A Single Institution Experience in Compliance with Universal Screening for @entity4309 in XXXX .

@entity1 @entity14 @entity5 @entity4309
BACKGROUND: Detection of @entity4309 has the potential to reduce morbidity and mortality among @entity1 and their family members due to beneficial screening and treatment options. Several institutions have begun to adopt universal rather than risk-stratified screening protocols, but the lack of 100  % compliance rates requires identification of system-level interventions to improve screening practices. OBJECTIVE: We aimed to identify @entity1 , @entity5 , and system factors associated with lack of screening and identify system-based interventions to improve @entity4309 screening. DESIGN AND SETTINGS: This study is a retrospective analysis of @entity4309 screening among @entity14 @entity1 undergoing surgery in a single healthcare system. @entity1 : Two hundred and sixty-two @entity1 who underwent surgery for @entity14 were studied. MAIN OUTCOME MEASURES: Rate of @entity4309 screening. RESULTS: We identified that 75  % of the total cohort was screened for @entity4309 . Of @entity1 under the age of 50, 78  % percent were screened. Lower screening rates were found among @entity1 with complete pathologic @entity5 response and lower pathologic stage of @entity5 . Higher screening rates were found at the academic hospital and with colorectal surgeons. In multivariable logistic regression analysis, lower screening rates were associated with community hospital location (OR, 0.22; 95  % CI, 0.08-0.56). LIMITATIONS: Results may not be generalizable to different hospital settings. CONCLUSIONS: Several potential system-level interventions were identified to improve screening rates including an emphasis on improved provider communication.
