Know Cancer

or
forgot password

Improving Systems for Colorectal Cancer Screening


N/A
50 Years
80 Years
Open (Enrolling)
Both
Colorectal Cancer

Thank you

Trial Information

Improving Systems for Colorectal Cancer Screening


OBJECTIVES:

Primary

- Determine whether rates of colorectal cancer (CRC) screening can be increased among
average-risk adults by using patient-specific, active, electronic, clinical reminders
for primary care physicians during office visits and mailed reminders and fecal occult
blood test cards for patients.

Secondary

- Calculate baseline rates of CRC screening, in terms of patient demographic
characteristics, primary care physician, and practice group, by using computerized
clinical information systems to identify patients due for screening.

- Assess baseline rates of CRC screening among patients insured by different health
plans.

- Determine whether the impact of the interventions is related to efforts by health plans
to promote CRC screening.

- Evaluate patients' willingness to use a validated web-based tool to estimate their
personal risk of CRC.

OUTLINE: This is a randomized, controlled study. Patients are randomized to 1 of 2 arms
(arms I or III). Physicians are randomized to 1 of 2 arms (arms II or IV).

- Arm I: Patients receive mailed reminders for colorectal cancer (CRC) screening.
Patients also receive fecal occult blood testing (FOBT) instructions and cards.
Patients who remain overdue for screening at 6 months after the initial mailing receive
a follow-up letter reminding them of their need to be screened. Patients who return
positive FOBT cards undergo colonoscopy within 1 month. The patient's primary care
physician may receive computerized screening reminders at the time of the patient's
office visit and may order CRC screening tests online.

- Arm II: Patients receive no mailings. The patient's primary care physician may receive
computerized screening reminders at the time of the patient's office visit and may
order CRC screening tests online.

- Arm III: Patients receive mailed reminders for CRC screening. The patient's primary
care physician may order CRC screening tests online, but will not receive active
computerized reminders. Patients also receive FOBT instructions and cards. Patients who
remain overdue for screening at 6 months after the initial mailing receive a follow-up
letter reminding them of their need to be screened. Patients who return positive FOBT
cards will be scheduled to undergo colonoscopy within 1 month.

- Arm IV: Patients receive no mailings. The patient's primary care physician may order
CRC screening tests online, but will not receive active computerized reminders.

Patients are followed for 15 months to determine screening rates.

PROJECTED ACCRUAL: A total of 21,860 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Receiving primary care at 1 of 11 participating Harvard Vanguard Medical Associates
(HVMA) centers

- Has an active primary care physician

- Had a primary care visit within the past 18 months

- Is due for colorectal cancer screening

PATIENT CHARACTERISTICS:

- Not specified

PRIOR CONCURRENT THERAPY:

- Not specified

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Primary Purpose: Screening

Outcome Measure:

Rate of colorectal cancer screening

Safety Issue:

No

Principal Investigator

John Ayanian, MD, MPP

Investigator Role:

Study Chair

Investigator Affiliation:

Harvard Medical School

Authority:

United States: Federal Government

Study ID:

CDR0000486405

NCT ID:

NCT00355004

Start Date:

March 2005

Completion Date:

Related Keywords:

  • Colorectal Cancer
  • colon cancer
  • rectal cancer
  • Colorectal Neoplasms

Name

Location

Harvard Vanguard Medical Associates - KenmoreBoston, Massachusetts  02215
Harvard Pilgrim Health CareBoston, Massachusetts  02215
Harvard Medical SchoolBoston, Massachusetts  02115