Abstract
Objective: The purpose of this parallel randomised controlled trial was to compare compliance with different modalities used to invite patients with a positive immunochemical faecal occult blood test (FIT. +) for a total colonoscopy (TC). Method: FIT. + patients from nine Italian colorectal cancer screening programmes were randomised to be invited for a TC initially by mail or by phone and, for non-compliers, to be recalled by mail, for counselling with a general practitioner, or to meet with a specialist screening practitioner (nurse or healthcare assistant). Results: In all, 3777 patients were randomised to different invitation strategies. Compliance with an initial invitation by mail and by phone was similar (86.0% vs. 84.0%, relative risk - RR: 1.02; 95%CI 0.97-1.08). Among non-responders to the initial invitation, compliance with a recall by appointment with a specialist practitioner was 50.4%, significantly higher than with a mail recall (38.1%; RR:1.33; 95%CI 1.01-1.76) or with a face-to-face counselling with the GP (30.8%; RR:1.45;95%CI 1.14-1.87). Conclusion: Compliance with an initial invitation for a TC by mail and by phone was similar. A personal meeting with a specialist screening practitioner was associated with the highest compliance among non-compliers with initial invitations, while the involvement of GPs in this particular activity seemed less effective.
| Original language | English |
|---|---|
| Pages (from-to) | 70-76 |
| Number of pages | 7 |
| Journal | Preventive Medicine |
| Volume | 65 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Colorectal cancer screening
- Compliance with colonoscopy
- Faecal occult blood test
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Epidemiology
- Medicine(all)
Cite this
A comparison of different strategies used to invite subjects with a positive faecal occult blood test to a colonoscopy assessment. A randomised controlled trial in population-based screening programmes. / Zorzi, Manuel; Giorgi Rossi, Paolo; Cogo, Carla; Falcini, Fabio; Giorgi, Daniela; Grazzini, Grazia; Mariotti, Loretta; Matarese, Vincenzo; Soppelsa, Fabio; Senore, Carlo; Ferro, Antonio; Mel, Rosanna; Tison, Anna; Di Camillo, Sabrina; Germanà, Bastianello; Bisello, Marco; Lazzaro, Stefano; Antoniello, Luca Maria; Bertazzo, Sandra; Gennaro, Meris; Trevisani, Lucio; Cifalà, Viviana; Degl'Innocenti, Carolina; Migliori, Manola; Ciacci, Rosanna; Colamartini, Americo; Giuliani, Orietta; Vattiato, Rosa; Palumbo, Monica; Barca, Alessandra; Baiocchi, Diego; Quadrino, Francesco; Bellardini, Paola; Picchi, Alberto; Finucci, Giovanni; Coccioli, Sergio; Passamonti, Basilio Ubaldo; Malaspina, Morena; Tintori, Beatrice; D'Angelo, Valentina; Silvani, Marco; Fiorina, Giorgia; Capuano, Arianna; Segnan, Nereo.
In: Preventive Medicine, Vol. 65, 2014, p. 70-76.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A comparison of different strategies used to invite subjects with a positive faecal occult blood test to a colonoscopy assessment. A randomised controlled trial in population-based screening programmes
AU - Zorzi, Manuel
AU - Giorgi Rossi, Paolo
AU - Cogo, Carla
AU - Falcini, Fabio
AU - Giorgi, Daniela
AU - Grazzini, Grazia
AU - Mariotti, Loretta
AU - Matarese, Vincenzo
AU - Soppelsa, Fabio
AU - Senore, Carlo
AU - Ferro, Antonio
AU - Mel, Rosanna
AU - Tison, Anna
AU - Di Camillo, Sabrina
AU - Germanà, Bastianello
AU - Bisello, Marco
AU - Lazzaro, Stefano
AU - Antoniello, Luca Maria
AU - Bertazzo, Sandra
AU - Gennaro, Meris
AU - Trevisani, Lucio
AU - Cifalà, Viviana
AU - Degl'Innocenti, Carolina
AU - Migliori, Manola
AU - Ciacci, Rosanna
AU - Colamartini, Americo
AU - Giuliani, Orietta
AU - Vattiato, Rosa
AU - Palumbo, Monica
AU - Barca, Alessandra
AU - Baiocchi, Diego
AU - Quadrino, Francesco
AU - Bellardini, Paola
AU - Picchi, Alberto
AU - Finucci, Giovanni
AU - Coccioli, Sergio
AU - Passamonti, Basilio Ubaldo
AU - Malaspina, Morena
AU - Tintori, Beatrice
AU - D'Angelo, Valentina
AU - Silvani, Marco
AU - Fiorina, Giorgia
AU - Capuano, Arianna
AU - Segnan, Nereo
PY - 2014
Y1 - 2014
N2 - Objective: The purpose of this parallel randomised controlled trial was to compare compliance with different modalities used to invite patients with a positive immunochemical faecal occult blood test (FIT. +) for a total colonoscopy (TC). Method: FIT. + patients from nine Italian colorectal cancer screening programmes were randomised to be invited for a TC initially by mail or by phone and, for non-compliers, to be recalled by mail, for counselling with a general practitioner, or to meet with a specialist screening practitioner (nurse or healthcare assistant). Results: In all, 3777 patients were randomised to different invitation strategies. Compliance with an initial invitation by mail and by phone was similar (86.0% vs. 84.0%, relative risk - RR: 1.02; 95%CI 0.97-1.08). Among non-responders to the initial invitation, compliance with a recall by appointment with a specialist practitioner was 50.4%, significantly higher than with a mail recall (38.1%; RR:1.33; 95%CI 1.01-1.76) or with a face-to-face counselling with the GP (30.8%; RR:1.45;95%CI 1.14-1.87). Conclusion: Compliance with an initial invitation for a TC by mail and by phone was similar. A personal meeting with a specialist screening practitioner was associated with the highest compliance among non-compliers with initial invitations, while the involvement of GPs in this particular activity seemed less effective.
AB - Objective: The purpose of this parallel randomised controlled trial was to compare compliance with different modalities used to invite patients with a positive immunochemical faecal occult blood test (FIT. +) for a total colonoscopy (TC). Method: FIT. + patients from nine Italian colorectal cancer screening programmes were randomised to be invited for a TC initially by mail or by phone and, for non-compliers, to be recalled by mail, for counselling with a general practitioner, or to meet with a specialist screening practitioner (nurse or healthcare assistant). Results: In all, 3777 patients were randomised to different invitation strategies. Compliance with an initial invitation by mail and by phone was similar (86.0% vs. 84.0%, relative risk - RR: 1.02; 95%CI 0.97-1.08). Among non-responders to the initial invitation, compliance with a recall by appointment with a specialist practitioner was 50.4%, significantly higher than with a mail recall (38.1%; RR:1.33; 95%CI 1.01-1.76) or with a face-to-face counselling with the GP (30.8%; RR:1.45;95%CI 1.14-1.87). Conclusion: Compliance with an initial invitation for a TC by mail and by phone was similar. A personal meeting with a specialist screening practitioner was associated with the highest compliance among non-compliers with initial invitations, while the involvement of GPs in this particular activity seemed less effective.
KW - Colorectal cancer screening
KW - Compliance with colonoscopy
KW - Faecal occult blood test
UR - http://www.scopus.com/inward/record.url?scp=84901228063&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901228063&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2014.04.022
DO - 10.1016/j.ypmed.2014.04.022
M3 - Article
C2 - 24811759
AN - SCOPUS:84901228063
VL - 65
SP - 70
EP - 76
JO - Preventive Medicine
JF - Preventive Medicine
SN - 0091-7435
ER -