Patient prompting of their physician resulted in increased colon cancer screening referrals |
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Authors: | Vu Le Saqib Syed Kenneth J Vega Tushar Sharma Mohammad F Madhoun Nandakumar Srinivasan Courtney W Houchen |
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Institution: | Vu Le, Saqib Syed, Kenneth J Vega, Tushar Sharma, Mohammad F Madhoun, Nandakumar Srinivasan, Courtney W Houchen, Division of Digestive Disease and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, United StatesTushar Sharma, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, United States |
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Abstract: | AIM: To determine whether a communication instrument provided to patients prior to their primary care physician (PCP) visit initiates a conversation with their PCP about colorectal cancer screening (CRC-S), impacting screening referral rates in fully insured and underinsured patients.
METHODS: A prospective randomized control study was performed at a single academic center outpatient internal medicine (IRMC, underinsured) and family medicine (FMRC, insured) resident clinics prior to scheduled visits. In the intervention group, a pamphlet about the benefit of CRC-S and a reminder card were given to patients before the scheduled visit for prompting of CRC-S referral by their PCP. The main outcome measured was frequency of CRC-S referral in each clinic after intervention.
RESULTS: In the IRMC, 148 patients participated, a control group of 72 patients (40F and 32M) and 76 patients (48F and 28M) in the intervention group. Referrals for CRC-S occurred in 45/72 (63%) of control vs 70/76 (92%) in the intervention group (P≤ 0.001). In the FMRC, 126 patients participated, 66 (39F:27M) control and 60 (33F:27M) in the intervention group. CRC-S referrals occurred in 47/66 (71%) of controls vs 56/60 (98%) in the intervention group (P≤ 0.001).
CONCLUSION: Patient initiated physician prompting produced a significant referral increase for CRC-S in underinsured and insured patient populations. Additional investigation aimed at increasing CRC-S acceptance is warranted. |
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Keywords: | Colon cancer Screening Primary care Physician patient relationship Referral |
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