Clinician perceptions on barriers and facilitators to 1-year surveillance colonoscopy completion in survivors of colorectal cancer

Introduction: Colorectal cancer (CRC) is the second leading cause of cancer deaths in the United States. Surveillance colonoscopy is recommended 1- year after surgical resection for patients with stage I- III CRC; however, only 18%-61% of CRC survivors complete this test. This study describes clinician- identified bar-riers and facilitators to surveillance colonoscopy among CRC survivors. Methods: We conducted semi- structured interviews with clinicians until the-matic saturation was achieved. Interviews were analyzed using the social cogni-tive theory. Results: Thirteen clinicians were interviewed, and all identified health system- level barriers to surveillance colonoscopy completion; the most common being fragmented care due to patients receiving care across many health systems. Clinicians also identified social determinants of health barriers (e.g., geographi-cal distance between patients and health systems) to 1- year surveillance colonos-copy completion. Conclusions: Clinicians identified several potentially modifiable barriers to 1- year surveillance colonoscopy completion which, if addressed, could improve post- treatment care and outcomes among stage I- III CRC survivors.