INTRODUCTION: Abundant studies have associated colorectal cancer (CRC) treatment delay with advanced diagnosis and worse mortality. Delay in seeking specialist is a contributor to CRC treatment delay. The goal of this study is to investigate contributing factors to 14-days delay from diagnosis of CRC on colonoscopy to the first specialist visit in the state of Kentucky. METHODS: The Kentucky Cancer Registry (KCR) database linked with health administrative claims data was queried to include adult patients diagnosed with stage I-IV CRC from January 2007 to December 2012. The dates of last colonoscopy and first specialist visit were identified through the claims. Bivariate and logistic regression analysis were performed to identify factors associated with delay to CRC specialist visit. RESULTS: A total of 3,927 patients, from 100 hospitals in Kentucky were included. Approximately 19% of CRC patients visited a specialist more than 14 days after CRC detection on colonoscopy. Delay to Specialist (DTS) was found more likely in patients with Medicaid insurance (OR 3.1, p
