December 13, 2010Archives of Internal Medicine
Patient Outreach to Promote Colorectal Cancer Screening Among Patients With an Expired Order for Colonoscopy
Authors
Discussion
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Implication
Randomized trial demonstrates increased colorectal cancer screening completion among adults with expired colonoscopy orders, indicating outreach modestly improves adherence.
Key Points
- To determine whether a combined reminder and outreach intervention increases colorectal cancer screening completion among individuals with an expired colonoscopy order.
- Randomized controlled trial (NCT00793455) conducted among 628 patients aged 50 to 79 years with an expired screening colonoscopy order at an internal medicine practice.
- Participants were stratified by prior screening and assigned to usual care or an intervention consisting of a physician reminder letter, educational brochure, DVD, and telephone call.
- The primary outcome was receipt of fecal occult blood testing, sigmoidoscopy, or colonoscopy within 3 months of randomization, with observation continued through 6 months.
- Screening completion at 3 months was 9.9% (31 of 314) in the intervention group versus 3.2% (10 of 314) in the control group (rate ratio, 3.1; 95% CI, 1.5–6.2; P = .001).
- Screening completion at 6 months reached 18.2% (57 of 314) in the intervention group compared to 12.1% (38 of 314) in the control group (rate ratio, 1.5; 95% CI, 1.03–2.2; P = .03).
Cite This Study
Cameron et al. (2010) studied this question.