title: Development of the Parkland-UT Southwestern Colonoscopy Reporting System (CoRS) for evidence-based colon cancer surveillance recommendations.
abstract: OBJECTIVE
  Through colonoscopy, polyps can be identified and removed to reduce colorectal cancer incidence and mortality. Appropriate use of surveillance colonoscopy, post polypectomy, is a focus of healthcare reform.
  
  
  METHODS
  The authors developed and implemented the first electronic medical record-based colonoscopy reporting system (CoRS) that matches endoscopic findings with guideline-consistent surveillance recommendations and generates tailored results and recommendation letters for patients and providers.
  
  
  RESULTS
  In its first year, CoRS was used in 98.6% of indicated cases. Via a survey, colonoscopists agreed/strongly agreed it is easy to use (83%), provides guideline-based recommendations (89%), improves quality of Spanish letters (94%), they would recommend it for other institutions (78%), and it made their work easier (61%), and led to improved practice (56%).
  
  
  CONCLUSIONS
  CoRS' widespread adoption and acceptance likely resulted from stakeholder engagement throughout the development and implementation process.
  
  
  CONCLUSIONS
  CoRS is well-accepted by clinicians and provides guideline-based recommendations and results communications to patients and providers.
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA Celette.Skinner@UTSouthwestern.edu.
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
authors.affiliation: Veterans Affairs San Diego Healthcare System, Division of Gastroenterology, Department of Internal Medicine, and the Moores Cancer Center, University of California San Diego, USA.
authors.forename: Samir
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Ethan A
authors.initials: EA
authors.lastname: Halm
authors.affiliation: Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Shaun
authors.initials: S
authors.lastname: Wright
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Katharine
authors.initials: K
authors.lastname: McCallister
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Bishop
authors.affiliation: Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Noel
authors.initials: N
authors.lastname: Santini
authors.affiliation: Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Christian
authors.initials: C
authors.lastname: Mayorga
authors.affiliation: Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Deepak
authors.initials: D
authors.lastname: Agrawal
authors.affiliation: Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Brett
authors.initials: B
authors.lastname: Moran
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Sanders
authors.affiliation: Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA Harold C. Simmons Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA Parkland Health & Hospital System, Dallas, TX, USA.
authors.forename: Amit G
authors.initials: AG
authors.lastname: Singal
mesh_terms: D000465:Algorithms; D001291:Attitude of Health Personnel; D003111:Colonic Polyps / Q000175:diagnosis*; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D015709:Correspondence as Topic; D030881:Disclosure; D057286:Electronic Health Records; D019317:Evidence-Based Medicine; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D013781:Texas
keywords: colonoscopy; decision support; surveillance; tailored intervention