Trial reportJournal of general internal medicine2011
Improving the follow-up of positive hemoccult screening tests: an electronic intervention.
Trial report in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00122187 (Translation of Colorectal Cancer Screening Guidelines), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Translation of Colorectal Cancer Screening Guidelines: A System Intervention
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The impact of health information technology on the management and follow-up of test results - a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Evaluation of Interventions Intended to Increase Colorectal Cancer Screening Rates in the United States: A Systematic Review and Meta-analysis.JAMA internal medicine · 2018Pooled it
- Interventions to Improve Follow-up of Positive Results on Fecal Blood Tests: A Systematic Review.Annals of internal medicine · 2017Pooled it
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Trial
- A six-month crossover chemoprevention clinical trial of tea in smokers and non-smokers: methodological issues in a feasibility study.BMC complementary and alternative medicine · 2012Trial
- Results of nurse navigator follow-up after positive colorectal cancer screening test: a randomized trial.Journal of the American Board of Family Medicine : JABFMTrial
- Screening for Colorectal Cancer.Hematology/oncology clinics of North America · 2022Review
- What Multilevel Interventions Do We Need to Increase the Colorectal Cancer Screening Rate to 80%?Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021Review
- Bridging the Gap: Patient Navigation Increases Colonoscopy Follow-up After Abnormal FIT.Clinical and translational gastroenterology · 2021Article
- Factors affecting the follow-up time after a positive result in the fecal occult blood test.PloS one · 2021Article
- Repeated Automated Mobile Text Messaging Reminders for Follow-Up of Positive Fecal Occult Blood Tests: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Article
- Strategies to Improve Follow-up After Positive Fecal Immunochemical Tests in a Community-Based Setting: A Mixed-Methods Study.Clinical and translational gastroenterology · 2019Article
- The Need for an Integrated Patient Navigation Pathway to Improve Access to Colonoscopy After Positive Fecal Immunochemical Testing: A Safety-Net Hospital Experience.Journal of community health · 2017Article
- Optimizing the Quality of the Colorectal Cancer Screening Continuum: A Call to Action.Journal of the National Cancer Institute · 2017Article
- A centrally generated primary care physician audit report does not improve colonoscopy uptake after a positive result on a fecal occult blood test in Ontario's ColonCancerCheck program.Current oncology (Toronto, Ont.) · 2017Article
- Colorectal cancer screening: Estimated future colonoscopy need and current volume and capacity.Cancer · 2016Article
- Time to Colonoscopy after Positive Fecal Blood Test in Four U.S. Health Care Systems.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016Article
- Mailed participant reminders are associated with improved colonoscopy uptake after a positive FOBT result in Ontario's ColonCancerCheck program.Implementation science : IS · 2015Article
- Organizational predictors of colonoscopy follow-up for positive fecal occult blood test results: an observational study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundFour population-based studies of screening for CRC with fecal occult blood testing (FOBT) have shown that mortality can be significantly reduced. However, nearly half of all positive screening tests are not appropriately evaluated.
objectivesWe evaluated whether an electronic record intervention improved the follow-up of patients with a positive FOBT (FOBT+) result.
designWe conducted a cluster randomized trial involving four Veteran's Affairs (VA) medical centers pair-matched by colonoscopy volume and randomized within the pair to receive the electronic intervention or usual care.
participantsAll patients with FOBT+ results at participating facilities during a matched pre- and post-intervention time period.
interventionsIn the two intervention sites, an electronic consult that imported relevant clinical information was automatically submitted to the gastroenterology (GI) clinic for all FOBT+ patients at the time the result was recorded in the laboratory. In both intervention and control sites (usual care), PCPs continued to be notified of FOBT+ results in the usual manner MEASURES: Pre- and post-intervention changes in the proportion of FOBT+ patients having: (1) a GI consult or (2) a GI consult plus complete diagnostic evaluation (CDE) of the colon within 30, 90 and 180 days were compared across intervention and control sites. Log rank tests were used to determine statistical significance.
resultsThe 30-, 90- and 180-day GI consult rates improved 21-33 % (p < 0.001) among intervention sites, but did not change in the usual care sites. Thirty-, 90- and 180-day CDE rates improved 9-31% (p < 0.03) in intervention sites, but did not significantly change in the usual care sites. Time to GI consult and CDE decreased significantly over time in the intervention sites (p < 0.001), but remained unchanged in the usual care sites.
conclusionsThe relatively simple electronic intervention evaluated can significantly improve the follow-up of FOBT+ results. Interventions such as this could improve patient care and may be applicable to other practice settings, as well as other types of tests.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.