School of Medicine, University of California San Francisco, 533 Parnassus Ave., San Francisco, CA, 94143, USA.
Division of Gastroenterology, University of California San Francisco, San Francisco, USA.
Dig Dis Sci. 2023 May;68(5):1777-1779. doi: 10.1007/s10620-022-07755-7. Epub 2022 Nov 10.
Organized outreach to increase CRC screening using mailed FIT tests has been shown to be effective, but durable changes to screening behavior after cessation of screening is not known.
In this study, after cessation of funding for an organized cancer screening outreach program, we evaluated whether adherence to screening remained elevated. Patients aged 50-75 years eligible for CRC screening from eight safety net clinics were randomly assigned to outreach intervention vs usual care alone in 2016 to 2018; the primary outcome analyzed was the difference in the cumulative proportion of completed FIT screening between study assignments 1 year after study cessation.
Despite higher rates of FIT screening for patients who were randomly assigned to the outreach intervention, FIT completion was not significantly different between the group that received the outreach services versus the usual care group (28.3% vs 29.8%, p = 0.158).
Outreach campaigns and their activities must be sustained to maintain improved rates of screening participation.
采用邮寄粪便免疫化学检测（FIT）进行有组织的外展以增加结直肠癌（CRC）筛查已被证明是有效的，但在停止筛查后，筛查行为是否能持久改变尚不清楚。
在本研究中，在有组织的癌症筛查外展计划的资金停止后，我们评估了筛查的依从性是否仍然较高。2016 年至 2018 年，来自 8 家社区卫生服务中心的符合 CRC 筛查条件、年龄在 50-75 岁的患者被随机分配至外展干预组或单纯常规护理组；主要结局分析是研究停止后 1 年，两组间完成 FIT 筛查的累积比例的差异。
尽管随机分配到外展干预组的患者 FIT 筛查率较高，但接受外展服务的组与常规护理组之间的 FIT 完成情况并无显著差异（28.3% vs 29.8%，p=0.158）。
必须持续开展外展活动，以维持筛查参与率的提高。
