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Implementation of mailed colon cancer screening testing

Not Applicable
Conditions
Completion of colon cancer screening
Cancer
Registration Number
ISRCTN22187559
Lead Sponsor
Minneapolis VA Health Care System
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
9000
Inclusion Criteria

1. Is not deceased
2. Is a Veteran
3. Must have deliverable address
4. Active or pending primary care provider assignment

Exclusion Criteria

1. Exclude patients from Northern Mariana Islands, Armed Forces Pacific, Palau, Virgin Islands, American Somoa, Armed Forces AF, EU, ME, CA, Puerto Rico, or any foreign country
2. CAN score with 1 year mortality rate of >50%
3. Have received hospice care in the last two years
4. Have received palliative care in the last year
5. Have had ulcerative colitis diagnosis in the last year
6. Have had crohn disease diagnosis in the last year
7. History of adeoma in the last year
8. Have had metastatic cancer diagnosis in the last year
9. Any total colectomy procedures in the last year
10. Frailty and advanced illness diagnosis in the last year
11. Clopidogrel (or other thienopyridine) prescription in the last four months of prescription and no prescription for 121-365 days prior
12. Have had FOBT in the last 10 months
13. Have had colonoscopy in the last 112 months
14. Have had a CT colonography in the last 54 months
15. Have had a DNA FIT in the last 33 months
16. Have had a Flex Sigmoid in the last 4.5 years
17. Active/pending/scheduled colonoscopy consults in the last 90 days
18. Have existing mailed FIT orders

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Completion of colon cancer screening completion four weeks after being mailed a FIT kit measured using patient records
Secondary Outcome Measures
NameTimeMethod
Reach of the intervention - proportion of patients that schedule a colonoscopy following a positive test measured using patient records at the end of the study
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