Manuel Pedro Ramalho Ferreira|Nancy C. Dolan|Marian L. Fitzgibbon|Terry C. Davis|N. S. Gorby|Lisa A. Ladewski|Dachao Liu|Alfred Rademaker|Franklin Medio|Brian P. Schmitt|Charles L. Bennett
Health Care Provider-Directed Intervention to Increase Colorectal Cancer Screening Among Veterans: Results of a Randomized Controlled Trial
Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Northwestern University
colorectal cancer screening underused cancer screening tool united states purpose study test whether health care providerdirected intervention increased colorectal cancer screening ratesthe study randomized controlled trial conducted two clinic firms veterans affairs medical center records 5711 patients reviewed 1978 patients eligible eligible patients men aged 50 years older personal family history colorectal cancer polyps received colorectal cancer screening least one visit clinic study period health care providers intervention firm attended workshop colorectal cancer screening every 4 6 months attended quality improvement workshops received group screening rates individualized confidential feedback training improving communication patients limited literacy skills medical records reviewed colorectal cancer screening recommendations completion literacy level assessed subset patientscolorectal cancer screening recommended 760 patients intervention firm 694 controls p 02 screening tests completed 413 patients intervention group versus 324 controls p 003 among patients health literacy skills less ninth grade screening completed 557 patients intervention group versus 30 controls p 01a providerdirected intervention feedback individual firmspecific screening rates significantly increased recommendations colorectal cancer screening completion rates among veterans