Recipe Name:

Identify under-screened population for bowel cancer

Rationale:

Bowel Cancer is the second most common cause of cancer related deaths, but 90% of bowel cancer can be treated if detected early. Regular screening, using FOBT can reduce the number of Australians who die each year from bowel cancer.

 

The National Bowel Cancer Screening Program monitoring report[1] identifies the following under-screened population, with a higher risk of bowel cancer

-       50  year old patients

-       Men

-       Aboriginal communities

-       Patients of low socioeconomic status area, and

-       Patients living in very remote regions

 

GP endorsement for bowel cancer screening using FOBT can significantly increase participation rates [2].



[1] Australian Institute of Health and Welfare 2015. National Bowel Cancer Screening Program: monitoring report 2013–14. Cancer series no. 94. Cat. no. CAN 92. Canberra: AIHW.

[2] Emery J, Trevena L, Mazza D, Fallon-Ferguson J, Shaw K, Williams B et al. The role of primary and community based healthcare professionals in early detection and follow-up in cancer care – a rapid review of best practice models: an Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW, 2012

Targets:

Target 1: 50 year old men never screened for bowel cancer screening

Target 2: Aboriginal and Torres Strait Islander patients aged 50 to 74 overdue or never been screened for FOBT

CAT Starting Point:

  1. CAT Open
  2. Population Extract Loaded and Extract Pane "Hidden"
  3. OPTIONAL ONLY{*}: Filter Pane Open and, under the General Tab, "Active Patients (3x < 2 years)" selected

*The decision to select either "Active" or "All" patients is left to the practice to make

 


Part one - Patients who never had a bowel cancer screening recorded

In the Filters Pane:

 

 

 

In the Reports Pane:

 

 

 

 


  

Target patients part two: Aboriginal and Torres Strait Islander patients aged 50 to 74 overdue or never been screened for FOBT


 

 

 

 

 


 

In the Reports Pane:

 

 

This will display 3 tabs under the FOBT report – ‘FOBT last recorded’, ‘FOBT Orders and results’ and ‘FOBT Summary Report Card’.

 

 

 

 

Click "Export" on the top right of the report tab to display the list of patients.

 

 

 


To Export Patient List to Microsoft Excel:

1.  Click on the “Export Icon”  at the top of the Patient Reidentification window.

2.  Click on “Excel”

3.   Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)

4.  Click “Save”

 

The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1.   Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records

2.  Phone patients to update their record

3.  Produce a mail merge to recall patients for follow up