Colorectal Cancer: A Leading Cause of Cancer Death in NYC Count of - - PowerPoint PPT Presentation

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Colorectal Cancer: A Leading Cause of Cancer Death in NYC Count of - - PowerPoint PPT Presentation

Feb 28, 2024 332 likes •492 views

Colorectal Cancer: A Leading Cause of Cancer Death in NYC Count of Leading Cancer Deaths in NYC, 2016 3000 2514 2500 2000 1500 1311 1090 1084 1000 753 739 599 514 499 373 500 349 139 0 Lung Colorectal Pancreatic Breast

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Colorectal Cancer: A Leading Cause of Cancer Death in NYC

Source: NYC Office of Vital Statistics, 2016. 2514 1311 1090 1084 753 739 599 514 499 373 349 139

500 1000 1500 2000 2500 3000 Lung Colorectal Pancreatic Breast Prostate Liver Leukemia Lymphoma Stomach Ovarian Bladder Cervix

Count of Leading Cancer Deaths in NYC, 2016

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Colon Cancer Prevention: NYC Screening Colonoscopy Adherence Trending Upward

Data Source: NYC DOHMH Community Health Survey, 2003-2018. Trend is significant at p < .001.

42% 52% 55% 60% 62% 66% 66% 68% 69% 69% 69% 70% 70% 69% 70% 69% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Age-Adjusted Percent

Percentage NYC adults aged ≥ 50 years receiving colonoscopy in past 10 years 2003-2018

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Gaps in NYC Screening Colonoscopy Adherence by Race/Ethnicity Narrowing

Data Source: NYC DOHMH Community Health Survey, 2003-2018. Trend for each race/ethnicity is significant at p < .001.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Age-Adjusted Percent

Percentage adults ≥ 50 years receiving colonoscopy within last 10 years by race/ethnicity in NYC, 2003-2018

White Black Latino Asian

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Colonoscopy Adherence Lower for Uninsured New Yorkers

Data Source: NYC DOHMH Community Health Survey, 2018. *Estimate should be interpreted with caution. Sample size is small, making the estimate potentially unreliable.

70% 50%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Insured Uninsured*

Age-Adjusted Percent

Percentage NYC adults aged ≥ 50 years receiving colonoscopy in past 10 years, by insurance status, 2018

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NYC Community Cares Project (CCP) Model Links Uninsured Patients to Care

The NYC Community Cares Project is a collaboration supported by the C5 Coalition, the NYS Department of Health and the NYC Department of Health and Mental Hygiene.

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NYC CCP Referring Sites

  • Boriken Neighborhood Health Center
  • Charles B. Wang Community Health Center
  • Community Healthcare Network
  • Family Healthy Centers at NYU Langone
  • Flushing Hospital Medical Center
  • Grameen VidaSana
  • Institute for Family Health
  • Jamaica Hospital Medical Center
  • Mount Sinai - EHHOP
  • Urban Health Plan
  • The William F. Ryan Community Health

Network

  • NYC Health + Hospitals/Gotham Health, Cumberland
  • NYC Health + Hospitals/Gotham Health, East New York
  • NYC Health + Hospitals/Gotham Health, Gouverneur
  • NYC Health + Hospitals/Gotham Health, Morrisania
  • NYC Health + Hospitals/Gotham Health Parsons
  • NYC Health + Hospitals/Gotham Health, Sydenham
  • NYC Health + Hospitals/Kings County
  • NYC Health + Hospitals/Queens

Health + Hospital Primary Care Sites

Active participating sites as of January 2019.

Primary Care Networks and Sites

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NYC CCP Participating Ambulatory Surgery Sites

  • Advanced Endoscopy Center
  • East Side Endoscopy Center
  • Goldstep Ambulatory Surgery Center
  • Gramercy Park Digestive Disease Center
  • Liberty Endoscopy Center
  • Manhattan Endoscopy Center
  • Queens Boulevard Endoscopy Center
  • Queens Endoscopy Center
  • South Brooklyn Endoscopy Center
  • The Endoscopy Center of NY
  • West Side GI Center

Active participating sites as of November 2019.

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CCP Participating Sites Across the City and Colonoscopy Screening Rates

*Neighborhoods on the map are United Hospital Fund (UHF) Neighborhoods

Source: NYC Community Health Survey, 2003-2017. Data are age-adjusted to the US 2000 Standard Population.

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From all participating sites DOHMH collects:

  • Number of colonoscopy referrals received from primary care centers
  • Number of patients scheduled for colonoscopy
  • Number of patients screened by colonoscopy, no-shows, cancellations
  • Number of patients with adenomas detected during colonoscopy
  • Number of patients with a colon cancer diagnosis

NYC CCP Data Collection

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Year over Year Comparison, Uninsured Patients Served 2013 - 2018

418 235 898 485 1100 581 1767 875 1658 865 1707 865

200 400 600 800 1000 1200 1400 1600 1800 2000

Number of Patients

2013 2014 2015 2016 2017 2018 2013 2014 2015 2016 2017 2018

Patients Referred Patients Screened

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Uninsured Lives Potentially Saved from Cancer: CCP Site Adenoma Detection by Year

304 285 316 150 117 865 865 875 581 485 100 200 300 400 500 600 700 800 900 1000

2018 2017 2016 2015 2014

Total Number of Patients Screened Patients with at least one Adenoma Removed

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NYC CCP Provides Feedback Reporting to Participating Sites

Endo Center A: Endo Center A

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NYC CCP Feedback Tracks Colonoscopy Completions and Cancer Diagnoses

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Name: NYC Community Cares Project Email: CCP@health.nyc.gov Phone: 347-396-4451

Thank You!