Expanding access to colorectal cancer screening: Benchmarking quality indicators in a primary care colonoscopy program

David A. McClellan, Chinedum O. Ojinnaka, Robert Pope, John Simmons, Katie Fuller, Andrew Richardson, Janet W. Helduser, Phillip Nash, Marcia G. Ory, Jane N. Bolin

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background: An inadequate supply of physicians who perform colonoscopies contributes to suboptimal screening rates, especially among the underserved. This shortage could be reduced if primary care physicians perform colonoscopies. This purpose of this article is to report quality indicators from colonoscopy procedures performed by family medicine physicians as part of a colorectal cancer prevention program targeting uninsured, low-income individuals. Methods: A grant-funded colorectal cancer screening program was implemented to increase access to affordable colonoscopies for underinsured or uninsured residents of target counties while providing colonoscopy training to family medicine resident physicians. Colonoscopies were performed or supervised by 4 board-certified family physicians. Data were collected between 2011 and 2014. Results: A total of 1155 colonoscopies were performed on 1101 individuals over a 3-year period. Cecal intubation rate was 96.25%. Adenoma detection rates among men and women >50 years old were 38.15% and 25.96%, respectively. There was 1 perforation, which was referred to a hospital, and 1 instance of postprocedural bleeding, which spontaneously resolved. Conclusions: Primary care physicians performing colonoscopies met the recommended quality indicators set forth by the American Society for Gastrointestinal Endoscopy.

Original languageEnglish (US)
Pages (from-to)713-721
Number of pages9
JournalJournal of the American Board of Family Medicine
Issue number6
StatePublished - Nov 1 2015


  • Access to health care
  • Cancer
  • Colonoscopy
  • Prevention & control
  • Primary health care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice


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