Amit G. Singal|Samir Gupta|Jasmin A. Tiro|Celette Sugg Skinner|Katharine McCallister|Joanne M. Sanders|Wendy Pechero Bishop|Deepak Agrawal|Christian Mayorga|Chul Ahn|Adam Loewen|Noel Santini|Ethan A. Halm
Outreach invitations for FIT and colonoscopy improve colorectal cancer screening rates: A randomized controlled trial in a safety?net health system
The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|University of California, San Diego|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System
effectiveness colorectal cancer crc screening limited underuse particularly among underserved populations among racially diverse socioeconomically disadvantaged cohort patients authors compared effectiveness fecal immunochemical test fit outreach colonoscopy outreach increase screening participation rates compared usual visitbased carepatients aged 50 64 years uptodate crc screening used primary care services large safetynet health system randomly assigned mailed fit outreach 2400 patients mailed colonoscopy outreach 2400 patients usual care opportunistic visitbased screening 1199 patients patients respond outreach invitations within 2 weeks received followup telephone reminders primary outcome crc screening completion within 12 months randomizationbaseline patient characteristics across 3 groups similar using intentiontoscreen analysis screening participation rates higher fit outreach 588 colonoscopy outreach 424 usual care 296 p 001 screening participation fit outreach higher colonoscopy outreach p 001 among responders fit outreach higher percentage patients responded reminders 590 vs 297 p 001 nearly onehalf patients colonoscopy outreach group crossed complete fit via usual care whereas 5 patients fit outreach group underwent usualcare colonoscopymailed outreach invitations appear significantly increase crc screening rates among underserved populations current study fitbased outreach found effective colonoscopybased outreach increase 1time screening participation studies longer followup needed compare effectiveness outreach strategies promoting completion entire screening process