Muriel Jean?Jacques|Erin O. Kaleba|John Gatta|Gauthier Gracia|E. R. Ryan|Bechara Choucair
Program to Improve Colorectal Cancer Screening in a Low-Income, Racially Diverse Population: A Randomized Controlled Trial
Northwestern University|Illinois Department of Human Services|Northwestern University|Health Research and Educational Trust|Northwestern University|Chicago Department of Public Health|Northwestern University
h3purposeh3 effective strategies needed improve rates colorectal cancer screening particularly among poor racial ethnic minorities individuals limited english proficiency examined whether direct mailing fecal occult blood testing fobt kits patients overdue screening effective way improve screening population h3methodsh3 adults aged 50 80 years documentation date colorectal cancer screening december 31 2009 least 2 visits community health center prior 18 months randomized outreach intervention usual care patients outreach group mailed colorectal cancer fact sheet fobt kit patients usual care group could referred screening usual clinician visits primary outcome completion colorectal cancer screening fobt sigmoidoscopy colonoscopy 4 months initiation outreach protocol outcome measures compared using fisher exact test h3resultsh3 analyses based 104 patients assigned outreach intervention 98 patients assigned usual care 30 patients outreach group completed colorectal cancer screening study period compared 5 patients usual care group ipi lt001 nearly screenings fobt groups differ significantly respect percentage patients making clinician visit percentage clinician placed order screening test h3conclusionsh3 mailing fobt kits directly patients efficacious promoting colorectal cancer screening among population high levels poverty limited english proficiency racial ethnic diversity nonvisitbased outreach patients may important strategy address suboptimal rates colorectal cancer screening among populations risk screened