Vivek Kaul, MD, discusses papers from DDW2023 that have a major impact on common GI conditions seen in primary care.
and tried to figure out which strategy would be most attractive to bring more people in for screening. This is a large, randomized controlled trial with good distribution of patient populations with approximately half female, half Caucasian, and a mean age around 48 years, with more than 20,000 patients.
Invitations were sent via electronic patient portals, which are very common nowadays, and via the United States Postal Service. Text-message reminders were sent a couple of weeks later. The primary outcome of this study was to look at any colorectal cancer completion rate at 26 weeks. The lowest participation was in the colonoscopy invitation group, I suspect due to the invasive nature of the procedure and the patients' perception of that. When patients were offered a choice, they were more likely to be compliant with screening. In the end, more patients chose colonoscopy as their screening test of choice compared with FIT testing.
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