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Colon cancer screening doubles with new e-health record use
Date:3/4/2013

they were due for colorectal cancer screening and a pamphlet about screening choices and the pros and cons of three screening options recommended by Group Health and the U.S. Preventive Services Task Force: fecal occult blood testing (FOBT) yearly; flexible sigmoidoscopy every five years (with one FOBT in between); or colonoscopy every decade. Those patients who didn't call to schedule a colonoscopy or sigmoidoscopy received a FOBT kit in the mail with illustrated instructions and a postage-paid return envelope and a reminder letter three weeks later if the kit was not completed.

  • The third group received usual care, automated interventions, and an additional step called "assisted" care if they still had not completed screening. Assisted care included a medical assistant calling patients to ask which screening option they preferred and provided simple assistance to get this done, such as sending a request for a colonoscopy to their physician, or reviewing the FOBT instructions.

  • The fourth group received usual care, automated, the assisted intervention, and an additional step called "navigated" care if they were still overdue for screening or requested a colonoscopy or sigmoidoscopy during the automated or assisted steps. Navigated care included a nurse calling to advise patients and facilitate their screening, for those who wanted help in making their choice or didn't get screened after the medical assistant's call. Patients who chose colonoscopy or sigmoidoscopy were helped with making an appointment and preparing for the procedure and followed until the test was completed.

    Each step of the SOS intervention raised the percentage of patients who were current for colorectal screening for both years: 26 percent for usual, 51 percent for automated, 57 percent for assisted, and 65 percent for navigated care.

    The two-year costs of the automated intervention plus the screening were actually $89 lower than if the patients h
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  • Contact: Rebecca Hughes
    hughes.r@ghc.org
    206-287-2055
    Group Health Research Institute
    Source:Eurekalert  

    Page: 1 2 3

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