What question did this study set out to answer?

To determine whether a telephone-based patient navigation program delivered to adults with an abnormal stool test result increases follow-up colonoscopy completion at one year.

March 31, 2025Annals of Internal MedicineOpen Access

Patient Navigation to Improve Colonoscopy Completion After an Abnormal Stool Test Result

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Authors

GCGloria D. Coronado APAmanda F. Petrik JTJamie H. Thompson

Discussion

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Overview

Randomized trial finds telephone-based patient navigation increases follow-up colonoscopy completion in adults with abnormal stool tests, supporting targeted outreach for colorectal care.

Key Points

To determine whether a telephone-based patient navigation program delivered to adults with an abnormal stool test result increases follow-up colonoscopy completion at one year.
Randomized controlled trial (ClinicalTrials.gov: NCT03925883) conducted across 32 clinics in Washington state enrolling 985 adults aged 50 to 75 years with an abnormal fecal test result in the prior month.
Participants were assigned to usual care or a 6-topic, telephone-delivered patient navigation program administered by bilingual (English and Spanish) clinical staff.
The primary outcome was follow-up colonoscopy completion at 1 year assessed in 967 participants via intention-to-treat analysis (479 in patient navigation, 488 in usual care).
Follow-up colonoscopy completion at 1 year was significantly higher in the patient navigation arm than in usual care (55.1% vs. 42.1%; risk difference, 13.0 percentage points [95% CI, 6.5 to 19.4 percentage points]).
The intervention benefit was not moderated by participants' baseline probability of completing a colonoscopy without navigation.

Cite This Study

Coronado et al. (2025) studied this question.

synapsesocial.com/papers/6a7ad2ebdd2e05b79c321c7e https://doi.org/10.7326/annals-24-01885

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March 31, 2025Annals of Internal MedicineOpen Access

Patient Navigation to Improve Colonoscopy Completion After an Abnormal Stool Test Result

View Full Paper

Ask AI

Bookmark

Authors

GCGloria D. Coronado APAmanda F. Petrik JTJamie H. Thompson

Discussion

Member takes

Overview

Randomized trial finds telephone-based patient navigation increases follow-up colonoscopy completion in adults with abnormal stool tests, supporting targeted outreach for colorectal care.

Key Points

To determine whether a telephone-based patient navigation program delivered to adults with an abnormal stool test result increases follow-up colonoscopy completion at one year.
Randomized controlled trial (ClinicalTrials.gov: NCT03925883) conducted across 32 clinics in Washington state enrolling 985 adults aged 50 to 75 years with an abnormal fecal test result in the prior month.
Participants were assigned to usual care or a 6-topic, telephone-delivered patient navigation program administered by bilingual (English and Spanish) clinical staff.
The primary outcome was follow-up colonoscopy completion at 1 year assessed in 967 participants via intention-to-treat analysis (479 in patient navigation, 488 in usual care).
Follow-up colonoscopy completion at 1 year was significantly higher in the patient navigation arm than in usual care (55.1% vs. 42.1%; risk difference, 13.0 percentage points [95% CI, 6.5 to 19.4 percentage points]).
The intervention benefit was not moderated by participants' baseline probability of completing a colonoscopy without navigation.

Cite This Study

Coronado et al. (2025) studied this question.

synapsesocial.com/papers/6a7ad2ebdd2e05b79c321c7e https://doi.org/10.7326/annals-24-01885

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