Patient randomized trial of a targeted navigation program to improve rates of follow-up colonoscopy in community health centers.

ABSTRACT:

Background

Colorectal cancer (CRC) screening by annual fecal immunochemical test (FIT) is an accessible and cost-effective strategy to lower CRC incidence and mortality. However, this mode of screening depends on follow-up colonoscopy after a positive FIT result. Unfortunately, nearly one-half of FIT-positive patients fail to complete this essential screening component. Patient navigation may improve follow-up colonoscopy adherence. To deliver patient navigation cost-effectively, health centers could target navigation to patients who are unlikely to complete the procedure on their own.

Objectives

The Predicting and Addressing Colonoscopy Non-adherence in Community Settings (PRECISE) clinical trial will validate a risk model of follow-up colonoscopy adherence and test whether

SUBMITTER: Coronado GD 

PROVIDER: S-EPMC7254876 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature