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Coordinated Endoscopic Colorectal Cancer Screening

50 Years
79 Years
Not Enrolling
Preventive Health Services

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Trial Information

Coordinated Endoscopic Colorectal Cancer Screening

The investigators aim to use a randomized design to test the effects of 1) tailored
physician recommendations, relative to non-specific recommendations, and 2) coordinated
physician office management systems on patient adherence to colorectal cancer screening

To accomplish these aims, the investigators propose 1) to use existing physician
practice-based computerized patient registration systems to define populations of 50 to 79
year-old pri-mary care patients, 2) to use mailed questionnaires to determine colorectal
cancer risk factor status and prior colorectal cancer screening history, 3) to use responses
from mailed questionnaires to identify persons not adhering to colorectal cancer screening
guidelines, 4) to use computer driven algorithms to help physicians prepare and deliver
individually tailored and written colorectal cancer screening recommendations, and 5) to
develop, implement, and evaluate a centralized service for delivering high quality screening
flexible sigmoidoscopy.

Inclusion Criteria:


Exclusion Criteria:

- history of colorectal cancer or polyps

- flexible sigmoidoscopy within five years of enrollment

- barium enema within five years of enrollment

- colonoscopy within five years of enrollment

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Outcome Measure:

Medical record verified flexible sigmoidoscopy or colonoscopy

Principal Investigator

Joel L. Weissfeld, MD MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Pittsburgh


United States: Federal Government

Study ID:

S1796-21/23 (NCE)



Start Date:

June 2002

Completion Date:

March 2005

Related Keywords:

  • Preventive Health Services
  • colorectal cancer screening
  • sigmoidoscopy
  • colonoscopy
  • Colorectal Neoplasms



University of Pittsburgh Cancer InstitutePittsburgh, Pennsylvania  15213