A randomized trial of mailed outreach with behavioral economic interventions to improve liver cancer surveillance.

ABSTRACT:

Background

Surveillance rates for HCC remain limited in patients with cirrhosis. We evaluated whether opt-out mailed outreach increased uptake with or without a $20 unconditional incentive.

Methods

This was a pragmatic randomized controlled trial in an urban academic health system including adult patients with cirrhosis or advanced fibrosis, at least 1 visit to a specialty practice in the past 2 years and no surveillance in the last 7 months. Patients were randomized in a 1:2:2 ratio to (1) usual care, (2) a mailed letter with a signed order for an ultrasound, or (3) a mailed letter with an order and a $20 unconditional incentive. The main outcome was the proportion with completion of ultrasound within 6 months.

Results

Among the 562 patients included, the mean age wa

SUBMITTER: Mehta SJ 

PROVIDER: S-EPMC10727671 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature