Risk Stratification and Shared Decision Making for Colorectal Cancer Screening: A Randomized Controlled Trial.

ABSTRACT:

Background

Eliciting patient preferences within the context of shared decision making has been advocated for colorectal cancer (CRC) screening, yet providers often fail to comply with patient preferences that differ from their own.

Purpose

To determine whether risk stratification for advanced colorectal neoplasia (ACN) influences provider willingness to comply with patient preferences when selecting a desired CRC screening option.

Design

Randomized controlled trial.

Setting/participants

Asymptomatic, average-risk patients due for CRC screening in an urban safety net health care setting.

Intervention

Patients were randomized 1:1 to a decision aid alone (n= 168) or decision aid plus risk assessment (n= 173) arm between September 2012 and September 2014.

SUBMITTER: Schroy PC 

PROVIDER: S-EPMC4818180 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature