Official websites use. Share sensitive information only on official, secure websites. Colorectal cancer CRC screening saves lives, but participation rates are low among underserved populations. Knowledge on effective approaches for screening the underserved, including best test type to offer, is limited. To determine 1 if organized mailed outreach boosts CRC screening compared with usual care and 2 if FIT is superior to colonoscopy outreach for CRC screening participation in an underserved population.
Patients were assigned randomly to 1 of 3 groups. In addition, FIT and colonoscopy outreach groups received telephone follow-up to promote test completion. Screening participation was significantly higher for both FIT Rates of CRC identification and advanced adenoma detection were 0. Eleven of 60 patients with abnormal FIT results did not complete colonoscopy.
Among underserved patients whose CRC screening was not up to date, mailed outreach invitations resulted in markedly higher CRC screening compared with usual care. Outreach was more effective with FIT than with colonoscopy invitation. Colorectal cancer CRC screening saves lives, yet screening rates among underserved populations, such as the uninsured and minorities, are low.
Colonoscopy is known to be the most sensitive test for colorectal neoplasia. Colonoscopy may not be as acceptable as noninvasive tests such as the fecal immunochemical test FIT to all populations. Identifying the best approach to offering and delivering screening to underserved populations is also critical.
The dominant usual care strategy in the United States is opportunistic and office visitβbased. Accordingly, we conducted a randomized, comparative effectiveness trial among underserved patients, not up to date with CRC screening.
