Colorectal Cancer, Colorectal Cancer Screening
Conditions
Keywords
colorectal cancer screening, colorectal cancer
Brief summary
Purpose: The investigators propose to test the effectiveness, feasibility, and cost-effectiveness of a mailed reminder with and without FIT kits in a population of Medicaid enrollees in Mecklenburg County.
Detailed description
Purpose: The investigators propose to test the effectiveness, feasibility, and cost-effectiveness of a mailed reminder with and without FIT kits in a population of Medicaid enrollees in Mecklenburg County. Participants: Medicaid beneficiaries who are enrolled in Community Care of North Carolina, ages 52-64, currently living in Mecklenburg County, at average risk for colorectal cancer (CRC), with no record of recent CRC screening (FOBT within 12 months, colonoscopy within 10 years). Procedures (methods): Participants will be identified through the state Medicaid database and randomized to receive either: 1) a mailed reminder to complete CRC screening including a FIT kit, instructions for completion, and a return mailer, OR 2) a mailed reminder to complete CRC screening only. Any recipients testing positive will be guided by care managers from Community Care of North Carolina to ensure a follow-up colonoscopy is completed.
Interventions
OTHERMailed Reminders with Fecal Immunochemical Testing kits
OTHERReminder letter only
Sponsors
UNC Lineberger Comprehensive Cancer Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
52 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
1. Current Medicaid beneficiary, 2. Enrolled in Community Care Partners of Greater Mecklenburg (CCPGM), 3. 52-64 years old, 4. English or Spanish speaking, 5. No record of FOBT/FIT within 12 months or colonoscopy with 10 years, sigmoidoscopy within 5 years; barium enema within 5 years, CT colonography within 10 years, 6. No record of any CRC diagnosis or total colectomy
Exclusion criteria
1. \< 52 or \>64 years of age; 2. History of colorectal cancer or total colectomy (see attached table for codes), 3. Persons dually enrolled in Medicare, 4. Not enrolled in CCPGM, 5. Received FOBT or FIT within 12 months; colonoscopy within 10 years; sigmoidoscopy within 5 years; barium enema within 5 years, CT colonography within 10 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants who completed fecal testing, screening colonoscopy, and colonoscopies following positive fecal testing, • | 21 months following baseline | Screening status will be assessed through participant response and Medicaid claim data. |
| Diagnoses of colorectal Cancer | 21 months following baseline | Diagnoses of colorectal cancer will be assessed through Medicaid claim data. |
| Polypectomies | 21 months following baseline | Number of polypectomies will be assessed through Medicaid claim data. |
Outcome results
None listed