A blueprint for creating an early-onset colorectal cancer program based on experiences from 7 clinical centers across the United States and Canada

Abstract

Background: The incidence of individuals diagnosed with colorectal cancer under the age of 50, often referred to as early-onset colorectal cancer (EOCRC), has risen worldwide. The EOCRC patients have unique needs; however, there are no clear guidelines on how to address them. The objective of the present study was to propose a blueprint for EOCRC program development and implementation.

Materials and methods: A consensual qualitative design was used to frame the present study. Seven leaders of North American EOCRC centers were invited to devise a stepwise blueprint for developing and implementing EOCRC programs. Discussions were transcribed and conceptually organized into a framework. An analysis of documents detailing and describing the services offered within each center was also conducted.

Results: The analysis was organized around 2 domains: (1) the rationale underlying the creation of EOCRC programs, and (2) the lessons learned from developing and implementing EOCRC programs. Participants agreed that as the EOCRC programs represent innovative initiatives, a program manager who closely monitors the program is core to successful implementation.

Conclusions: This study outlines a 10-step actionable guideline for developing and implementing EOCRC programs aiming at addressing the unmet needs of this growing population.

Keywords: care delivery; colon cancer; colorectal cancer; early-onset colorectal cancer; early-onset colorectal cancer program; practical guide; rectal cancer.