Improving uptake of screening for colorectal cancer: a study on invitation strategies and different test kit use
Autor: | Sergejs Rikacovs, Ilona Kojalo, Viesturs Boka, Marcis Leja, Peteris Rucevskis, Daiga Santare, Teppo Huttunen |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Oncology
Male medicine.medical_specialty genetic structures Colorectal cancer Reminder Systems education colorectal cancer screening faecal occult blood test Specimen Handling Random Allocation Internal medicine medicine Postal service Original Articles: Colorectal Cancer Humans Postal Service Early Detection of Cancer Aged Random allocation Gynecology Hepatology business.industry Immunochemistry Gastroenterology Middle Aged Patient Acceptance of Health Care medicine.disease faecal immunochemical test Correspondence as Topic Latvia advance notification letter Test (assessment) Colorectal cancer screening uptake Occult Blood Female Faecal occult blood test business Colorectal Neoplasms Guaiac |
Zdroj: | European Journal of Gastroenterology & Hepatology |
ISSN: | 1473-5687 0954-691X |
Popis: | Objective The aim of this study was to compare the uptake of mail-delivered tests for colorectal cancer screening. We assessed the effect of an advance notification letter and a reminder letter, and analysed the proportion of inappropriately handled tests. Materials and methods Fifteen thousand randomly selected residents of Latvia aged 50–74 years were allocated to receive one of three different test systems: either a guaiac faecal occult blood test (gFOBT) or one of two laboratory-based immunochemical tests (FIT) – FOB Gold or OC-Sensor. Half of the target population received an advance notification letter; all nonresponders were sent a reminder letter. Results The uptake of screening was 31.2% for the gFOBT, 44.7% for FOB Gold and 47.4% for the OC-Sensor (odds ratio 0.55; 95% confidence interval 0.51–0.60 for gFOBT vs. FOB Gold; odds ratio 0.90; 95% confidence interval 0.83–0.98 for FOB Gold vs. OC-Sensor). The uptake in the gFOBT group was improved by the advance notification letter (7.7%, P |
Databáze: | OpenAIRE |
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