New tool could prevent unnecessary cancer screening in elderly

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Aim 1a: Patients must meet all the inclusion criteria listed below to be included: * \> 75 years of age * Resident of Ohio * Had at least one Internal Medicine or Family Medicine visit at Cleveland Clinic Health System between January 1, 2007, and September 1, 2022. Aim 1b: Clinicians must meet all the inclusion criteria listed below to be included: * Internal Medicine or Family Medicine clinician (MD, DO, or APP) practicing at Cleveland Clinic Health System in Northeast Ohio * Saw ≥10 study-eligible patients, defined as patients aged \>75 years who were due or overdue for colorectal cancer screening, between 2024-2025 * With a colonoscopy ordering rate for patients \>75 years in either the top quarter of the distribution of all eligible clinicians or bottom quarter of all eligible clinicians Aim 2: Clinics must meet all the inclusion criteria listed below to be included: • Internal Medicine or Family Medicine clinical site included in the Cleveland Clinic Health System in Northeast Ohio or Florida Clinicians must meet all the inclusion criteria listed below to be included: * Currently practicing in Internal or Family Medicine as an attending clinician * Saw ≥10 study-eligible patients, defined as patients aged \>75 years who were due or overdue for colorectal cancer screening, between 2024-2025 Patients must meet all the inclusion criteria listed below to be included: * \>75 years of age * Have not received a colonoscopy in the prior 10 years * Have not received a FOBT/FIT in prior year * Had a visit in Internal Medicine or Family Medicine between January 1, 2026 and January 1, 2028 Exclusion Criteria: * All candidates meeting any of the exclusion criteria at baseline will be excluded from study participation. Aim 1a: * Patients aged ≤75 years * Patients who did not have at least one subsequent Internal or Family Medicine visit in Ohio within two years from the date of their baseline visit * Patients being actively treated for non-skin cancer Aim 1b: * Clinicians who are not in the top or bottom quarter of the distribution of colonoscopy orderers for patients aged \>75 years * Trainees/residents * Saw \<10 study-eligible patients between 2024-2025 Aim 2: * Patients aged \<75 years * Patients up to date with colorectal cancer screening (colonoscopy within 10 years or FOBT/FIT/Cologuard within the past year)