Improving colorectal cancer screening in northern Canada using participatory simulation modelling

Regions: Inuvialuit Settlement Region, North Slave Region, South Slave Region

Tags: health, health care, cancer screening

Principal Investigator: Kuziemsky, Craig (1)
Licence Number: 16547
Organization: University of Ottawa
Licensed Year(s): 2019
Issued: May 17, 2019
Project Team: Dr. Robin Boushey (co-principal investigator, The Ottawa Hospital), Dr. Kami Kandola (co-investigator, Chief Office of Public Health, Northwest Territories Health and Social Services Association), Dr. Alisha Tessier (co-investigator, Department of General Surgery, Northwest Territories Health and Social Services Association), Nicole Brunet (co-investigator, Department of Medicine, University of Ottawa), Keith Carter (co-investigator, Department of Acute Care and Surgery, Northwest Territories Health and Social Services Association), Jennifer Snodgrass (co-investigator, Primary Care, Northwest Territories Health and Social Services Association)

Objective(s): To employ an evidence-based simulation modelling approach to estimate the endoscopy resources required to support a Fecal Immunohistochemical Testing -based territorial screening program in the NWT and propose effective solutions.

Project Description: This project aims to employ an evidence-based simulation modelling approach to estimate the endoscopy resources required to support a Fecal Immunohistochemical Testing (FIT)-based territorial screening program in the NWT and propose effective solutions to meet those requirements that are patient-centred, culturally competent and feasible within a rural and remote health system.

To populate the simulation mode, colonoscopy data between January 1, 2014 to March 1, 2019 will be collected through a retrospective review of patients with positive FIT results between January 1, 2014 to January 1, 2019 as identified by the Public Health Reports. Under the direction of Dr. Kandola, data will be extracted by the research team between April - August, 2019 from the Public Health Reports, Dynalife, NWT cancer registry and manual chart review. This will be input into a simulation model to identify solutions to meet the demand for colonoscopy which will be modified and validated in collaboration with the territorial health leads and patient partner co-investigators.

The investigator team will involve stakeholders involved in colorectal cancer screening in the territory to ensure this project aligns with the territorial healthcare priorities and patient needs. Proposed stakeholders include territorial health leads, patient partners, and clinicians. Territorial health leads and local clinicians have been involved in developing this project. The research team are currently working to try to recruit two patient partners to be involved in the project. The team anticipate that the research will enable improvements in colorectal cancer screening that will improve the health of NWT residents and reduce healthcare costs.

The research team will give a presentation in May, 2020 in Yellowknife with video-conference to Hay River and Inuvik.

The fieldwork for this study will be conducted from May 16, 2019 to September 3, 2019.