PATIENT BARRIERS

Many of the top barriers to colorectal cancer (CRC) screening were specific to screening colonoscopy1

Top barriers to CRC screening reported by eligible unscreened patients1*:
Horizontal bar chart with the top barriers to CRC screening in order starting with no recommendation or referral, fear, finances, unnecessary, logistics, procedure, prep, and other.

The Cologuard® test is a noninvasive CRC screening that can help address potential barriers to early detection of CRC for eligible patients.

Procedure and prep refer to discomfort/disgust with the preparation for colonoscopy and the procedure itself.
Cologuard box.

Cologuard eligibility

View which patients are eligible for screening with the Cologuard test.

Perceived barriers can stand in the way of CRC screening for eligible patients1

Not actual patient.

Renee | Patient barrier:
Logistics (time)

Renee is a 49-year-old who is always busy taking care of others and never has time for herself. She is a working mother of 3 who missed last year’s physical and has no reported symptoms of CRC. Watch how the Cologuard test helped her screen for CRC.


Not actual patient.

Mary | Patient barrier: Fear

Mary is a 55-year-old small business owner who believes that even talking about cancer can make it a reality. She presents with insomnia, fatigue, and a history of hypertension and anxiety. Mary is also overdue for preventive screenings. Watch how the Cologuard test helped her screen for CRC.


Not actual patient.

Alex | Patient barrier:
Discomfort with procedure

Alex is a 63-year-old truck driver and Little League coach who takes life one day at a time. He’s had a negative experience with colonoscopy in the past and is generally distrustful of the healthcare system. Watch how the Cologuard test helped him screen for CRC.



  • *Cluster-randomized trial performed in 11 urban and rural federally qualified health centers across 2 health systems in metropolitan St. Louis and rural southeastern Missouri aimed at evaluation of self-identified barriers to CRC screening (n=483). Data were collected through surveys administered in person, by phone, or by mail. Previously screened and unscreened eligible participants (aged ≥50 years) were asked about health insurance and access to care, and “What barriers/things got in the way of being screened?” CRC screening with fecal occult blood test/fecal immunochemical test (FOBT/FIT), sigmoidoscopy, and colonoscopy were assessed.1
  • Fear related to CRC screening manifested in different ways, with eligible patients expressing concerns related to the procedure, sedation, and outcomes of the procedure.1
  • Other barriers include medical mistrust (n=4), lack of information on CRC screening (n=5), religious reasons (n=2), or they simply “don't want to” (n=7).1