Terry C. Davis|Connie L. Arnold|Alfred Rademaker|Charles L. Bennett|Stacy Cooper Bailey|Daci Platt|Cristalyn Reynolds|Dachao Liu|Edson Carias|Pat F. Bass|Michael S. Wolf
Improving colon cancer screening in community clinics
Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport|Northwestern University|MUSC Hollings Cancer Center|Medical University of South Carolina|University of North Carolina at Chapel Hill|Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University
background authors evaluated effectiveness cost effectiveness 2 interventions designed promote colorectal cancer crc screening safetynet settings methods 3arm quasiexperimental evaluation conducted among 8 clinics louisiana screening efforts included 1 enhanced usual care 2 literacyinformed education patients 3 education plus nurse support overall 961 averagerisk patients ages 50 85 years eligible routine crc screening recruited outcomes included crc screening completion incremental cost effectiveness using literacyinformed education patients education plus nurse support versus enhanced usual care results baseline screening rate lt3 interventions screening rate 386 enhanced usual care 571 education 606 education included additional nurse support adjusting age race sex literacy patients received education alone likely complete screening received enhanced usual care received additional nurse support 160fold likely complete screening received enhanced usual care 95 confidence interval 106242 p 024 incremental cost per additional individual screened 1337 education plus nurse support enhanced usual care conclusions fecal occult blood test rates increased beyond enhanced usual care providing brief education nurse support providing education alone costeffective alternatives nurse support need investigated cancer 201311938793886 2013 american cancer society