Durability of FIT Screening After Cessation of a Screening Outreach Intervention

Introduction Organized outreach to increase CRC screening using mailed FIT tests has been shown to be effective, but durable changes to screening behavior after cessation of screening is not known. Methods In this study, after cessation of funding for an organized cancer screening outreach program,...

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Bibliographic Details
Published in:Digestive diseases and sciences 2023-05, Vol.68 (5), p.1777-1779
Main Authors: Burns, Shohei, Somsouk, Ma
Format: Article
Language:English
Subjects:
Analysis
Biochemistry
Cancer
Cervical cancer
Clinics
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - prevention & control
Diagnosis
Early Detection of Cancer
Gastroenterology
Hepatology
Humans
Mass Screening
Medical screening
Medicine
Medicine & Public Health
Occult Blood
Oncology
Oncology, Experimental
Original
Original Article
Outreach services
Participation
Patients
Population
Safety-net Providers
Social service
Transplant Surgery
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Summary:Introduction Organized outreach to increase CRC screening using mailed FIT tests has been shown to be effective, but durable changes to screening behavior after cessation of screening is not known. Methods In this study, after cessation of funding for an organized cancer screening outreach program, we evaluated whether adherence to screening remained elevated. Patients aged 50–75 years eligible for CRC screening from eight safety net clinics were randomly assigned to outreach intervention vs usual care alone in 2016 to 2018; the primary outcome analyzed was the difference in the cumulative proportion of completed FIT screening between study assignments 1 year after study cessation. Results Despite higher rates of FIT screening for patients who were randomly assigned to the outreach intervention, FIT completion was not significantly different between the group that received the outreach services versus the usual care group (28.3% vs 29.8%, p  = 0.158). Conclusion Outreach campaigns and their activities must be sustained to maintain improved rates of screening participation.
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-022-07755-7