ArticleClinical and translational gastroenterology2019
Strategies to Improve Follow-up After Positive Fecal Immunochemical Tests in a Community-Based Setting: A Mixed-Methods Study.
Article in Clinical and translational gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Using FIT Thresholds for Priority Triage and Risk Stratification in Resource-Constrained Systems.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Navigation activities in an organized colorectal cancer screening program improve follow-up colonoscopy completion.Scientific reports · 2026Article
- Patterns of Care Following a Positive Fecal Blood Test for Colorectal Cancer: A Mixed Methods Study.Journal of general internal medicine · 2024Article
- Colorectal Cancer Screening After Sequential Outreach Components in a Demographically Diverse Cohort.JAMA network open · 2024Observational
- Why is early detection of colon cancer still not possible in 2023?World journal of gastroenterology · 2024Review
- Methods for scaling up an outreach intervention to increase colorectal cancer screening rates in rural areas.Implementation science communications · 2024Article
- Screening for Colorectal Cancer: The Role of Clinical Laboratories.Clinical chemistry · 2024Article
- Hub-and-Spoke centralized intervention to optimize colorectal cancer screening and follow-up: A pragmatic, cluster-randomized controlled trial protocol.Contemporary clinical trials · 2023Article
- Changes in uptake of stool-based colorectal cancer screening during the Covid-19 pandemic.Cancer causes & control : CCC · 2023Article
- Blood-based colorectal cancer screening: are we ready for the next frontier?The lancet. Gastroenterology & hepatology · 2023Article
- Health care personnel's perspectives on human papillomavirus (HPV) self-sampling for cervical cancer screening: a pre-implementation, qualitative study.Implementation science communications · 2022Article
- Barriers associated with inadequate follow-up of abnormal fecal immunochemical test results in a safety-net system: A mixed-methods analysis.Preventive medicine reports · 2022Article
- Screening for Colorectal Cancer.Hematology/oncology clinics of North America · 2022Review
- Program Components and Results From an Organized Colorectal Cancer Screening Program Using Annual Fecal Immunochemical Testing.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022Article
- Patient Navigation After Positive Fecal Immunochemical Test Results Increases Diagnostic Colonoscopy and Highlights Multilevel Barriers to Follow-Up.Digestive diseases and sciences · 2021Article
- Paying Attention to Miss(ed) FITs.Digestive diseases and sciences · 2021Article
- Impact of Patient Adherence to Stool-Based Colorectal Cancer Screening and Colonoscopy Following a Positive Test on Clinical Outcomes.Cancer prevention research (Philadelphia, Pa.) · 2021Article
- Perceptions on Barriers and Facilitators to Colonoscopy Completion After Abnormal Fecal Immunochemical Test Results in a Safety Net System.JAMA network open · 2021Article
- Time to Colonoscopy After Abnormal Stool-Based Screening and Risk for Colorectal Cancer Incidence and Mortality.Gastroenterology · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesThe effectiveness of fecal immunochemical test (FIT) screening for colorectal cancer depends on timely colonoscopy follow-up of positive tests, although limited data exist regarding effective system-level strategies for improving follow-up rates.
methodsUsing a mixed-methods design (qualitative and quantitative), we first identified system-level strategies that were implemented for improving timely follow-up after a positive FIT test in a large community-based setting between 2006 and 2016. We then evaluated changes in time to colonoscopy among FIT-positive patients across 3 periods during the study interval, controlling for screening participant age, sex, race/ethnicity, comorbidity, FIT date, and previous screening history.
resultsImplemented strategies over the study period included setting a goal of colonoscopy follow-up within 30 days of a positive FIT, tracking FIT-positive patients, early telephone contact to directly schedule follow-up colonoscopies, assigning the responsibility for follow-up tracking and scheduling to gastroenterology departments (vs primary care), and increasing colonoscopy capacity. Among 160,051 patients who had a positive FIT between 2006 and 2016, 126,420 (79%) had a follow-up colonoscopy within 180 days, including 67% in 2006-2008, 79% in 2009-2012, and 83% in 2013-2016 (P < 0.001). Follow-up within 180 days in 2016 varied moderately across service areas, between 72% (95% CI 70-75) and 88% (95% CI 86-91), but there were no obvious differences in the pattern of strategies implemented in higher- vs lower-performing service areas.
conclusionsThe implementation of system-level strategies coincided with substantial improvements in timely colonoscopy follow-up after a positive FIT. Intervention studies are needed to identify the most effective strategies for promoting timely follow-up.
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