Effect of physician notification regarding non-adherence to colorectal cancer screening on patient participation in fecal immunochemical test cancer screening : A randomized clinical trial - 07/05/18
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 2 |
| Iconographies | 0 |
| Vidéos | 0 |
| Autres | 0 |
Résumé |
Introduction |
To determine whether providing general practitioners (GPs) a list of patients who are non-adherent to CRC screening enhances patient participation in fecal immunochemical testing (FIT).
Methods |
A 3-group, cluster-randomized study was conducted from July 14, 2015, to July 14, 2016, on the west coast of France, with GPs in 801 practices participating and involving adult patients (50–74 years) who were at average risk of CRC and not up-to-date with CRC screening. The final follow-up date was July 14, 2016. The primary endpoint was patient participation in CRC screening one year after the intervention.
Results |
General practitioners were randomly assigned to 1 of 3 groups : 496 received a list of patients who had not undergone CRC screening (patient-specific reminders group, 10,476 patients), 495 received a letter describing region-specific CRC screening adherence rates (generic reminders group, 10,606 patients), and 455 did not receive any reminders (usual care group, 10,147 patients). Among 1482 randomized GPs (mean age, 53.4 years ; 576 women [38.9 %]), 1446 participated ; of the 33,044 patients of these GPs (mean age, 59.7 years ; 17,949 women [54.3 %]), follow-up at one year was available for 31,229 (94.5 %). At one year, 24.8 % (95 % CI : 23.4 %–26.2 %) of patients in the specific reminders group, 21.7 % (95 % CI : 20.5 %–22.8 %) in the generic reminders group, and 20.6 % (95 % CI : 19.3 %–21.8 %) in the usual care group participated in the FIT screening. The between-group differences were 3.1 % (95 % CI : 1.3 %–5.0 %) for the patient-specific reminders group versus the generic reminders group, 4.2 % (95 % CI : 2.3 %–6.2 %) for the patient-specific reminders group versus the usual care group, and 1.1 % (95 % CI : −0.6 % to 2.8 %) for generic reminders group versus the usual care group.
Conclusions |
Providing French GPs caring for adults at average risk of CRC with a list of their patients who were not up-to-date with their CRC screening resulted in a small but significant increase in patient participation in FIT screening at one year compared with patients who received usual care. Providing GPs with generic reminders about regional rates of CRC screening did not increase screening rates compared with usual care.
Le texte complet de cet article est disponible en PDF.Keywords : Screening, Colorectal cancer, General practice, Nominative list, Fit test
Plan
Vol 66 - N° S3
P. S142-S143 - mai 2018 Retour au numéro
Article précédent
- Surveillance automatisée des épidémies d’infections associées aux soins à partir des bases de données médico-administratives d’un établissement
- C. Sprimont, S. Rahoux, J. Gal, J. Viotti, R. Ruimy, G. Daideri, P. Berger, V. Ribeiro, P. Staccini, E. Chamorey
- Estimation de modèles de régression avec covariables censurées par intervalle – application à l’essai randomisé Toxogest
- R. Sitta, L. Mandelbrot, F. Kieffer, I. Villena, R. Thiébaut
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?