South Carolina’s Colorectal Cancer Prevention Network (CCPN) program has low no-show rates and high colonoscopy quality, researchers concluded after conducting an analysis involving ~1,850 individuals. CCPN provides no-cost colonoscopy screening to uninsured individuals between 50 and 64 years of age (blacks are eligible beginning at age 45) who live at or below 150% of the poverty line in South Carolina. Investigators looked at compliance rates and colonoscopy quality metrics.

Of 1,854 eligible patients, 1,144 attended an in-person navigation visit, 1,030 completed a colonoscopy, and 909 were included in the evaluation. Among the results:

• 9 in every 10 patients exhibited good-to-excellent bowel preparation.
• Cecal intubation rate was 99%.
• Polyp detection rate was 63%
• Adenoma detection rate was 36%.
• Males and those living in urban settings were more likely to have adenomas detected.
• 13% had an advanced polyp.
• 1% had a cancer diagnosis or surgical intervention.