Outcome | Operational definition | Data source(s) | Timing |
---|---|---|---|
CRC screening completion | Proportion of participants who completed CRC screening using any of the screening modalities recommended by the United States Preventive Services Task Force (FIT, FOBT, FIT-DNA, colonoscopy, flexible sigmoidoscopy, flexible sigmoidoscopy with FIT, CT colonography) | EHR chart review | 6 months after randomization (round 1) or FIT mail date (round 2) |
Mailed FIT completion | Proportion of participants in the intervention (mailed FIT) arm who return a completed FIT | Commercial laboratory’s online portal, REDCap database | 60 days, 90 days, and 6 months after randomization (round 1) or FIT mail date (round 2) |
Follow-up (diagnostic) colonoscopy completion | Proportion of participants with a positive (abnormal) FIT/FOBT result for whom colonoscopy is deemed to be clinically appropriate by the patient's provider who complete a follow-up (diagnostic) colonoscopy | EHR chart review, REDCap database | 6 months after referral for a follow-up colonoscopy |
CRCs and advanced adenomas detected | Number of CRCs and advanced adenomas detected among participants who complete a screening or follow-up (diagnostic) colonoscopy | EHR chart review | 12 months after referral for a follow-up colonoscopy |
Time from CRC diagnosis to the date of evaluation for CRC treatment | Number of days from CRC diagnosis to the date of evaluation for CRC treatment | EHR chart review | Up to 12 months after CRC diagnosis |
Referral for cancer treatment | Number of individuals who receive referral for cancer treatment among individuals diagnosed with CRC | EHR chart review | 6 months after cancer diagnosis date |
Repeat mailed FIT completion | Number of mailed FITs completed (0, 1, or 2) by participants in the intervention (mailed FIT) arm after two rounds of annual FIT outreach | Commercial laboratory’s online portal, REDCap database | Up to 18 months after randomization |