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Michigan Colorectal Cancer Control Program (MI CRCCP)
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Colorectal Cancer Risk Factors
Your risk of getting colorectal cancer increases as you get older.
Other risk factors include having—
- Inflammatory bowel disease such as Crohn’s disease or ulcerative colitis.
- A personal or family history of colorectal cancer or colorectal polyps.
- A genetic syndrome such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (Lynch syndrome).
Lifestyle factors that may contribute to an increased risk of colorectal cancer include—
- Lack of regular physical activity.
- A diet low in fruit and vegetables.
- A low-fiber and high-fat diet, or a diet high in processed meats.
- Overweight and obesity.
- Alcohol consumption.
- Tobacco use.
Source: CDC-What Are the Risk Factors for Colorectal Cancer?
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Colorectal Cancer Screening Recommendations
The U.S. Preventive Services Task Force (Task Force) recommends that adults age 45 to 75 be screened for colorectal cancer. The decision to be screened between ages 76 and 85 should be made on an individual basis. If you are older than 75, talk to your doctor about screening. People at an increased risk of getting colorectal cancer should talk to their doctor about when to begin screening, which test is right for them, and how often to get tested.
Screening Test Include:
Stool Tests- Guaiac-based fecal occult blood test (gFOBT)
- Fecal immunochemical test (FIT)
- FIT-DNA test
Colonoscopy
Flexible Sigmoidoscopy
CT Colonography (Virtual Colonoscopy)
Source: CDC-Colorectal Cancer Screening -
Michigan Colorectal Cancer Control Program (CRCCP)
The purpose of the MI CRCCP is to implement evidence-based interventions (EBIs) to increase and improve the quality of Colorectal Cancer (CRC) screening and follow-up testing in health systems and primary care clinics serving populations who are medically underserved.
Strategies/activities of the MI CRCCP include:- Establish partnerships with health systems/primary care clinics to support implementation of evidence-based interventions (EBIs) at the clinic level
- Conduct thorough assessments of clinic readiness prior to implementation of EBIs to address gaps, barriers and needed improvements
- MDHHS, American Cancer Society, and MPHI Health Informaticist provide ongoing technical assistance to clinics
- Clinics will provide quarterly metrics and annual data collection
- Data quality and program evaluation by MDHHS
Program Success Stories are an important way to share about the work community partners are doing in Michigan. The following Success Stories describe activities community partners implemented to increase colorectal cancer screening rates among patients in their clinic.
Muskegon Family Care CRCCP Success Story Video | MDHHSMichigan Colorectal Cancer Success Story for the Hamilton Community Health Network, Inc.
Michigan Colorectal Cancer Success Story for InterCare Community Health Network
The free screening portion of the Michigan Colorectal Cancer Early Detection Program (MCRCEDP) ended June 29, 2020. If you would like information about colorectal cancer screening services in Michigan, please talk to your primary care physician or see the Patient Resource Guide below.
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Cancer Facts and Data Dashboards
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Patient Resources
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Provider Resources
- Information on new 45+ CRC Age Guidelines Webinar
- "Step Up to the Plate" Colorectal Cancer Screening Radio Ad | MDHHS
- Colorectal Cancer Print Materials | CDC
- Resource Center | National Colorectal Cancer Roundtable (nccrt.org)
- Colorectal Cancer Screening Guidelines | American Cancer Society
- Colonoscopy Prep Instructions in Multiple Languages | MedlinePlus
- 2022 Messaging Guidebook for Black & African American People: Messages to Motivate for Colorectal Cancer Screening
- Clinician’s Reference: Stool-Based Tests For Colorectal Cancer Screening | NCCRT
- Mailed FIT Outreach for CRC Screening Patient Education | Kaiser Permanente
- Conversation Cards to Help Patients Select Option for CRC Screening | ACS