Interventions to ensure follow-up of positive fecal immunochemical tests: An international survey of screening programs.

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State: Public
Version: author
License: All rights reserved
Serval ID
serval:BIB_3BF7EDD98CE2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Interventions to ensure follow-up of positive fecal immunochemical tests: An international survey of screening programs.
Journal
Journal of medical screening
Author(s)
Selby K., Senore C., Wong M., May F.P., Gupta S., Liang P.S.
ISSN
1475-5793 (Electronic)
ISSN-L
0969-1413
Publication state
Published
Issued date
03/2021
Peer-reviewed
Oui
Volume
28
Number
1
Pages
51-53
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural
Publication Status: ppublish
Abstract
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.
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.
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.
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.
Keywords
Colorectal cancer, fecal occult blood tests, follow-up, organized screening
Pubmed
Web of science
Create date
17/02/2020 17:52
Last modification date
30/06/2021 6:34
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