Promoting prostate cancer screening equity: Findings from a quality improvement education initiative implemented in 3 sites. Issue 28 (1st October 2022)

• Record Type: Journal Article
• Authors: Jacobs, Ginny; Stevens Hobbs, Kristen; Crawford, Keith; Hussain, Waseem; Jean-Simon, Claire; Leiba Lawrence, Roxanne; Lazure, Patrice; Hall, Laura Lee; McFadden, Pam
• Is Part Of: Journal of clinical oncology. Volume 40:Issue 28(2022)Supplement
• Page Start: 112
• Page End: 112
• Publication Date: 2022-10-01
• Subjects: 613-135-4642-282-153-212 -- 283-183-180 -- 227-149-1069 -- 329-123-11364; 12 -- 7 -- 4 -- 2; Oncology -- Periodicals; Cancer -- Periodicals; Oncology; Medical Oncology; Cancérologie -- Périodiques; Cancer -- Périodiques; Cancérologie; Cancer; Oncology; Oncologia; Càncer; Periodicals; 616.994
• DOI: 10.1200/JCO.2022.40.28_suppl.112
• Languages: English
• ISSNs: 0732-183X

Abstract

Abstract : 112 Background: Prostate cancer (PC) screening guidelines differ in recommended age at screening and varying emphasis on risk factors (e.g., race, family history), leading to lack of clarity among healthcare providers (HCPs). Research has highlighted a higher risk for Black patients, and the importance for at-risk patients to undergo screening at an earlier age and receive appropriate follow-up. A system-based Quality Improvement Education (QIE) intervention was developed to increase screening and referrals for PC especially among higher risk subgroups. The QIE aimed to increase awareness of the burden and consequences of racial disparities while mobilizing a team-focused approach. Methods: QIE intervention was deployed at 3 practice sites that provide community-based primary care services to Black populations (72% Black patients). The sites differed in patient capacity, staff, challenges faced, and pre-intervention screening practices. Practice assessments were completed pre-intervention by site representatives (n = 3) and individual baseline surveys were filled out by HCPs (n = 24). The 12-week intervention included educational materials from Prostate Health Education Network (PHEN) and deployment of an updated screening protocol within each clinic to raise PC awareness to staff and patients. Post-intervention evaluation was based on qualitative interviews (n = 5) and feedback from the QIE coaches. Patient data from electronic health records (EHR) on PC screening and referrals was collected post-initiative and divided a posteriori into 3 sub-groups, pre, during and post-intervention (n = 6662). Results: QIE led to increased awareness of barriers to access faced by patients from diverse communities. The QIE also led to increased awareness among team members regarding the need for screening at-risk groups at an earlier age and the importance of follow-up with patients. Online education materials made available to HCPs raised patient awareness. Table highlights an increase in PC screening during the intervention, but limited sustainability post-intervention. Interviewees reported increases in patient education, referrals and follow-up action. Conclusions: Increase in percentage of patients screened during the intervention phase was potentially due to added attention during the initiative, while limited sustainability post-intervention might be due to the brief intervention period, reliance on retrospective data and inability to fully leverage EHR data. Based on this project’s learnings, similar initiatives should seek organizational support for data analytics and process documentation to ensure consistent data standards and overall success.EHR data regarding PC screening across the 3 practice sites pre-, during and post-intervention. % of patients screened Pre- During Post- Total 53% 69% 53% Age 40-45 40% 54% 49% Black 51% 68% 52% White 59% 72% 53%