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Evaluation of Interventions Intended to Increase Colorectal Cancer Screening Rates in the United States: A Systematic Review and Meta-analysis

Dougherty et al. (2018)

Health Evidence - 10.1001/jamainternmed.2018.4637

Evidence Categories

  • Care setting: Secondary Care
  • Care setting: Primary care
  • Population group: Any population
  • Intervention: Any intervention
  • Outcome: Screening: Uptake of colorectal cancer screening

Type of Evidence

Systematic Review

Aims

[To answer the question] Which interventions increase completion of colorectal cancer screening tests in the United States?

Findings

In this systematic review and meta-analysis of 73 randomized clinical trials, Patient navigation and fecal test outreach had the strongest evidence supporting a significant increase in completion of initial screening; combining interventions (eg, navigation with test outreach) was associated with further increases in screening.

Conclusions

Multicomponent programs, including screening test outreach with as-needed patient navigation, should be implemented to reach national goals for colorectal cancer screening rates.