Abstract
Aim: To estimate the impact of an advance notification letter on participation in sigmoidoscopy (FS) and fecal immunochemical test (FIT) screening. Methods: Eligible subjects, invited in 3 Italian population based programmes using FS and in 5 using FIT, were randomised (1:1:1), within GP, to: A) standard invitation letter; B) advance notification followed after 1. month by the standard invitation; and C) B. +. indication to contact the general practitioner (GP) to get advice about the decision to be screened. We calculated the 9-month attendance and the incremental cost of each strategy. We conducted a phone survey to assess GP's utilization and predictors of participation. Results: The advance notification was associated with a 20% increase in the attendance among 15,655 people invited for FS (B vs A - RR: 1.17, 95% CI: 1.10-1.25; C vs A - RR: 1.19, 95% CI: 1.12-1.27); the incremental cost ranged between 10 and 9 Euros. Participation in FIT screening (N. = 23,543) was increased only with simple pre-notification (B vs A - RR: 1.06, 95% CI: 1.02-1.10); the incremental cost was 22.5 Euros. GP consultation rate was not increased in group C. Conclusions: An advance notification represents a cost-effective strategy to increase participation in FS screening; its impact on the response to FIT screening was limited.
| Original language | English |
|---|---|
| Pages (from-to) | 106-111 |
| Number of pages | 6 |
| Journal | Preventive Medicine |
| Volume | 73 |
| DOIs | |
| Publication status | Published - Apr 1 2015 |
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Keywords
- CRC screening
- FIT
- Participation
- Sigmoidoscopy
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Epidemiology
- Medicine(all)
Cite this
Invitation strategies for colorectal cancer screening programmes : The impact of an advance notification letter. / Senore, Carlo; Ederle, Andrea; DePretis, Giovanni; Magnani, Corrado; Canuti, Debora; Deandrea, Silvia; Zorzi, Manuel; Barca, Alessandra; Bestagini, Piero; Faitini, Katia; Bisanti, Luigi; Casale, Coralba; Ferro, Antonio; GiorgiRossi, Paolo; Quadrino, Francesco; Fiorina, Giorgia; Capuano, Arianna; Segnan, Nereo; Fantin, Alberto.
In: Preventive Medicine, Vol. 73, 01.04.2015, p. 106-111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Invitation strategies for colorectal cancer screening programmes
T2 - The impact of an advance notification letter
AU - Senore, Carlo
AU - Ederle, Andrea
AU - DePretis, Giovanni
AU - Magnani, Corrado
AU - Canuti, Debora
AU - Deandrea, Silvia
AU - Zorzi, Manuel
AU - Barca, Alessandra
AU - Bestagini, Piero
AU - Faitini, Katia
AU - Bisanti, Luigi
AU - Casale, Coralba
AU - Ferro, Antonio
AU - GiorgiRossi, Paolo
AU - Quadrino, Francesco
AU - Fiorina, Giorgia
AU - Capuano, Arianna
AU - Segnan, Nereo
AU - Fantin, Alberto
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Aim: To estimate the impact of an advance notification letter on participation in sigmoidoscopy (FS) and fecal immunochemical test (FIT) screening. Methods: Eligible subjects, invited in 3 Italian population based programmes using FS and in 5 using FIT, were randomised (1:1:1), within GP, to: A) standard invitation letter; B) advance notification followed after 1. month by the standard invitation; and C) B. +. indication to contact the general practitioner (GP) to get advice about the decision to be screened. We calculated the 9-month attendance and the incremental cost of each strategy. We conducted a phone survey to assess GP's utilization and predictors of participation. Results: The advance notification was associated with a 20% increase in the attendance among 15,655 people invited for FS (B vs A - RR: 1.17, 95% CI: 1.10-1.25; C vs A - RR: 1.19, 95% CI: 1.12-1.27); the incremental cost ranged between 10 and 9 Euros. Participation in FIT screening (N. = 23,543) was increased only with simple pre-notification (B vs A - RR: 1.06, 95% CI: 1.02-1.10); the incremental cost was 22.5 Euros. GP consultation rate was not increased in group C. Conclusions: An advance notification represents a cost-effective strategy to increase participation in FS screening; its impact on the response to FIT screening was limited.
AB - Aim: To estimate the impact of an advance notification letter on participation in sigmoidoscopy (FS) and fecal immunochemical test (FIT) screening. Methods: Eligible subjects, invited in 3 Italian population based programmes using FS and in 5 using FIT, were randomised (1:1:1), within GP, to: A) standard invitation letter; B) advance notification followed after 1. month by the standard invitation; and C) B. +. indication to contact the general practitioner (GP) to get advice about the decision to be screened. We calculated the 9-month attendance and the incremental cost of each strategy. We conducted a phone survey to assess GP's utilization and predictors of participation. Results: The advance notification was associated with a 20% increase in the attendance among 15,655 people invited for FS (B vs A - RR: 1.17, 95% CI: 1.10-1.25; C vs A - RR: 1.19, 95% CI: 1.12-1.27); the incremental cost ranged between 10 and 9 Euros. Participation in FIT screening (N. = 23,543) was increased only with simple pre-notification (B vs A - RR: 1.06, 95% CI: 1.02-1.10); the incremental cost was 22.5 Euros. GP consultation rate was not increased in group C. Conclusions: An advance notification represents a cost-effective strategy to increase participation in FS screening; its impact on the response to FIT screening was limited.
KW - CRC screening
KW - FIT
KW - Participation
KW - Sigmoidoscopy
UR - http://www.scopus.com/inward/record.url?scp=84922581960&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84922581960&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2015.01.005
DO - 10.1016/j.ypmed.2015.01.005
M3 - Article
C2 - 25602908
AN - SCOPUS:84922581960
VL - 73
SP - 106
EP - 111
JO - Preventive Medicine
JF - Preventive Medicine
SN - 0091-7435
ER -