Advanced Notification Calls Prior to Mailed Fecal Immunochemical Test in Previously Screened Patients: a Randomized Cont
- PDF / 508,961 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 67 Downloads / 169 Views
School of Medicine, University of California San Francisco, San Francisco, CA, USA; 2Division of Gastroenterology, University of California San Francisco, San Francisco, CA, USA; 3Clinical Research & Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; 4 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA; 5Centers for Disease Control and Prevention, Atlanta, GA, USA; 6Division of Gastroenterology, Stanford University, Palo Alto, CA, USA; 7Center for Vulnerable Populations, University of California San Francisco, San Francisco, CA, USA.
BACKGROUND: Phone calls as part of multimodal fecal immunochemical test (FIT) outreach are effective but resource-intensive. Previous studies of advanced notification calls before FIT mailing have not differentiated patients’ prior screening status. OBJECTIVE: To determine the effectiveness of a phone call preceding mailing of a FIT kit on test completion rate for patients who have completed a prior FIT. DESIGN: Randomized controlled trial nested within a larger study. All patients were assigned to receive organized mailed FIT outreach in the larger study. PARTICIPANTS: Patients in a safety-net health setting ages 50–75 years old with a previously negative FIT. INTERVENTIONS: Patients were assigned to either receive an advanced notification phone call or no phone call preceding a mailed FIT kit. Both groups received an informational postcard prior to the mailed FIT. MAIN MEASURES: The primary outcome was FIT completion rate at 1 year. The secondary outcomes were FIT completion rates at 60, 90, and 180 days, rates stratified by demographic subgroups, and rates according to outcome of the phone call. KEY RESULTS: A total of 1645 patients were assigned to advanced notification calls and 1595 were assigned to no call preceding the FIT mailing. Although FIT completion rate was higher at day 60 (55.5% vs. 50.8%, p < 0.01), an advanced notification call did not significantly improve FIT completion at 1 year (70.9% vs. 69.9%, p = 0.52). Of the patients assigned to receive an advanced notification call, 90.5% were spoken with or left a voicemail; patients who were spoken with were more likely to complete a FIT at 1 year compared with patients who were only left a voicemail or could not be left a voicemail (79.9% vs. 69.2% vs. 49.6%, p < 0.01). Preliminary data from this manuscript was presented at Digestive Disease Week, May 2019. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11606-020-06009-4) contains supplementary material, which is available to authorized users. Received October 14, 2019 Revised April 16, 2020 Accepted June 23, 2020
CONCLUSIONS: Advanced notification phone calls prior to FIT mailing did not improve rates at 1 year for patients with a previously negative FIT. KEY WORDS: colon cancer; screening outreach; introductory call; pre-FIT reminder. J Gen Intern Med DOI: 10.1007/s11606-020-06009-4 © Society of General Internal Medicine 2020
INTRO
Data Loading...
