We work to raise awareness of the impact of the Cologuard® test for underserved populations and those disproportionately impacted by colorectal cancer (CRC) As part of this, we lead or contribute to several studies to understand inequities, barriers, and perspectives in CRC screening. In addition to demonstrating the value of the Cologuard test for patients who use Medicaid, we examine socioeconomic and racial/ethnic disparities in CRC screening, study psychosocial barriers that contribute to a lack of urgency around CRC screening and analyze screening behaviors among people with limited English language proficiency.
Important information about the Cologuard test
The Cologuard test is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer. A Cologuard test is not a replacement for a colonoscopy in high-risk patients. Cologuard test performance in adults age 45-49 is estimated based on a large clinical study of patients 50 and older.
The Cologuard test result should be interpreted with caution. A positive test result does not confirm the presence of cancer. Patients with a positive test result should be referred for colonoscopy. A negative test result does not confirm the absence of cancer. Patients with a negative test result should discuss with their doctor when they need to be tested again. False positives and false negative results can occur. In a clinical study, 13% of people without cancer received a positive result (false positive) and 8% of people with cancer received a negative result (false negative). Rx only.