期刊
JOURNAL OF MEDICAL SCREENING
卷 28, 期 1, 页码 51-53出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0969141320904977
关键词
Colorectal cancer; organized screening; fecal occult blood tests; follow-up
资金
- National Cancer Institute
- [K08CA230162]
Most colorectal cancer screening programs employ multiple interventions to ensure timely follow-up of positive FIT results, with the use of patient navigators and provider reminders being associated with higher rates of colonoscopy completion.
Objective Colorectal cancer screening programs frequently report problems ensuring adequate follow-up of positive fecal immunochemical tests (FITs). We investigated strategies implemented by ongoing screening programs to improve follow-up for FIT-positive participants, and explored associations between interventions and reported rates of follow-up. Methods We submitted an electronic survey to 58 colorectal cancer screening programs or affiliated researchers. Primary outcomes were the proportion of program participants with a positive FIT completing diagnostic colonoscopy, and patient, provider, and system-level interventions used to improve follow-up. We compare mean colonoscopy completion at six months in programs with and without interventions. Results Thirty-five programs completed the survey (60% response). The mean proportion of participants with a positive FIT who completed colonoscopy was 79% (standard deviation 16%). Programs used a mean of five interventions to improve follow-up. Programs using patient navigators had an 11% higher rate of colonoscopy completion at six months (p = 0.05). Programs sending reminders to primary care providers when no colonoscopy has been completed had a 12% higher rate of colonoscopy completion (p = 0.03). Other interventions were not associated with significant differences. Conclusions Almost all programs employ multiple interventions to ensure timely follow-up of positive FIT. The use of patient navigators and provider reminders is associated with higher rates of colonoscopy completion.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据