. Beginning with the September 2019 data cycle, the CRC screening indicator has been updated, including the addition of FIT. Beginning with the March 2020 data cycle, OHIP fee codes L181 and G004 were excluded for OHIP services rendered beginning January 2020 as gFOBT is no longer considered up-to-date for colorectal cancer screening. This indicator is selected as a Collaborative Quality Improvement Plan indicator (cQIP) in 2022/23. Indicator is reported at OHT level with reporting period of April 2020 – March 2021.