Name of the Procedure:

Colorectal Cancer Screening Results Documented and Reviewed (PV)
Common name(s): Colorectal Cancer Screening Follow-up
Technical/Medical terms: Post-Procedure Documentation and Review (PV - Post-Visit)

Summary

After undergoing colorectal cancer screening, a healthcare provider will document and review the results with the patient. This follow-up helps ensure that the patient understands the findings and next steps, whether abnormal results were found or routine results were normal.

Purpose

Colorectal cancer screening results review addresses the early detection of colorectal cancer and other abnormalities in the colon and rectum. The goal is to ensure that any discovered issues are promptly addressed and that the patient is fully informed about their health status and future steps.

Indications

• Patients aged 45 or older who have undergone colorectal cancer screening.
• Patients with a family history of colorectal cancer or polyps.
• Patients exhibiting symptoms such as blood in the stool, unexplained weight loss, or persistent abdominal pain.
• Individuals who have known risk factors like inflammatory bowel disease, certain genetic syndromes, or previous colorectal polyps.

Preparation

• No specific preparation is required for the review process.
• Patients should bring any questions or concerns they have about their screening results.

Procedure Description

1. The healthcare provider will explain the screening results to the patient, using understandable language.
2. If polyps or other abnormalities were detected, the provider may discuss additional diagnostic tests or treatments.
3. The provider will document the results in the patient's medical records and create a follow-up care plan, which may include lifestyle recommendations, medication, or additional screenings.
4. Discussion about the frequency of future screenings based on the patient’s risk factors and results.

Duration

Typically, 15 to 30 minutes.

Setting

This review can take place in various settings such as a doctor's office, a hospital outpatient clinic, or via telehealth platforms.

Personnel

• Primary care physician or gastroenterologist
• Nurse or medical assistant (for any necessary support during the visit)

Risks and Complications

• Miscommunication or misunderstanding of the results or required follow-up actions.
• Psychological impact if the results suggest the presence of cancer or precancerous conditions.

Benefits

• Clear understanding of screening results.
• Early detection and timely intervention in case of abnormal findings.
• Personalized follow-up care plan.
• Peace of mind if results are normal.

Recovery

• No physical recovery is needed as it is a documentation and review process.
• Any needed actions or lifestyle changes will be discussed during the review.

Alternatives

• Review by a different healthcare provider if a second opinion is desired.
• Electronic access to results through a patient portal, followed by patient-initiated follow-up if needed.
• Direct consultation with a specialist for a more tailored review.

Patient Experience

• The patient will likely feel reassured by having a clear explanation of their screening results.
• If there are abnormal findings, the patient may experience anxiety, but will be supported through the creation of a follow-up care plan.
• Pain management and comfort measures are not typically applicable as this is an informational session rather than a physical procedure.