Mailed Fecal Immunochemical Test Outreach for Colorectal Cancer Screening: Summary of a Centers for Disease Control-Sponsored Summit

Details

• Alternative Title:
  CA Cancer J Clin
• Personal Author:
  Gupta, Samir ; Coronado, Gloria D. ; Argenbright, Keith ; Brenner, Alison T. ; Castañeda, Sheila F. ; Dominitz, Jason A. ; Green, Beverly ; Issaka, Rachel B. ; Levin, Theodore R. ; Reuland, Daniel S. ; Richardson, Lisa C. ; Robertson, Douglas J. ; Singal, Amit G. ; Pignone, Michael
• Description:
  Uptake of colorectal cancer screening remains suboptimal. Mailed fecal immunochemical testing (FIT) offers promise for increasing screening rates, but optimal strategies for implementation have not been well synthesized. In June 2019, the Centers for Disease Control and Prevention convened a meeting of subject matter experts and stakeholders to answer key questions regarding mailed FIT implementation in the United States. Points of agreement included: 1) primers, such as texts, telephone calls, and printed mailings before mailed FIT, appear to contribute to effectiveness; 2) invitation letters should be brief and easy to read, and the signatory should be tailored based on setting; 3) instructions for FIT completion should be simple and address challenges that may lead to failed laboratory processing, such as notation of collection date; 4) reminders delivered to initial noncompleters should be used to increase the FIT return rate; 5) data infrastructure should identify eligible patients and track each step in the outreach process, from primer delivery through abnormal FIT follow-up; 6) protocols and procedures such as navigation should be in place to promote colonoscopy after abnormal FIT; 7) a high-quality, 1-sample FIT should be used; 8) sustainability requires a program champion and organizational support for the work, including sufficient funding and external policies (such as quality reporting requirements) to drive commitment to program investment; and 9) the cost effectiveness of mailed FIT has been established. Participants concluded that mailed FIT is an effective and efficient strategy with great potential for increasing colorectal cancer screening in diverse health care settings if more widely implemented.
• Subjects:
  Cause Of Death Colorectal Neoplasms Congresses As Topic Early Detection Of Cancer Health Plan Implementation Humans Mass Screening Occult Blood Patient Acceptance Of Health Care Patient Education As Topic Postal Service Reminder Systems

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• Source:
  CA Cancer J Clin. 70(4):283-298
• Pubmed ID:
  32583884
• Pubmed Central ID:
  PMC7523556
• Document Type:
  Journal Article
• Funding:
  UG3 CA233251/CA/NCI NIH HHSUnited States/ ; R37 CA222866/CA/NCI NIH HHSUnited States/ ; CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U54 CA132379/CA/NCI NIH HHSUnited States/ ; UG3 CA233314/CA/NCI NIH HHSUnited States/ ; UH3 CA233314/CA/NCI NIH HHSUnited States/ ; U01 MD010665/MD/NIMHD NIH HHSUnited States/ ; K08 CA241296/CA/NCI NIH HHSUnited States/ ; U54 CA132384/CA/NCI NIH HHSUnited States/ ; UG3 CA244298/CA/NCI NIH HHSUnited States/ ; R01 CA218923/CA/NCI NIH HHSUnited States/
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Volume:
  70
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5260ba1a9e7b505b625e91613741e48a80b142f5293c68797d3416c0ca2b224f
• Download URL:
  https://stacks.cdc.gov/view/cdc/94483/cdc_94483_DS1.pdf
• File Type:
  [PDF - 130.52 KB ]