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‘I Owe My Life to the Test’

Kaiser Permanente Northern California’s award-winning screening program finds colon cancer soon after member Antonio Jofre’s 50th birthday. Pictured, Antonio Jofre with his family: left to right, son Sebastian, wife Monica, and daughter Valentina in Portofino, Italy.

When Antonio Jofre walked into the Kaiser Permanente Walnut Creek Medical Center in October 2016, he thought he was merely getting a flu shot.

“The nurse who was giving the flu shots noticed that I had just turned 50, so she offered me the FIT (fecal immunochemical test) to screen for colon cancer. She said it would be easy to do at home,” explained Jofre, of Clayton, California, who is now 52. “The test was positive for blood in my stool, and I had to go in for a colonoscopy.”

Theodore (TR) Levin, MD

Jofre was quickly referred to Walnut Creek gastroenterologist Theodore (TR) Levin, MD.

“Within a couple of seconds of starting his procedure, there was cancer right in the lower part of his colon,” said Dr. Levin, who has served as clinical lead of colorectal cancer screening for Kaiser Permanente Northern California since 2004.

Award-Winning Program

According to the American Cancer Society, colorectal cancer is the second-leading cause of cancer deaths in the United States. But with screening, precancerous polyps can be found early and removed from the colon, thereby preventing the disease or making it easier to treat.

This month, Kaiser Permanente Northern California received the National Colorectal Cancer Roundtable’s prestigious “80% by 2018” National Achievement Award for a health plan in recognition of screening rates over 83 percent for colorectal cancer. In addition, Kaiser Permanente Northern California has achieved a 90 percent screening rate among its Medicare members, the third-highest among Medicare plans in the nation.

“The Kaiser Permanente FIT-based outreach program, combined with colonoscopy, has become a model for similar programs to maximize the number of people screened in the United States and internationally,” said Richard Wender, MD, chief cancer control officer for the American Cancer Society and roundtable chair.

Led by Dr. Levin, the region’s colorectal cancer screening team mails upward of 20,000 FIT kits to eligible members across the region every week, and a Kaiser Permanente laboratory in the East Bay processes about 3,000 mailed-in stool tests daily.

Kaiser Permanente follows recommendations of the U.S. Preventive Services Task Force to screen average-risk adults between ages 50 and 75 with a colonoscopy every 10 years or an annual at-home test.

Screening Saves Lives

Juliane Lee of the American Cancer Society – Western Region shakes hands with Dr. Levin. Lee nominated Kaiser Permanente Northern California for the National Colorectal Cancer Roundtable award.

Recent research by Dr. Levin and Division of Research colleague Douglas A. Corley MD, PhD, showed that since this aggressive screening program began, cases of colorectal cancer declined by 26 percent among Kaiser Permanente members in Northern California, and deaths declined 52 percent.

“The most gratifying aspect of this work is the knowledge that there are parents and grandparents spending time with their families who wouldn’t have otherwise, because the physicians and staff of Kaiser Permanente Northern California did the hard work of improving our screening performance,” Dr. Levin said.

‘I’m Living a Normal Life’

When Jofre mailed in his FIT kit, he joined more than 830,000 Kaiser Permanente members in Northern California who are up to date with colorectal cancer screening.

Within weeks of his flu shot, Jofre’s colon cancer was surgically removed and he underwent chemotherapy.

After finishing treatment, he returned to work in his auto repair shop in Walnut Creek.

“Thanks to the test, I’m doing great,” Jofre said. “I’m living a normal life, and I’m going to be able to grow old with my wife and see my children grow. I owe my life to the test.”

Learn more about Kaiser Permanente’s commitment to screen and fight colon cancer.




colorectal cancer

This Post Has 6 Comments

  1. I joined Kaiser Senior Advantage upon retiring in 2018. The first thing I did in January 2019 was schedule a battery of tests to make sure I was in good heath since my private health care never suggested anything unless I was sick and had to see a doctor. My fecal test was ordered right away. Fortunately, all was okay. I’ve been so impressed with Kaiser Permanente and the fact that all medical inquiries, appointments, follow-ups, ordering of prescriptions, etc., is done via email, and access to all my information is available online. This was unheard of with my prior insurance.
    I am sorry all those years I never chose Kaiser Permanente as a health care provider when every job I had offered it as an option along with a choice of several other insurance programs.

  2. Even though I’ve done this test for three years in a row and have a clean bill of health, I am so very thankful to Kaiser for this option!

    1. I’ve been a Kaiser member for over 20 years. Dr. Doug Corley is my gastro-enterologist!
      Recently I suffered a fall; broken arm, concussion. Due to SF policy, my age (74) and the TBI (Traumatic Brain Injury), I had to go to SF General instead of Kaiser. I had multiple xrays and CT scans. I never saw a bill because KP paid!
      Because of the emphasis on patient education and prevention I believe Kaiser should be the model for a Single Payer Plan.

  3. Thanks to Kaiser, my family has been screened for colon cancer. We have 7 adult siblings. Out of 7 of us, 6 have been diagnosed with Lynch syndrome. With the help of colonoscopies, 2 have found out they have colon cancer. One had a tumor removed, and another a cancerous polop. Now we will all be followed with annual colonoscopies, some will have more frequent screenings. We also were refered to a genetic counselor.

    1. Thank you so much for sharing. I’m so gratified to learn that our coordinated system of care worked so well for you and your family. – Dr. Levin

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